J Korean Ophthalmol Soc.  2015 Nov;56(11):1817-1820. 10.3341/jkos.2015.56.11.1817.

A Case of Ocular Siderosis with Cataract and Delayed-Onset Secondary Glaucoma

• Han GL
• Kong MG
• Han JC
• Kee CW

• KMID: 2214194
• DOI: http://doi.org/10.3341/jkos.2015.56.11.1817

Abstract

PURPOSE
We report a rare case of ocular siderosis with delayed-onset secondary glaucoma occurring 10 years after cataract and iron foreign body removal.
CASE SUMMARY
A 47-year-old male who suffered an ocular injury with an iron material to his left eye 3 years prior to his initial visit was treated in our clinic for a cataract with siderosis lentis. Ten years after he underwent cataract surgery he developed secondary open-angle glaucoma. Trabecular block taken during trabeculectomy showed no iron material, however, a fibrosclerotic change was observed.
CONCLUSIONS
In patients with a history of traumatic siderosis lentis, a potential risk of siderosis remains for a long period.

Keyword

Cataract; Glaucoma; Siderosis

MeSH Terms

Cataract*
Foreign Bodies
Glaucoma*
Glaucoma, Open-Angle
Humans
Iron
Male
Middle Aged
Siderosis*
Trabeculectomy
Iron

Figure

• 

  Figure 1. Siderotic cataract formation. (A) Anterior segment photograph: iron infiltration in the lens. (B) Gonioscopic finding: rusty colored trabecular meshwork was observed. (C) Iron infiltration in the anterior capsule of the lens (Prussian blue stain, ×400).

• 

  Figure 2. Trabecular meshwork finding at 13 years after trauma. (A) Gonioscopic finding: no rusty colored tra-becular meshwork was seen. (B) Iron was not identified in the trabecular block (Prussian blue stain, ×400). (C) Disoriented loose fibrous tissue with some degenerative change of the trabecular meshwork (electron microscopy, ×5,000).

Reference

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