The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
	The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Copper intraocular foreign body

by Professor Chua Chung Nen

This Indonesian worker sustained a right penetrating ocular injury from copper foreign body while cutting copper wire without protective glasses. The sclera laceration was sutured in Miri General Hospital and intravitreal antibiotics (amikacin and vancomycin) given before being transferred to the Eye Department of Sarawak General Hospital, Kuching the next day for foreign body removal. The injured eye was light perception and severely inflammed. The cornea was oedematous and the fundus could not be visualized. The intraocular pressure was normal. He was hospitalized for intensive topical steroid to reduce the inflammation prior to vitreoretinal surgery.

Intraocular foreign body on plain X-ray.

CT scan showed IOFB at the posterior pole.

Coronal CT scan showing posterior pole IOFB.

Intense right orbital swelling 4 days after the injury.

Hazy cornea.

Close-up view of the cornea.

Anterior segment photo showing oedematous cornea with poor posterior view.

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