[Primary intention to treat intraocular metallic foreign body using radical vitrectomy]

In order to compare the prognosis of eyes with a metallic intraocular foreign body withdrawn with a complete versus incomplete vitrectomy, our retrospective study analyzes the functional result and complications in a consecutive series of 13 eyes, depending on whether the vitrectomy included or not the removal of the posterior hyaloïd and the shaving of the vitreous base. Six eyes underwent one of these 2 surgical maneuvers. Three eyes underwent both of these 2 maneuvers and ended up with 10/10 visual acuity and no complications or reoperations. Among the 4 eyes that did not benefit from any of these 2 maneuvers, 3 required a vitrectomy revision because of a retinal detachment or a secondary hemorrhage. We conclude that a radical vitrectomy could improve the prognosis of eyes with an intraocular metallic foreign body.