Surgical Techniques for Optimal Lens Management of Posterior Segment Metallic Intraocular Foreign Body Removal: A Case Series.

PURPOSE: We describe three different approaches for lens management in cases of metallic intraocular foreign bodies (IOFBs) involving the posterior segment.

METHODS

All consecutive posterior segment metallic IOFB cases from 2012 to 2023 at a single institution were included in this retrospective case series. Surgical outcomes and surgical videos are presented.

RESULTS

A total of 25 metallic IOFB cases were included. In 9 cases, there was no significant lens involvement, therefore, not requiring lens extraction at the time of IOFB removal. In 8 cases with traumatic cataract, lens extraction sparing the anterior lens capsule was performed with IOFB removal. In 8 cases, both lens extraction and lens capsule removal were required at the time of IOFB removal.

CONCLUSION

We demonstrate our algorithm to capsular management in patients who present with IOFB with good visual outcomes in follow-up.