This 25YO male was utilizing a pneumatic hammer without appropriate eye protection when a metal projectile entered his eye and lodged in the superior macula with associated vitreous hemorrhage.
He underwent immediate vitrectomy with removal of the foreign body.
Learning Points:
Siderosis can develop from metallic intraocular foreign bodies (specifically iron) and lead to cataract, glaucoma, iris defects, and retinal degeneration with depressed ERG potentials.
