Intraocular Foreign Body Masquerading as Uveitis (A Case Report)

Abstract

Introduction: Intraocular foreign body is a kind of ocular emergency. Longer the foreign body stays in the eye, the greater damage they make. Here we report a case of intraocular foreign body which was treated as a case of intermediate uveitis for one and half years with oral and topical steroids.

Case Report: A 24 years-old patient came with complains of blurring of vison in left eye since one and half years associated with flashes and floaters since 1 week. There was no history of trauma. The patient was treated as a case of recurrent intermediate uveitis. The anterior chamber was quiet and there were 2+ vitreous cells. Diagnosis of intraocular foreign body was made after careful examination of fundus by indirect ophthalmoscopy. It was confirmed by Brightness scan and Computed Tomography. The case improved after removal of intraocular foreign body by pars plana vitrectomy.

Conclusion: This case report highlights that intraocular foreign body may masquerade silently as uveitis for years. The diagnosis may mislead in the absence of history of trauma and X-Ray orbit. Intraocular foreign body may remain silently inside the eye for years without causing serious complications. The most sensitive tool to diagnose intraocular foreign body is Computed Tomography scan.