Siderosis oculi; visual dysfunctions even after iron removal: A role of OCT

Hsiao Ming Chao, Shih Jen Chen, Wen-Ming Hsu, Fenq Lih Lee, Ko Hua Chen

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Four males with sidersosis oculi were reviewed. Vitreous/anterior chamber angle irons (cases 1 and 3) were misdiagnosed initially and discovered later. In case 2, the retina-incarcerated iron was long ignored. Exceptionally in case 4, the iron was encapsulated by using optical coherence tomography (OCT). Preoperatively, in cases 1 and 4, the injured eye's vision, electro-oculogram, and electroretinogram were reduced compared with the other eye. In three cases, field defects were relevant to their iron locations. Postremoval, iron-impaired retinal functions didn't obviously improve. Early iron removal seems vital. OCT identified iron encapsulation, ameliorating iron toxicity. Consistently, field defect in case 4 was nonprogressive.

Original languageEnglish
Pages (from-to)131-140
Number of pages10
JournalCutaneous and Ocular Toxicology
Volume25
Issue number2
DOIs
Publication statusPublished - Jul 1 2006
Externally publishedYes

Keywords

  • Electro-oculogram
  • Electroretinogram
  • Intraocular foreign body
  • Optical coherence tomography (OCT)
  • Siderosis
  • Visual field

ASJC Scopus subject areas

  • Toxicology

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