Symptoms: ocular irritation, pain, foreign body sensation, tearing or red eye.
Work up:
Careful examination of the entire eye is mandatory to rule out intraocular foreign bodies including a thorough slit lamp and dilated retinal examination.
B-scan ultrasonography, X-ray film or CT-scanning is sometimes indicated to rule out intraocular foreign body.
MRI is contraindicated, since intraocular foreign body may be metallic.
Multiple small fragments or debris can be removed with saline irrigation.
Localized / embedded foreign body can be removed under topical anesthesia at the slit lamp using cotton-tiped applicator or forceps.
Short course of topical antibiotic after foreign body removal may be given to prevent secondary infection.
