- Symptoms: ocular irritation, pain, foreign body sensation, tearing
or red eye.
- Work up:
- Careful examination of the entire eye is mandatory to rule out
intraocular foreign bodies including a thorough slit lamp and
dilated retinal examination.
- B-scan ultrasonography, X-ray film or CT-scanning is sometimes
indicated to rule out intraocular foreign body.
- MRI is contraindicated, since intraocular foreign body may
be metallic.
- Management
- Multiple small fragments or debris can be removed with saline
irrigation.
- Localized / embedded foreign body can be removed under topical
anesthesia at the slit lamp using cotton-tiped applicator or forceps.
- Short course of topical antibiotic after foreign body removal
may be given to prevent secondary infection.
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