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Published on: June 12, 2012
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Glide-Assisted Removal of a Metallic Intraocular Foreign Body
James T Kwan1, Justin D Pennington2, David J Ramsey2
1Department of Ophthalmology, Tufts University School of Medicine, Boston, MA 02111.
Retinal Cases & Brief Reports
|November 24, 2025
Summary
An intraocular lens glide aids in removing large, complex intraocular foreign bodies (IOFBs) from the eye. This technique safely extracts challenging IOFBs without posterior segment complications.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Trauma Surgery
Background:
- Penetrating open-globe injuries can involve intraocular foreign bodies (IOFBs).
- Removal of large or irregularly shaped IOFBs presents surgical challenges.
- Traditional removal methods may risk posterior segment complications.
Purpose of the Study:
- To demonstrate a novel technique for intraocular foreign body (IOFB) removal.
- To highlight the utility of an intraocular lens (IOL) glide in IOFB extraction.
Main Methods:
- A case report detailing the surgical management of a metallic IOFB.
- Utilized a surgical video to illustrate the technique.
- Employed an IOL glide to facilitate IOFB removal via the anterior chamber.
Main Results:
- Successfully removed a large, metallic, irregularly shaped IOFB from the anterior chamber.
- The IOL glide facilitated extraction without extending the sclerotomy to the pars plana.
- Avoided potential posterior segment complications associated with traditional methods.
Conclusions:
- An anterior segment-based, glide-assisted technique is safe and effective for IOFB removal.
- This method is particularly useful for large and irregular IOFBs.
- It offers an alternative when conventional grasping tools are ineffective.
