A patient with past ocular history of remote trauma, unilateral retinal detachment repair, and cataract extraction presented with inferior iris pigmentation and chronic corneal edema. He complains of decreased vision, redness, and foreign body sensation. His visual acuity was 20/25-2 in the right eye and 20/800 in the left eye. His intraocular pressure was 10mmHg and 13 mmHg. His slit lamp exam was remarkable for diffuse corneal edema and 3 clock hours of a dark pigmented lesion in the inferior angle. Fundus exam was unremarkable in the right eye. B scan ultrasound showed scleral buckle with retina attached in the left eye. He underwent fine needle aspiration biopsy in the operating room, which was converted to intraocular foreign body removal. The foreign body was sent to pathology laboratory and was found to contain iron. The patient had persistent corneal edema after foreign body removal with permanent endothelial dysfunction. He underwent Descemet Membrane Endothelial Keratoplasty in the left eye for vision rehabilitation.
Presentation Date: 03/23/2023
Issue Date: 03/31/2023