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Background: A patient with a retained intraocular metallic foreign body post?trauma was taken up for vitrectomy and intraocular foreign body removal. Unfortunately, the intraocular magnet was not available at the moment on the table! How a little bit of creativity and innovative thought helped us tide over this crisis is the content of this video. Purpose: To demonstrate magnetization of a metallic surgical instrument for temporary use in the event of unavailability of the intraocular magnet for intraocular foreign body removal. Synopsis: A ferromagnetic substance can be magnetized temporarily using an existing magnet. We obtained a general?purpose magnet and wrapped it in sterile plastic, using which we magnetized normal intraocular forceps and a Micro Vitreo Retinal (MVR) blade by giving about 20–30 strokes over the magnet in a single direction. This aligned the magnetic domains in the metal in a parallel fashion. These Do It Yourself (DIY)? magnetic instruments were then effectively utilized to remove the metallic intraocular foreign body. Highlights: The video showcases effectively harnessing the available resources and tiding over the dearth of a necessary instrument, with the right use of an innovative idea and some creativity!.
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Background: Intraocular foreign body (IOFB) removal becomes tricky if its large and impacted in the ocular coats. When confronted with such a combination, the vitreoretinal surgeon will need to modify the surgical plan. This surgical video describes one of such situation encountered during removal of a long wooden IOFB impacted in the ocular coats. Purpose: The video describes a scenario when the surgeon becomes aware that injury to ocular structure is inevitable due to inherent length of the IOFB. However, a careful assessment of the situation helps the surgeon to identify how he could minimize the damage to the eye and not put vision at risk. Synopsis: A young boy presented with painful loss of vision in left eye since 15 days. Examination showed BCVA of 20/32 and limitation movement in up gaze. Fundus showed hazy media and an IOFB in superior quadrant. It was noted that IOFB was moving with eye movement. The impaction in sclera and extraocular extension was suspected. After pars plana vitrectomy, it was observed that IOFB was longer than what was measured by the scan and it was impacted in the coats. Removal using IOFB forceps further pulled the IOFB into vitreous cavity. A rectangular scleral window was created, IOFB was pushed towards opposite pars plana region to avoid injury to macula, optic nerve, lens and peripheral retina. The IOFB was then removed.The retinal tears were lasered. Three months following the surgery, he developed cataract, which needed surgery. His BCVA at the last follow up visit was 20/25 with attached retina. Highlights: 1. Limitation of movement in presence of linear IOFB shall raise a suspicion of IOFB being impacted in coats and possibility of its extraocular extension; 2.An oblique IOFB posterior to limbus, can have length more in transverse diameter of the eyeball. Though rarely used, an ab?externo approach can be a viable option in such a case to minimise injury to vital structure of the eye, particularly if the IOFB is severely impacted in sclera.
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The aim of this study was to describe a novel technique for intraocular foreign body (IOFB) removal. Phacoemulsification was performed in all patients, followed by a complete microincision vitrectomy to free all tissues surrounding the IOFB. A three?piece intraocular lens (IOL) was placed in the capsular bag, and an opening was made in the upper center of the capsule. The IOFB was removed and lifted to the anterior chamber through the capsular opening and IOL edge. The IOFB was confined to the anterior chamber by the IOL, and then easily extracted through the main corneal incision. The technique was adopted in six eyes of six patients. All IOFBs were removed successfully in all patients without intraoperative or postoperative complications. The IOL?blocking technique is a useful approach for IOFB removal.
