IOFB Removal

Intraocular foreign bodies (IOFBs) are present upto 40% of the traumatic ocular injury cases. Surgical treatment for removal of the IOFB is perhaps the most difficult procedure, particularly in intense preoperative workup. An IOFB will be further be complicated by the endophthalmitis, retinal detachment & metallosis, warranting prompt IOFB removal. IOFBs should be removed as early as possible and it mode of treatment is surgery.
Surgery involves removing of the foreign body & also repairing of the ocular structures that are damaged by trauma in the finest probable way. The normal anatomy of the eye may or may not be restored and the final visual outcome will depend upon the extent of damage to the eye. The repair may also involve injecting special medical grade oil into the eye which is usually removed later by a second surgery a few months later.
If the IOFB or capsule is impacted in the retina or other retinal breaks occurs, the doctor will choose to do laser to these specific areas before removing the vitreous & the foreign body.

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