Surgical Techniques for Optimal Lens Management of Posterior Segment Metallic Intraocular Foreign Body Removal: A Case Series.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-04-01 DOI:10.1097/IAE.0000000000004208

Jade Y Moon, Tyler Looysen, Pedro Monsalve, Michael Simmons, Tahsin Khundkar, Ameay Naravane, Richard Sather, Richard Johnston, Hossein Nazari, Dara Koozekanani, Sandra R Montezuma

{"title":"Surgical Techniques for Optimal Lens Management of Posterior Segment Metallic Intraocular Foreign Body Removal: A Case Series.","authors":"Jade Y Moon, Tyler Looysen, Pedro Monsalve, Michael Simmons, Tahsin Khundkar, Ameay Naravane, Richard Sather, Richard Johnston, Hossein Nazari, Dara Koozekanani, Sandra R Montezuma","doi":"10.1097/IAE.0000000000004208","DOIUrl":null,"url":null,"abstract":"Purpose: We describe three different approaches for lens management in cases of metallic intraocular foreign bodies (IOFBs) involving the posterior segment.Methods: All consecutive posterior segment metallic IOFB cases from 2012 to 2023 at a single institution were included in this retrospective case series. Surgical outcomes and surgical videos are presented.Results: A total of 25 metallic IOFB cases were included. In 9 cases, there was no significant lens involvement, therefore, not requiring lens extraction at the time of IOFB removal. In 8 cases with traumatic cataract, lens extraction sparing the anterior lens capsule was performed with IOFB removal. In 8 cases, both lens extraction and lens capsule removal were required at the time of IOFB removal.Conclusion: We demonstrate our algorithm to capsular management in patients who present with IOFB with good visual outcomes in follow-up.","PeriodicalId":54486,"journal":{"name":"Retina-The Journal of Retinal and Vitreous Diseases","volume":" ","pages":"790-797"},"PeriodicalIF":2.3000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Retina-The Journal of Retinal and Vitreous Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/IAE.0000000000004208","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: We describe three different approaches for lens management in cases of metallic intraocular foreign bodies (IOFBs) involving the posterior segment.

Methods: All consecutive posterior segment metallic IOFB cases from 2012 to 2023 at a single institution were included in this retrospective case series. Surgical outcomes and surgical videos are presented.

Results: A total of 25 metallic IOFB cases were included. In 9 cases, there was no significant lens involvement, therefore, not requiring lens extraction at the time of IOFB removal. In 8 cases with traumatic cataract, lens extraction sparing the anterior lens capsule was performed with IOFB removal. In 8 cases, both lens extraction and lens capsule removal were required at the time of IOFB removal.

Conclusion: We demonstrate our algorithm to capsular management in patients who present with IOFB with good visual outcomes in follow-up.

查看原文本刊更多论文

后段金属眼内异物取出的最佳晶状体管理手术技术：病例系列。

目的：我们描述了涉及后段的金属 IOFB 病例中晶状体管理的三种不同方法：本回顾性病例系列纳入了一家医疗机构从 2012 年到 2023 年的所有连续后段金属 IOFB 病例。结果：共有 25 例后节段金属 IOFB：结果：共纳入 25 例金属 IOFB 病例。在 9 例病例中，晶状体没有明显受累，因此在摘除 IOFB 时不需要摘除晶状体。在 8 例外伤性白内障病例中，在摘除 IOFB 的同时进行了晶状体摘除术，保留了晶状体前囊。在 8 个病例中，在摘除 IOFB 时需要同时进行晶状体摘除术和晶状体囊摘除术：我们展示了对 IOFB 患者进行晶状体囊袋处理的算法，随访结果显示视觉效果良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.