Surgical Techniques for Optimal Lens Management of Posterior Segment Metallic Intraocular Foreign Body Removal: A
Jade Y Moon1, Tyler Looysen, Pedro Monsalve
1Retina Service, Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota.
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.
