PMC5778554_01
Computerized tomography of the right orbit confirming location of the intraocular foreign body near the optic disc
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F1
Computerized tomography confirmed the ultrasound findings [Fig. 1].
(a) A wedge-shaped metallic intraocular foreign body lodged in the superficial layers of the retina inferotemporal to the disc, (b) whitish discoloration of the retina noted inferotemporal to the foreign body extending along the inferior arcade suggestive of a branch artery occlusion
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F2
Intraoperatively, after clearing the vitreous hemorrhage, a wedge-shaped metallic foreign body was seen lodged in the superficial layers of the retina inferotemporal to the disc [Fig. 2a]. White discoloration of the retina was noted inferotemporal to the foreign body extending along the inferior arcade and suggestive of a BRAO [Fig. 2b].
(a) Color fundus photograph showing a chorioretinal scar at the impact site, inferotemporal to optic disc, and the opaque retina within the inferior arcade. A deep retinal bleed inferior to disc and retinal striae extending across the papillomacular bundle from the optic disc toward the fovea are seen. (b) Spectral-domain optical coherence tomography revealing corrugation of the inner retinal layers with loss of differentiation of the retinal layers inferiorly
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F3
Fundus evaluation showed a chorioretinal scar at the impact site and the retina within the inferior arcade showed whitish discoloration [Fig. 3a]. Spectral-domain optical coherence tomography (SD-OCT) revealed corrugation of the inner retinal layers with loss of differentiation of the retinal layers inferiorly [Fig. 3b].
(a) Color fundus photograph revealing decreased pallor of the previously opaque retina. (b) Fluorescein angiography showing normal foveal avascular zone with dipping of the vessels into the chorioretinal scar with mild delayed filling of the inferior retinal arteriole. (c) Spectral-domain optical coherence tomography showing better differentiation of the retinal layers
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F4
Fundus examination revealed decreased pallor of the previously whitish retina [Fig. 4a] and better differentiation of the retinal layers on SD-OCT [Fig. 4b]. Fluorescein angiography was performed which showed normal foveal avascular zone with dipping of the vessels into the chorioretinal scar with mild delayed filling of the inferior retinal artery [Fig. 4c].