| Summary: | Introduction. The most common cause for litigation against ophthalmologists
in a trauma case is a missed intraocular foreign body (IOFB). IOFBs cause
internal eye damage, but some will come to rest in the posterior segment of
the eye. Case report. We presented a 57-year-old male who was referred to the
ophthalmologist due to decreased visual acuity in his left eye. Slit lamp
examination of his left eye showed no pathological findings. Goldmann contact
lens examination showed IOFB which was lying in the vitreous body in the
inferior-temporal region. Retinal rupture was noticed at 7 o’clock. The
optical coherence tomography (OCT) examination was performed and it showed
atrophic macular area as well as decreased peripapillar retinal fiber layers
thickness. Ultrasound showed the IOFB in vitreous body cavity. History
revealed that the patient had an accidental trauma, 48 years ago, when an old
bomb from World War II (WWII) exploded. Due to the decrease in visual acuity
and fibrosis of the vitreous body surgical intervention was performed on his
left eye (phacoemulsification with intraocular lens implantation, pars plana
vitrectomy and instrumental extraction of foreign body). Conclusion. The
intraocular foreign body (IOFB) was asymptomatic for 48 years. Symptoms
depend on material and localization of the foreign body and the type of
injury.
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