Abstract
Purpose To report a case of large bilateral intraocular foreign bodies mistaken for crystalline lens on computed tomography (CT). Design Case report. Methods A 24-year-old man was referred after bilateral open globe repair following a motor vehicle accident. Preoperatively, the CT scan had been read as “Right eye posteriorly dislocated lens . No evidence of foreign bodies.” Results The patient underwent left eye cataract extraction with removal of a 7 × 5 × 5 mm piece of glass buried in the crystalline lens. The patient subsequently underwent right eye pars plana vitrectomy, removal of another piece of glass measuring 6 × 5 × 5 mm, retinal detachment surgery, and corneal grafting. Conclusions Current safety standards require auto glass to fracture into pieces of a specific size to minimize laceration and missile injury. These pieces of glass may have a shape and size similar to the crystalline lens but have higher radiodensity on CT scan.
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