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Removal of a Metallic IOFB through the Pars Plans while Sparing the Crystalline Lens

  Channels: Retina | Posted 5/4/2011

An 18-year old male presents with a metallic object in the back of the eye after a BB gun accident. Slit lamp exams shows a peripheral corneal entrance wound, iris defect, and dense vitreous hemorrhage. Charles Wycoff, MD, begins the case by suturing the entrance wound and places two 23G trocars and one 20G. After removing vitreous and blood, the IOFB is engaged with forceps and retracted through an enlarged pars plana sclerotomy to spare the crystalline lens. There is a full thickness retinal break with blood oozing from the choroid so Dr. Wycoff increases IOP and applies light diathermy to stop the bleeding.

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