Ring in the Eye

An 11‑year‑old boy presented to our institute with sudden pain and decreased vision in the right eye due to an injury sustained while playing with a necklace made of multiple small silver rings. Visual acuity at the presentation was hand motion. Slit lamp examination revealed a thickened, self‑sealed corneal laceration with a traumatic total white cataract. A lateral [Figure 1a] and anteroposterior [Figure 1b] radiograph revealed a large ring‑shaped foreign body present in the anterior orbit. The patient was scheduled for cataract surgery. After a conventional “can opener”/linear capsulotomy and gentle phacoaspiration of the cataractous lens matter, the large ring‑shaped foreign body was removed using Kelman‑Mcpherson forceps. The foreign body [Figure 1c] measuring 4 mm in external diameter was observed to be located between the inferonasal iris and the anterior capsule of the cataractous lens. It was removed and an intraocular lens was placed for visual rehabilitation. Three weeks after surgery, the vision had improved to 6/18.