Retained Wooden Intra-Lenticular Organic Foreign Body-Could it remains Asymptomatic and Sterile-?

Introduction: To discuss possible factors responsible for ocular inertness without resulting in an inflammatory incitement is the objective of this case study.A 35-year-old female patient presented with visual loss in the right eye following an accidental stick injury at the workplace one year back.Previous medication history includes topical instillation of antibacterial and antifungal agents with cycloplegics that resulted in relief of redness and eye pain.The patient noticed painless progressive visual loss for the past year and is now reported to the outpatient ophthalmic department.The patient was diagnosed to have adherent leucoma that obscured underlying traumatic cataract with the presence of light perception and accurate light projection.Hyper reflective echoic reverberations noticed within the crystalline lens on B-scan ultrasonography suggesting a possible presence of an intra-lenticular foreign body that the egression of the foreign body was confirmed during cataract extraction particularly on performing hydro procedures and cortical cleanup.A provisional diagnosis of traumatic cataract with adherent leucoma was considered and accordingly managed by performing penetrating keratoplasty, cataract extraction and sulcus fixated intraocular lens implantation.Previously controlled infection with antimicrobial topical administration, crystalline lens response of embedding foreign body within opacified lens fibres, ocular, and systemic immunological response are some of the few plausible implications leading to its inertness.Hence, we recommend a B scan investigation in all cases of traumatic cataracts and corneal opacities to diagnose and to formulate action strategic plans for achieving good visual outcomes.