Small Rust Ring in Surgery — 47yo Man | Ophthalmology | SMLE Q#17746
SMLE Question #17746
Surgery
Ophthalmology
Objective: OBJ-OPH-FOREIGNBODY-001
Last updated: February 2026
A 47-year-old man presents to the emergency department after using a metal grinder and developing sudden sharp pain in the right eye. He has severe foreign body sensation, tearing, photophobia, and blurred vision. He does not wear contact lenses. Eye examination shows conjunctival injection and a metallic fragment embedded in the cornea with a small rust ring; the pupil is round and reactive, and there is no obvious hyphema. What is the most appropriate next step in management?
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