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

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)790-797
Number of pages8
JournalRetina
Volume45
Issue number4
DOIs
StatePublished - Apr 1 2025

Bibliographical note

Publisher Copyright:
© 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Ophthalmic Communications Society, Inc.

Keywords

  • capsular management
  • cataract surgery
  • intraocular foreign body
  • ocular trauma
  • ruptured globe
  • secondary intraocular lens

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

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