Diagnosing Misdiagnosed Anterior Chamber Angle Foreign Bodies by Gonioscopy

Abstract

In the present study, it was reported a 23-year-old male patient, who presented with a penetrating eye injury, involving an anterior chamber reaction resistant to treatment after primary repair and, afterwards multiple glass fragments were detected with the help of gonioscopy at anterior chamber angle (ACA). We strongly suggest that biomicroscopic examination and imaging methods are insufficient toevaluate the presence of intraocular foreign bodies in patients with penetrating eye injuries. Therefore, ACA should be carefully screenedthrough gonioscopy. Although glass is an inert substance, it should be taken into consideration that it rarely causes treatment-resistant anterior chamber reaction.