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

Gyu Le Han; Min Gui Kong; Jong Chul Han; Chang Won Kee

doi:10.3341/jkos.2015.56.11.1817

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Han, Kong, Han, and Kee: A Case of Ocular Siderosis with Cataract and Delayed-Onset Secondary Glaucoma

Original Article

J Korean Ophthalmol Soc 2015;56(11):1817-1820.

Published online: 29 August 2015

DOI: https://doi.org/10.3341/jkos.2015.56.11.1817

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

Gyu Le Han, M.D, Min Gui Kong, M.D, Jong Chul Han, M.D, Chang Won Kee, M.D, PhD

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Address reprint requests to Chang Won Kee, MD, PhD Department of Ophthalmology, Samsung Medical Center, #81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea Tel: 82-2-3410-3564, Fax: 82-2-3410-0029 E-mail: ckee@skku.edu

Received 17 April 201523 June 2015 Accepted 4 September 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 secon-dary 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. J Korean Ophthalmol Soc 2015;56(11):1817-1820

References

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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).

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