Surgical techniques for optimal lens management of posterior segment metallic intraocular foreign body removal: a case series

Jade Y Moon; Tyler Looysen; Pedro Monsalve; Michael Simmons; Tahsin Khundkar; Ameay Naravane; Richard Sather 3rd; Richard Johnston; Hossein Nazari; Dara Koozekanani; Sandra R Montezuma

doi:10.1097/IAE.0000000000004208

Surgical techniques for optimal lens management of posterior segment metallic intraocular foreign body removal: a case series

Retina. 2024 Jul 17. doi: 10.1097/IAE.0000000000004208. Online ahead of print.

Authors

Jade Y Moon¹, Tyler Looysen, Pedro Monsalve, Michael Simmons, Tahsin Khundkar, Ameay Naravane, Richard Sather 3rd, Richard Johnston, Hossein Nazari, Dara Koozekanani, Sandra R Montezuma

Affiliation

¹ Retina Service, Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN, USA 55455.

PMID: 39024646
DOI: 10.1097/IAE.0000000000004208

Abstract

Purpose: We describe three different approaches for lens management in cases of metallic 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.