A 16-year-old female presented with recurrent anterior uveitis in her right eye for the past 28 months. Her BCVA was 6/6 in both eyes. Slit-lamp examination revealed a corneal scar, anterior chamber cells, normal pupil size and reaction and a clear lens. The iris at 6 o’clock position, adjacent to the angle, showed a localized elevation. Dilated fundus examination was normal. Anterior segment OCT and ultrasound biomicroscopy confirmed the presence of a foreign body embedded in the iris. Foreign body removal was done under sub-tenon block. The video shows challenges involved in removing a non-metallic foreign body, close to the angle and eventual successful removal in-toto. Post-operative anterior segment OCT confirmed complete removal of the foreign body. Microbiological examination of the foreign body was negative for growth of any organisms. Occult foreign bodies should be kept in the differential diagnosis of recurrent anterior uveitis especially in the presence of a corneal scar.
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