Presenting a series of 6 eyes presenting with severe Siderosis Bulbi due to undiagnosed retained metallic intraocular foreign bodies. All eyes had all the clinical features of siderosis both in the anterior and posterior segments with widespread retinal pigment epithelium atrophy and vitritis. The vision at presentation was very poor ranging from hand motion to perception of light. Phacoemulsification combined with pars plana vitrectomy and removal of the metallic intraocular foreign body was successfully performed in all eyes. Longterm follow-up ranging from 48 -12 months demonstrated that all eyes showed gradual slow improvement in visual performance throughout the years of the follow-up. Final vision at last visit ranged from 0.2 to 0.4 which represented a significant improvement. In addition the signs of ocular siderosis gradually disappeared with time. In conclusion, eyes with severe siderosis bulbi demonstrated significant improvement throughout time and the ocular tissues showed remarkable capacity for recovery.



Mahmoud M. SOLIMAN
Cairo University
Email : mmmsoliman@gmail.com
Cell Phone: +201223112302
Work Phone: +20233472706