ABSTRACT
Intraocular foreign bodies (IOFBs) are both a common and a serious problem in traumatic ocular injuries. Most IOFBs afflict young productive members of society while hammering, drilling, or grinding in the workplace. Instrumentation for IOFB removal involves magnets and forceps. IOFB delivery is easiest when the IOFB is delivered across the ocular wall in the orientation of smallest cross-section. The use of heavy extraocular forceps to grasp the IOFB once it becomes exposed also facilitates delivery. The appropriate route for extraction depends on the size, composition, and location of the IOFB, as well as the presence of associated ocular damage. Intravitreal magnetic IOFBs that are clearly visible and free of incarcerated tissue can be removed through a pars plana sclerostomy with an external magnet. The pars plana incision should be created in a location that offers the shortest and most direct route of extraction while minimizing the chance of IOFB impaction into the lens and retina.
