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¹Asist. Dr., Beyoglu Eye Training and Research Hospital, Istanbul, Turkey
²Uz. Dr., Beyoglu Eye Training and Research Hospital, Istanbul, Turkey
³Doç. Dr., Beyoglu Eye Training and Research Hospital, Istanbul, Turkey DOI : 10.37845/ret.vit.2022.31.31 The authors describe a case of retained metallic foreign body located in the posterior segment that stayed silent and undetected for years and presented as intraocular inflammation 19 years after the injury. A 43-year-old male patient presented to the emergency clinic with acute unilateral vision loss, pain and redness in his right eye. His corrected visual acuity was counting fingers from 2 meters in the right eye. Anterior segment examination demonstrated a cilliary injection with trace cells and flare on the right eye. A patent peripheral iridectomy and a wellfunctioning conjunctival bleb located superiorly were observed on biomicroscopy. On fundus examination, 2+ cells in anterior vitreous, vitreal opacities concentrated inferiorly and a dark coloured foreign body on distant inferior retina was observed. The patient revealed a history of trauma many years ago, while 5 years previously he underwent trabeculectomy for unilateral open angle glaucoma on the right eye. The patient underwent 23-gauge pars plana vitrectomy and foreign body extraction on his right eye. The visual acuity improved to 20/20 sixth months postoperatively. Hereby, in eyes with a history of injury a thorough and detailed examination and proper investigation should be performed even if no site of entry could be differentiated. Nevertheless, the IOFB can stay undetected and inflammatory reaction can take place years after the primary injury. Keywords : Glaucoma, Intraocular foreign body, Inflammation