To show a very challenging case of removal of impacted sharp IOFB near the macula in the choroid of a child with dense vitreous hemorrhage and retinal detachment. Also to show the importance of chorioretinectomy for prevention of postoperative PVR in such cases.
The case was done in Elforsan Eye center, Assiut, Egypt.
I/A, vitrectomy, choriretinectomy, removal of IOFB through AC, laser and silicone oil injection were done.
6 months after removal of Silicone oil , NO PVR was formed and visual acuity was 6/60,and OCT showed macula on with no extension of laser scars.
Chorioretinectomy is very important step in cases of impacted intraocular FBs to prevent postoperative PVR formation and to postoperative improve VA.
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