Título / Title

INTRAOCULAR FOREIGN BODY (IOFB) TREATED WITH LASER PHOTOTHERAPY: CASE REPORT

Introdução / Purpose

The purpose of this study is to report a case and discuss the topic.

Material e Método / Methods

Report of 02 cases of intraocular foreign body (IOFB) treated with laser photocoagulation; Case 1- ID: R.S.O.B., 40 years old, female; ocular trauma (OD) with hammer (iron with iron) PMH: No comorbidities. Ophthalmic examination - Visual acuity without correction AO: 20/20; Biomicroscopy OD: diffuse hyposphagma, conjunctival-scleral laceration (perilimbic nasal, 4mm, linear, located 4,5mm from limbus) and OS: no alterations; IOP: 10/14 mmHg; Case 2- ID: R.V.P., 30 years old, female; eye trauma when working with a "hoe". Ophthalmic examination - Visual acuity without correction AO: 20/20; Biomicroscopy OD: discreet ocular laceration (limbus), at 9 o'clock, anterior chamber redone, regular pupil and OS: no alterations; IOP: 10/10 mmHg.

Resultados / Results

Case 1 - Indirect ophthalmoscopy OD: retinal choroid with presence of metallic IOFB (iron), nasal peripapillary, surrounded by halo of retinal edema, hemorrhage and yellowish exudation; OS: no changes. Case 2 - Indirect ophthalmoscopy OD: presence of metallic IOFB (iron), yellowish halo and perilesional retinal edema, located at 7 o'clock, equatorial region; OS: no changes; Indication of withdrawal of IOFB through posterior vitrectomy via pars plana (PPV). In the impossibility of the procedures, laser photocoagulation was suggested. In both cases 20/20 visual acuity was maintained in later evaluations.

Discussão e Conclusões / Conclusion

The ocular lesion resulting from an intraocular foreign body (IOFB) is an important cause of blindness and ocular morbidity. Found in 20-40% of the lesions of the open eyeball, IOFBs are often associated with penetrating corneal and scleral lesions, retinal lesions such as vitreous hemorrhage, detachment, and complications with greater potential for severity, such as endophthalmitis.

Palavras Chave

Intraocular foreign body (IOFB); Iron; Laser photocoagulation.