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Los cuerpos extraños intracristalinianos representan hasta un 10 por ciento de todos los cuerpos extraños intraoculares, por lo que su observación en la práctica oftalmológica no es frecuente. Se reportan con mayor frecuencia en varones jóvenes que han sufrido traumas en el área laboral sin la adecuada protección. De manera general, un cuerpo extraño intracristaliniano provoca disminución progresiva de la visión en la mayoría de los casos debido a la formación de catarata. Es frecuente también el aumento de la presión intraocular. Una intervención quirúrgica temprana, combinando varios procederes en un solo tiempo quirúrgico, que incluye la extracción del cuerpo extraño intracristaliniano con un fórceps, permite obtener buenos resultados visuales y el control de la hipertensión ocular. Este artículo reporta dos casos con cuerpos extraños intracristalinianos retenidos en la corteza anterior del cristalino, con información detallada sobre las circunstancias del trauma, naturaleza del cuerpo extraño y procederes médicos y quirúrgicos realizados en ambos casos con características comunes(AU)
Intralenticular foreign bodies account for up to 10 percent of all intraocular foreign bodies. That is why their observation is not frequent in ophthalmologic practice. They are more often reported in male young people who have experienced trauma while working without appropriate protection. An intralenticular foreign body generally causes progressive vision reduction due to cataract formation. Increased intraocular pressure is also common. Early surgical intervention combining several procedures in a single surgery time, including removal of the intralenticular foreign body with forceps, leads to good visual results and ocular hypertension control. The article describes two cases of intralenticular foreign bodies retained in the outer cortex of the crystalline lens, and includes detailed information about the circumstances of the trauma, the nature of the foreign body, and the medical and surgical procedures conducted in both cases with common characteristics(AU)
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Humans , Male , Adult , Surgical Procedures, Operative , Eye Foreign Bodies/etiology , Intraocular PressureABSTRACT
RESUMEN Objetivo: Determinar las características clínico-epidemiológicas del trauma ocular a globo abierto. Métodos: Se realizó un estudio descriptivo, observacional y transversal en pacientes con trauma ocular a globo abierto y afectación del segmento posterior en pacientes hospitalizados en el Servicio de Vítreo-Retina del Instituto Cubano de Oftalmología "Ramón Pando Ferrer" entre julio del año 2017 y julio de 2018. Resultados: El 68,18 por ciento de los pacientes fue menor de 50 años y el 88,64 por ciento fueron hombres. El trauma más común fue el penetrante (91,11 por ciento); el 68,89 por ciento de las lesiones ocurrió en zona 1, con predominio de las heridas menor o igual a 4 mm (75,56 por ciento). La circunstancia más común del trauma fue la laboral (50 por ciento). El mecanismo de producción predominante fue el martilleo sobre metal (71,11 por ciento); el 65,91 por ciento de los traumas ocurrieron en zona urbana; el 96,46 por ciento no usaba protección; el 57,77 por ciento tenía una agudeza visual inicial de cuenta dedo o mejor, y la presencia de cuerpo extraño intraocular ocupó el 77,78 por ciento. Conclusiones: En el trauma ocular a globo abierto predominan la edad por debajo de 50 años, el sexo masculino y los traumas penetrantes. La mayor parte se presenta de forma unilateral, durante las actividades laborales y sin protección ocular. Más de la mitad de los pacientes presentan agudeza visual inicial de cuenta dedos o mejor. Los signos oculares asociados más frecuentes son el cuerpo extraño intraocular y la catarata traumática(AU)
ABSTRACT Objective: Determine the clinical-epidemiological characteristics of open globe ocular trauma. Methods: A cross-sectional observational descriptive study was conducted of open globe ocular trauma and posterior segment damage in patients admitted to the Vitreous-Retina Service of Ramón Pando Ferrer Cuban Institute of Ophthalmology from July 2017 to July 2018. Results: Of the patients studied, 68.18 percent were under 50 years of age and 88.64 percent were men. Penetrating trauma was the most common type (91.11 percent); 68.89 percent of the lesions were found in zone 1, with a predominance of injuries smaller than or equal to 4 mm (75.56 percent). Most traumas occurred while at work (50 percent). The prevailing occupational activity being performed at the moment of the trauma was hammering on metal (71.11 percent); 65.91 percent of the traumas occurred in urban areas; 96.46 percent of the patients were not wearing the required protection equipment; 57.77 percent had an initial visual acuity of count fingers or better; and participation of foreign bodies accounted for 77.78 percent. Conclusions: In open globe ocular trauma a predominance is found of age under 50 years, male sex and penetrating traumas. Most are unilateral and occur while working without the required ocular protection. In more than half of the patients initial visual acuity is finger counting or better. The most common associated ocular signs are intraocular foreign body and traumatic cataract(AU)
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Humans , Male , Adult , Visual Acuity , Eye Injuries, Penetrating/epidemiology , Foreign Bodies/etiology , Epidemiology, Descriptive , Cross-Sectional Studies , Observational Studies as TopicABSTRACT
@#AIM:To explore clinical characteristics, outcomes and prognostic factors for cases with intraocular foreign bodies(IFB)and treated with 25G minimally invasive vitrectomy(PPV).<p>METHODS: Patients traumatized with retained IFB and treated with PPV were retrospectively collected from the Department of Ophthalmology, Affiliated Hospital of Southwest Medical University from 2016-1-1 to 2019-1-1. The clinical records including general condition, time and cause of injury, locations andsize of IFBs, comorbidities, and best corrected visual acuity(BCVA)were reviewed and statistical analyzed.<p>RESULTS: Among the 105 patients, most of them are middle-aged and young men, mostly from townships. The nature of IFB was mainly metals(62 cases, 59.0%). The entrance of IFB of 78 cases(74.3%)located at Zone I of the eye. There were 17 patients with BCVA≥0.1 before surgery, 88 patients with BCVA<0.1. And 43 patients gained BCVA≥0.1 after operation, and 62 patients with BCVA<0.1. Postoperative BCVA was significantly improved compared with preoperative BCVA(<i>P</i><0.05). Through multivariate Logistic regression analysis, poor preoperative BCVA, retinal detachment, and endophthalmitis are risk factors for poor visual prognosis.<p>CONCLUSION: PPV for treatment of IFB can achieve a better outcome. The poor prognosis of visual acuity is related to retinal detachment, endophthalmitis, and the position and size of IFB.
