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Removal of a Large Metallic IOFB in an Eye wth Good Vision

  Channels: General, Retina | Posted 11/12/2010

Small-gauge vitrectomy surgery and an intraocular magnetic aid in the removal of a 10.5-mm iron IOFB lying in vitreous cavity. Maneesh Bapaye, MD, opens the conjunctiva around the point of entry to suture the wound closed. Vitrectomy is performed around the foreign body to ensure adhesions are severed and that the object was freely floating. A magnetic instrument is inserted through an enlarged sclerotomy to deliver the IOFB and avoid damaging the crystalline lens or retina. After IOFB removal, a vitrectomy, fluid-air exchange, and endolaser around area of suspected retinal break are performed.