Surgical techniques for optimal lens management of posterior segment metallic intraocular foreign body removal: a case series

Jade Y. Moon; Tyler Looysen; Pedro Monsalve; Michael Simmons; Tahsin Khundkar; Ameay V Naravane; Richard Sather; Richard H Johnston; Hossein Nazari; Dara Koozekanani; Sandra R. Montezuma

doi:10.1097/iae.0000000000004208

Surgical techniques for optimal lens management of posterior segment metallic intraocular foreign body removal: a case series

Jade Y. Moon, Tyler Looysen, Pedro Monsalve, Michael Simmons, Tahsin Khundkar, Ameay V Naravane, Richard Sather, Richard H Johnston, Hossein Nazari, Dara Koozekanani, Sandra R. Montezuma

Ophthalmology & Visual Neurosciences

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: We describe three different approaches for lens management in cases of metallic 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.

Original language	English (US)
Journal	Retina
DOIs	https://doi.org/10.1097/iae.0000000000004208
State	Accepted/In press - 2024

Bibliographical note

Publisher Copyright:
© 2024 Lippincott Williams and Wilkins. All rights reserved.

Keywords

Capsular management
Cataract surgery
Intraocular foreign body
Ocular trauma
Ruptured globe
secondary intraocular lens

PubMed: MeSH publication types

Journal Article

Publisher link

10.1097/iae.0000000000004208

Cite this

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title = "Surgical techniques for optimal lens management of posterior segment metallic intraocular foreign body removal: a case series",

abstract = "Purpose: We describe three different approaches for lens management in cases of metallic 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.",

keywords = "Capsular management, Cataract surgery, Intraocular foreign body, Ocular trauma, Ruptured globe, secondary intraocular lens",

author = "Moon, {Jade Y.} and Tyler Looysen and Pedro Monsalve and Michael Simmons and Tahsin Khundkar and Naravane, {Ameay V} and Richard Sather and Johnston, {Richard H} and Hossein Nazari and Dara Koozekanani and Montezuma, {Sandra R.}",

year = "2024",

doi = "10.1097/iae.0000000000004208",

language = "English (US)",

journal = "Retina",

issn = "0275-004X",

publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Surgical techniques for optimal lens management of posterior segment metallic intraocular foreign body removal

T2 - a case series

AU - Moon, Jade Y.

AU - Looysen, Tyler

AU - Monsalve, Pedro

AU - Simmons, Michael

AU - Khundkar, Tahsin

AU - Naravane, Ameay V

AU - Sather, Richard

AU - Johnston, Richard H

AU - Nazari, Hossein

AU - Koozekanani, Dara

AU - Montezuma, Sandra R.

PY - 2024

Y1 - 2024

N2 - Purpose: We describe three different approaches for lens management in cases of metallic 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.

AB - Purpose: We describe three different approaches for lens management in cases of metallic 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.

KW - Capsular management

KW - Cataract surgery

KW - Intraocular foreign body

KW - Ocular trauma

KW - Ruptured globe

KW - secondary intraocular lens

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U2 - 10.1097/iae.0000000000004208

DO - 10.1097/iae.0000000000004208

M3 - Article

C2 - 39024646

AN - SCOPUS:85199256784

SN - 0275-004X

JO - Retina

JF - Retina

ER -

Surgical techniques for optimal lens management of posterior segment metallic intraocular foreign body removal: a case series

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

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