{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T04:49:01Z","timestamp":1782449341268,"version":"3.54.5"},"reference-count":7,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Intraocular foreign bodies penetrating the eye can lead to serious complications, including endophthalmitis, and therefore require urgent removal. We present the case of a 9-year-old boy with an intraocular foreign body lodged in the lens with a corneal flap wound. The injury occurred while hammering a bicycle frame. The patient presented with sudden pain, tearing, and decreased visual acuity in the left eye. On admission, the left eye distance best-corrected visual acuity (BCVA) was 0.4 and intraocular pressure (IOP) was 17 mmHg. Slit-lamp examination of the left eye revealed a full-thickness corneal flap wound, a traumatic cataract, and a foreign body located centrally within the lens. B-scan ultrasonography demonstrated an echogenic focus within the lens consistent with an intralenticular metallic foreign body, with a normal posterior segment, a regular appearance of the optic disc, and an attached retina. The patient underwent phacoaspiration of the traumatic cataract with intraocular lens implantation and simultaneous removal of the foreign body. Given the corneal flap wound located in the visual axis and the absence of ocular hypotony, the decision was made not to place a corneal suture. At discharge, BCVA improved to 1.0, with IOP of 17 mmHg and normal fundus appearance.<\/jats:p>","DOI":"10.3390\/diagnostics16121889","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T15:11:22Z","timestamp":1781709082000},"page":"1889","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intralenticular Metallic Foreign Body After Pediatric Ocular Trauma"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6753-2904","authenticated-orcid":false,"given":"Bogumi\u0142a","family":"W\u00f3jcik-Niklewska","sequence":"first","affiliation":[{"name":"Department of Pediatric Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-514 Katowice, Poland"},{"name":"Department of Pediatric Ophthalmology, Professor Kornel Gibi\u0144ski University Clinical Center, Medical University of Silesia, 40-514 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"B\u0142aszczyk-Windak","sequence":"additional","affiliation":[{"name":"Students Scientific Society, Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-514 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martyna","family":"Marcoll","sequence":"additional","affiliation":[{"name":"Students Scientific Society, Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-514 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Kami\u0144ska","sequence":"additional","affiliation":[{"name":"Students Scientific Society, Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-514 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5336-3460","authenticated-orcid":false,"given":"Dorota","family":"Wygl\u0119dowska-Promie\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-514 Katowice, Poland"},{"name":"Department of Ophthalmology, Professor Kornel Gibi\u0144ski University Clinical Center, Medical University of Silesia, 40-514 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/S0161-6420(99)00134-7","article-title":"Intraocular foreign bodies: Management, prognostic factors, and visual outcomes","volume":"107","author":"Greven","year":"2000","journal-title":"Ophthalmology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/S0896-1549(02)00013-5","article-title":"Intraocular foreign bodies","volume":"15","author":"Mester","year":"2002","journal-title":"Ophthalmol. Clin. N. Am."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.survophthal.2016.03.005","article-title":"Intraocular foreign bodies: A review","volume":"61","author":"Loporchio","year":"2016","journal-title":"Surv. Ophthalmol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.1016\/S0161-6420(93)31454-5","article-title":"Infectious endophthalmitis after penetrating injuries with retained intraocular foreign bodies","volume":"100","author":"Thompson","year":"1993","journal-title":"Ophthalmology"},{"key":"ref_5","first-page":"119","article-title":"Intralenticular foreign bodies: Report of eight cases and review of management","volume":"48","author":"Arora","year":"2000","journal-title":"Indian J. Ophthalmol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"4964595","DOI":"10.1155\/2019\/4964595","article-title":"Visual Outcomes and Prognostic Factors of Intralenticular Foreign Bodies in a Tertiary Hospital in North China","volume":"2019","author":"Han","year":"2019","journal-title":"J. Ophthalmol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1446","DOI":"10.1016\/j.jcrs.2018.07.061","article-title":"Primary versus secondary intraocular lens implantation in traumatic cataract after open-globe injury in pediatric patients","volume":"44","author":"Sen","year":"2018","journal-title":"J. Cataract. Refract. Surg."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/16\/12\/1889\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T04:24:18Z","timestamp":1782447858000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/16\/12\/1889"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,17]]},"references-count":7,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["diagnostics16121889"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics16121889","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,17]]}}}