Hyphema caused by a metallic intraocular foreign body during magnetic resonance imaging

Am J Ophthalmol. 2000 Apr;129(4):533-4. doi: 10.1016/s0002-9394(99)00435-3.

Abstract

Purpose: To report a 63-year-old man with a retained intraocular foreign body who developed a hyphema during magnetic resonance imaging (MRI) of the brain.

Methods: Case report and review of the current literature on ocular injury caused by intraocular foreign bodies when subjected to an electromagnetic field.

Results: Our patient underwent a brain MRI, and the intraocular foreign body caused a hyphema and increased intraocular pressure. The presence and location of the intraocular foreign body were determined by computed tomography (CT).

Conclusion: Magnetic resonance imaging can cause serious ocular injury in patients with ferromagnetic intraocular foreign bodies. This case demonstrates the importance of obtaining an occupational history, and, when indicated, a skull x-ray or CT to rule out intraocular foreign body before an MRI study.

Publication types

  • Case Reports

MeSH terms

  • Anterior Chamber / diagnostic imaging
  • Anterior Chamber / injuries*
  • Brain / pathology
  • Eye Foreign Bodies / complications*
  • Eye Foreign Bodies / diagnostic imaging
  • Eye Injuries, Penetrating / diagnostic imaging
  • Eye Injuries, Penetrating / etiology*
  • Fatal Outcome
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology*
  • Humans
  • Hyphema / etiology*
  • Intraocular Pressure
  • Magnetic Resonance Imaging / adverse effects*
  • Male
  • Metals
  • Middle Aged
  • Tomography, X-Ray Computed

Substances

  • Metals