Surgical techniques for optimal lens management of posterior segment metallic intraocular foreign body removal: a case series

Purpose: We describe three different approaches for lens management in cases of metallic 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.