Gawas Lisika, Sahoo Nibedita, Padhi Tapas Ranjan
Glaucoma Services, LV Prasad Eye Institute, Bhubaneswar, Odisha, India.
Glaucoma Services, LV Prasad Eye Institute, Bhubaneswar, Odisha, India
BMJ Case Rep. 2021 Apr 15;14(4):e240600. doi: 10.1136/bcr-2020-240600.
Siderotic glaucoma is a rare and challenging clinical scenario caused by a retained iron intraocular foreign body (IOFB), which results in irreversible vision loss. Presented here is a case of secondary open-angle glaucoma in a 36-year-old man that was refractory to maximal medical therapy. A meticulous history and careful clinical examination revealed that he had a penetrating trauma 15 years ago, a self-sealed corneal entry wound, open angles, a retained encapsulated metallic IOFB and siderosis bulbi. Removal of the foreign body not only controlled intraocular pressure, but also improved vision.
铁锈沉着性青光眼是一种由眼内异物（IOFB）存留铁所致的罕见且具有挑战性的临床情况，可导致不可逆的视力丧失。本文介绍了一例36岁男性继发性开角型青光眼病例，该病例对最大程度的药物治疗无效。详细的病史询问和仔细的临床检查发现，他15年前曾有穿透性外伤，角膜伤口已自行愈合，房角开放，有一个存留的包裹性金属眼内异物及眼球铁锈症。取出异物不仅控制了眼压，还改善了视力。
