Kotecha Megha R, Manade Varsha, Ta Jhimli, Chodvadiya Surbhi
Dr D Y Patil Medical College Hospital and Research Centre, Pimpri, India.
Case Rep Ophthalmol. 2025 Jun 14;16(1):515-520. doi: 10.1159/000546787. eCollection 2025 Jan-Dec.
Inert intraocular foreign body (IOFB) removal depends on the location, type of injury, composition, and size of IOFB and possible serious complications of intraocular surgery. Early management is crucial for better prognosis.
A 28-year-old male presented to the outpatient department after an alleged workplace accident. Initial assessment revealed significant diminution of vision, and on anterior segment examination with slit lamp, conjunctival congestion with no obvious entry point and no obvious scleral tear noted. Fundus examination by indirect ophthalmoscopy revealed vitreous hemorrhage, but the foreign body could not be localized due to extensive hazy media. Radiography of the orbit revealed an IOFB. The patient was managed surgically, and the intraretinal foreign body was removed using an intraocular magnet and intraocular forceps. The decision to remove the inert metal was considered because the patient had significant vision loss with vitreous hemorrhage.
Management of an intraretinal metallic foreign body using an intraocular magnet is a viable and effective approach. It allows precise removal with minimal retinal trauma, thus preserving visual function.
惰性眼内异物（IOFB）的取出取决于异物的位置、损伤类型、成分、大小以及眼内手术可能出现的严重并发症。早期处理对于获得更好的预后至关重要。
一名28岁男性在据称的工作场所事故后到门诊就诊。初步评估显示视力显著下降，裂隙灯眼前节检查发现结膜充血，无明显入口点，未发现明显的巩膜裂伤。间接检眼镜眼底检查发现玻璃体出血，但由于介质广泛模糊，异物无法定位。眼眶X线检查发现一个眼内异物。患者接受了手术治疗，使用眼内磁铁和眼内镊取出视网膜内异物。考虑取出惰性金属异物是因为患者因玻璃体出血而有明显视力丧失。
使用眼内磁铁处理视网膜内金属异物是一种可行且有效的方法。它能够以最小的视网膜创伤精确取出异物，从而保留视功能。
