Foreign body–induced corneal perforation: A case report

Corneal perforation is an eye emergency that can lead to hypotony, iris synechiae, cataract, and endophthalmitis unless promptly repaired. The most common cause is ocular trauma from a foreign body. Closure of corneal perforation might be challenging.  Case illustration: A 34-year-old man presented with a corneal foreign body in the left eye. He complained of pain, redness, blurry vision, excessive tearing, and photophobia.  Visual acuity 6/12 in the left and a positive Seidel test. Slit-lamp examination showed a bone fragment penetrating into the corneal layer and entering the anterior chamber. The patient underwent foreign body extraction and corneal rupture repair. Five days postoperatively, the patient reported no complaints with improved visual acuity to 6/6.5 (pinhole 6/6).  Conclusion: Corneal perforation caused by a foreign body is a vision-threatening emergency.  Timely diagnosis and appropriate surgical intervention remain key to preserving ocular integrity and optimizing visual outcomes.