Implications of intraocular ossification after repeated vitrectomies: exploring a novel surgical intervention.

To describe the management of a case of retinal detachment combined with extensive intraocular ossification (IOO) using an innovative surgical technique of repair. Surgical procedures involved open sky approach and the use of a bone punch instrument for the removal of the ossified structures. The applied surgical techniques effectively removed the ossified material, contributing to retinal reattachment and preservation of functional vision. Particularly challenging was the rapid rebleeding and re-ossification observed after the removal of intraocular ossification, a phenomenon not yet described in the existing literature. This necessitated an additional vitrectomy using a similar approach. This paper highlights the challenges associated with IOO and the innovative surgical approach used for its management. The utilization of a bone punch instrument, although effective, necessitates caution due to its non-standard application in intraocular surgery. Further investigation and clinical experience are essential to refine the methodology and evaluate long-term outcomes in IOO management.