A case of acute retinal toxicity caused by an intraocular foreign body composed of cobalt alloy

Kang, JY; Lee, SU; Nam, KY; Kim, TW; Lee, SJ

HERO ID

1749089

Reference Type

Journal Article

Year

2014

Language

English

PMID

23826809

HERO ID 1749089
In Press No
Year 2014
Title A case of acute retinal toxicity caused by an intraocular foreign body composed of cobalt alloy
Authors Kang, JY; Lee, SU; Nam, KY; Kim, TW; Lee, SJ
Journal Cutaneous and Ocular Toxicology
Volume 33
Issue 2
Page Numbers 91-93
Abstract Abstract Context: We describe a case of acute retinal toxicity caused by an intraocular foreign body composed of a cobalt alloy. Case presentation: A 36-year-old man presented to an outside clinic with a traumatic cataract and corneal laceration of his left eye, which had occurred while grinding a shelf. The lacerated cornea was closed primarily and the traumatic cataract was phacoemulsified. He was transferred to our hospital due to identification of a metallic intraocular foreign body in the vitreous. On arrival at our institution, the intraocular foreign body was removed as soon as possible after vitrectomy. On the first postoperative day, vasculitis and serous retinal detachment were observed on the retina at the previous site of the foreign body. Two months after surgery, atrophy of nearly half of the inferior retina was noted on funduscopy, and visual acuity was such that the patient could only count fingers at 30 cm. Analysis of the foreign body revealed that it was composed of 84.99% tungsten carbide, 15% cobalt and had traces of titanium and alumina. Discussion: Cobalt containing metallic foreign bodies should be immediately removed, as they have the potential to cause permanent visual disturbance.
Doi 10.3109/15569527.2013.808655
Pmid 23826809
Wosid WOS:000336731700001
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword Cobalt; penetrating injury; retina; trauma