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PURPOSE: To investigate differences in the clinical features of post-traumatic intraocular foreign bodies (IOFBs) according to their entrance locations, specifically, those penetrating the cornea and those not penetrating the cornea. METHODS: A retrospective chart review was performed of patients with an IOFB from January 2011 to July 2016. The patients were divided into two groups: those in whom the IOFB entered through the cornea (“corneal entrance” group) and those in whom the IOFB did not penetrate the cornea (“non-corneal entrance” group), and compared. Damage to the anterior and posterior capsule, retinal tear, and retinal detachment were analyzed, and differences in surgical techniques including the IOFB extraction route and intraocular lens implantation were recorded. RESULTS: A total of 43 eyes (43 patients) were included, with 33 (76.7%) in the corneal entrance group and 10 (23.3%) in the non-corneal group. The posterior capsule was preserved in 24.2% (eight) of eyes in the corneal group and 80% (eight) of eyes in the non-corneal group. The corneal group had significantly more posterior capsule ruptures but dramatically fewer retinal tears (39.4%) than the non-corneal group (80% retinal tears). CONCLUSIONS: The location of IOFB entrance is a predictable factor of lens capsule and retinal injuries.
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Humans , Cornea , Foreign Bodies , Lens Implantation, Intraocular , Retinal Detachment , Retinal Perforations , Retinaldehyde , Retrospective Studies , RuptureABSTRACT
@#AIM: To evaluate the accuracy of B-mode ultrasonography in the measurement of different kinds of posterior segment intraocular foreign body(IOFB).<p>METHODS: IOFBs from a total of 13 eyes collected in our hospital from January 2016 to December 2016 were analyzed retrospectively. Immediately after IOFBs being taken out, their actual sizes were measured with a ruler. The difference between the pre-operative B-ultrasound measurements and the actual size were compared, and the correlation coefficient was calculated(B-ultrasound measurement/actual size). In order to exclude the possibility that any damage to the IOFB during an operation may interfere with the actual size measurement, different kinds of 5mm long objects(metal, glass and wood)were put into a water sac which was about 20mm-30mm in diameter to mimic IOFB in the eyes respectively. Same measurements for each kind of objects were then preformed and repeated for 4 times. <p>RESULTS:All the 13 cases of IOFBs, including 12 cases of magnetic metal and one case of glass were removed intact <i>via</i> vitrectomy. Of all metal IOFBs, the average axle length by B-mode ultrasound and the average actual axle length were 3.65±1.30mm and 2.45±0.94mm respectively. All measurements were larger than actual sizes(<i>P</i>=0.016). The average correlation coefficient was 1.49. For the water sac experiment, the average measured values of metal, glass and wood objects were 6.76±0.15mm, 6.55±0.04mm and 6.02±0.07mm, and the average correlation coefficient were 1.35, 1.31 and 1.20 respectively. <p>CONCLUSION:The measured size is larger than the actual size when B-mode ultrasonographic scan is used to evaluate the posterior segment IOFB, especially for metal and glass objects. Therefore, it is necessary to take into consideration when making incisions for operational IOFB removal.
