Management of Metallic Corneal Foreign Body

Dr. Sonam Yangzes and colleagues demonstrate how to remove a metallic foreign body. A 45-year-old male presented with foreign body-sensation in the left eye after sustaining a hammer-chisel injury 10 days prior. On examination, visual acuity in left eye was 6/18 and IOP was 12 mm Hg. The conjunctiva was congested with the presence of a brownish foreign body in the inferonasal quadrant of the cornea with surrounding stromal edema. The depth of the foreign body could not be ascertained. Anterior segment OCT showed back-shadowing. Dr. Yangzes and colleagues decided to remove the foreign body with a back-up of cyanoacrylate glue. The foreign body involved two-thirds of the depth of the cornea. It was gently removed using a 26-gauge needle followed by cyanoacrylate glue and bandage contact lens application.

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