Intraocular foreign body removal: a novel technique using intraoperative imaging

Area of Science:

• Ophthalmology
• Medical Imaging
• Surgical Technology

Background:

• Foreign body removal from the cornea and limbus presents surgical challenges.
• Accurate localization of intraocular foreign bodies is critical for successful removal.
• Traditional imaging methods may lack the resolution for delicate intraocular structures.

Observation:

• A case involving fish hook fragments in the temporal limbus and cornea is presented.
• Intraoperative optical coherence tomography (IOCT) was utilized for visualization.
• High-resolution, real-time cross-sectional imaging facilitated fragment identification.

Findings:

• IOCT enabled precise identification of residual fish hook fragments.
• The technique guided the surgical removal of foreign body remnants.
• Assisted removal reduced the need for extensive orbital manipulation.

Implications:

• IOCT offers a valuable tool for intraocular foreign body removal.
• This imaging modality can improve surgical decision-making and outcomes.
• Despite a learning curve, IOCT demonstrates safety and efficacy in ophthalmic surgery.