To describe a minimally invasive surgical approach of IOFB removal based on the exact identification of its location through multimodal preoperative imaging.
Ophthalmology Department, G. Gennimatas Athens General Hospital NHS Trust, Vitreoretinal Service
Case presentation, step-by-step high-definition video analysis
40-year-old male, hit in his left eye by a high velocity metallic foreign body while working in an elevator shaft and referred for further management after primary wound closure elsewhere. BCVA upon presentation 6/9, left. Dilated fundus examination, axial CT and cranial X-ray scans confirmed the presence of an IOFB. Further multimodal imaging applying midperipheral spectral domain OCT and B scan ultrasound identified its exact intraretinal location without definite encapsulation. Intraoperatively, a step-by-step approach was applied in an attempt to minimize mechanical neuroretinal manipulation upon removal of the IOFB achieving a satisfactory functional and anatomic outcome.
Treatment and rehabilitation of complex ocular trauma requires a detailed surgical plan based on comprehensive preoperative imaging in order to exactly localize the IOFB and remove it while minimizing the overall surgical morbidity
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