Gim Seah Chuah, Muhammed Julieana, Annie Lee, Othman Khairuddin
Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, MYS.
Department of Ophthalmology and Visual Science, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, MYS.
Cureus. 2024 Feb 8;16(2):e53839. doi: 10.7759/cureus.53839. eCollection 2024 Feb.
Ocular siderosis bulbi is a rare but significant cause of vision impairment in patients with a retained ferrous intraocular foreign body (IOFB). In this report, we present two cases of ocular manifestations suggestive of siderosis bulbi. Both cases presented with a significant reduction in vision and were found to have a dense cataract, a small healed corneal scar, and siderotic pigments in the anterior chamber. The first case denied any past ocular injury, yet CT scans confirmed the presence of an IOFB. The second case, who had a high suspicion of ocular trauma, did not have a radiologically detectable IOFB. Both cases underwent combined cataract extraction surgery with pars plana vitrectomy and IOFB removal, resulting in a favorable visual outcome despite developing siderosis.
眼球铁锈症是眼内留有铁质异物（IOFB）患者视力损害的一种罕见但重要的原因。在本报告中，我们介绍了两例提示眼球铁锈症的眼部表现病例。两例均表现为视力显著下降，且均发现有致密性白内障、小的愈合角膜瘢痕以及前房内的铁锈色素。第一例否认既往有眼部外伤史，但CT扫描证实存在眼内铁质异物。第二例高度怀疑有眼外伤，但影像学检查未发现可检测到的眼内铁质异物。两例均接受了白内障摘除联合玻璃体切割术及眼内铁质异物取出术，尽管发生了铁锈症，但视力预后良好。
