Abstract
A patient presented to the Bascom Palmer emergency room with a complaint of foreign body sensation. The patient reported worsening pain and irritation in his right eye after being struck by a metallic object a week prior. Clinical examination revealed a metallic intraocular foreign body (IOFB) embedded in the iris, accompanied by mild anterior chamber reaction and corneal abrasion without Seidel positivity. Visual acuity was 20/20 in the affected eye. Imaging, including UBM and B-scan ultrasonography, confirmed the location of the IOFB without any evidence of retinal or vitreous involvement. A decision was made to surgically remove the foreign body. Post-operative management included topical antibiotics and corticosteroids, and the patient was monitored closely for any signs of infection or inflammation. At follow-up, the patient demonstrated significant improvement in pain and inflammation - visual acuity was 20/20 with no signs of ocular complications. This case highlights the importance of timely diagnosis and surgical intervention in the management of IOFBs, especially in cases involving the delicate structures of the iris.
Presentation Date: 08/28/2025
Issue Date: 02/27/2026
