A 54-year-old man had an isolated right inferotemporal symblepharonprior to cataract surgery (Figure 1).The patient reported that his face had been exposed to an exhaust blast froman aircraft engine 5 weeks previously. There was no other history of trauma.
Results from an anterior segment examination were otherwise unremarkable.Fundoscopy revealed a lesion in the temporal retina (Figure 2). B-scan ultrasonography suggested that this was an intraocularforeign body (Figure 3). An electroretinogramshowed reduced rod and cone amplitudes compatible with siderosis bulbi, thusnecessitating extraction of the intraocular foreign body. A metallic intraocularforeign body (Figure 4) was successfullyremoved with pars plana vitrectomy and an intraocular magnet.
Chen SDM, Patel CK. Symblepharon as the Only External Sign of an Occult Intraocular ForeignBody. Arch Ophthalmol. 2004;122(10):1562. doi:10.1001/archopht.122.10.1562
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: