Microincisional vitreous surgery for posterior segment retained intraocular foreign body: Possible in select cases

1. Ramandeep Singh¹
2. Mohit Dogra¹
3. Swapnil Bhalekar¹

¹Advanced eye center, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India 160012
²Department of Internal medicine, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India 160012

Purpose: The purpose of this study was to evaluate the results of management of posterior segment retained intraocular foreign body (RIOFB) using 23 G microincisional vitreous surgery (MIVS)

Methods: Prospective, interventional case series. Inclusion criteria included eyes with repaired corneal lacerations along with cataract associated with anterior and posterior capsular tear requiring lensectomy and posterior segment RIOFB with minimal posterior segment pathology not requiring prophylactic buckle

Results: 12 eyes underwent successful removal of IOFBs with no need for suturing conjunctiva, cornea or sclera. IOFB was removed through the limbus avoiding enlargement of scleral port in all eyes and anterior capsular support was preserved for secondary intraocular implantation in future in all but one eye. Post operative complications included hypotony and loose blood in one eye each which resolved with conservative management.

Conclusion: 23-guage MIVS can be used successfully in select cases of RIOFB with good surgical outcome.