Nail in the Eye

In this video, Drs. Sonam Yangzes and colleagues perform intraocular foreign body removal and cataract surgery in a young patient. A 25-year-old factory worker presented with trauma to his left eye after working with a hammer and chisel; he was brought to the hospital within 3 hours of injury. His visual acuity in the left eye was 6/18. Slit-lamp examination revealed the presence of a foreign body impacted between the cornea and lens stroma with an associated anterior capsular tear. While attempting to disengage the foreign body from the cornea, the anterior capsule tear was inadvertently extended. The foreign body was removed through the main incision while injecting viscoelastic in the side port to keep the anterior chamber well-formed. The corneal wound was sutured, phacoaspiration was performed and an IOL was implanted in the bag. The patient's uncorrected visual acuity improved to 6/9 on postoperative day 1.

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