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@#AIM: To evaluate the accuracy of B-mode ultrasonography in the measurement of different kinds of posterior segment intraocular foreign body(IOFB).<p>METHODS: IOFBs from a total of 13 eyes collected in our hospital from January 2016 to December 2016 were analyzed retrospectively. Immediately after IOFBs being taken out, their actual sizes were measured with a ruler. The difference between the pre-operative B-ultrasound measurements and the actual size were compared, and the correlation coefficient was calculated(B-ultrasound measurement/actual size). In order to exclude the possibility that any damage to the IOFB during an operation may interfere with the actual size measurement, different kinds of 5mm long objects(metal, glass and wood)were put into a water sac which was about 20mm-30mm in diameter to mimic IOFB in the eyes respectively. Same measurements for each kind of objects were then preformed and repeated for 4 times. <p>RESULTS:All the 13 cases of IOFBs, including 12 cases of magnetic metal and one case of glass were removed intact <i>via</i> vitrectomy. Of all metal IOFBs, the average axle length by B-mode ultrasound and the average actual axle length were 3.65±1.30mm and 2.45±0.94mm respectively. All measurements were larger than actual sizes(<i>P</i>=0.016). The average correlation coefficient was 1.49. For the water sac experiment, the average measured values of metal, glass and wood objects were 6.76±0.15mm, 6.55±0.04mm and 6.02±0.07mm, and the average correlation coefficient were 1.35, 1.31 and 1.20 respectively. <p>CONCLUSION:The measured size is larger than the actual size when B-mode ultrasonographic scan is used to evaluate the posterior segment IOFB, especially for metal and glass objects. Therefore, it is necessary to take into consideration when making incisions for operational IOFB removal.
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@#AIM: To explore the effect of vitrectomy combined with gas-liquid exchange on the treatment of posterior segment nonmagnetic foreign body and best corrected visual acuity(BCVA)after operation.<p>METHODS: Totally 84 patients(86 eyes)were enrolled in this study. They were divided into observation group and control group, each group with 42 cases(43 eyes). The control group was treated with vitrectomy alone, and the observation group was treated with gas-liquid exchange combined with vitrectomy. The operation time, foreign body clearance rate, retinal recovery rate, BCVA level, macular central retinal thickness, and complications were compared between two groups. <p>RESULTS: The operation time and complication rate of the observation group were lower than those of the control group. The rate of foreign body clearance and retinal reattachment was higher than that of the control group(<i>P</i><0.05). The BCVA and macular center retinal thickness were lower in the observation group than in the control group at each time point(<i>P</i><0.05).<p>CONCLUSION:Gas-liquid exchange combined with vitrectomy for the treatment of non-magnetic foreign bodies in the posterior segment of the eye is effective, which can improve the postoperative visual acuity, the retinal edema and reduce surgical complications.
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Removal of intraocular foreign body (IOFB) from the posterior segment of the eye is challenging. In addition to surgical skill, it requires specific instrumentation to grasp and remove the IOFB. Small metallic IOFB can be removed using intraocular rare earth magnets but metallic IOFB larger than 3 mm and nonmetallic IOFBs like shot gun pellets, stones, or large glass fragments require specialized IOFB grasping forceps for removal. We describe the design and case-based clinical applications of a novel IOFB removal forceps, “the claw” that consists of a titanium handle and a 27-mm, 19-G metallic shaft that houses four retractable prongs made of nitinol wire. When completely extended, the prongs measure 14 mm in length and open up to 8–8.5 mm in the widest extent. The four prongs offer a very secure grip without crushing or splintering the IOFB leading to minimal chances of IOFB slippage and inadvertent retinal trauma.
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A 36-year-old male presented with history of injury in the left eye 3 years back with a copper wire. Examination revealed the presence of typical sunflower cataract with golden yellow deposits over the anterior lens capsule with dull glow and old vitreous hemorrhage. Non-contrast computerized tomography revealed retained intraocular foreign body in the pars plana region. The patient underwent phacoemulsification with intraocular lens implantation followed by pars plana vitrectomy and foreign body removal. Intraoperatively, fleck-like deposits were noted on the retinal surface in a circinate manner around the fovea and also over mid-peripheral retina. Postoperative swept source optical coherence tomography (SS-OCT) was performed to document the location of deposits and their characteristics. Limited literature exists regarding SS-OCT characteristics of ocular chalcosis.
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A 54-year-old male sustained ocular trauma with a projectile. Examination of the right eye revealed an intraocular foreign body (IOFB) adjacent to the optic nerve head, vitritis, vitreous hemorrhage, and translucent perivascular sheathing of the retinal vessels in all quadrants suggesting frosted branch angiitis (FBA). The patient underwent vitrectomy with removal of the IOFB and silicone oil tamponade under steroid cover. With continued use of systemic and topical steroids after surgery, complete resolution of FBA and improvement in vision were noted in a week. Prompt resolution of FBA after IOFB removal points toward a strong association between the presence of IOFB and FBA.
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Introducción: El trauma ocular es una causa importante de morbilidad oftalmológica en el mundo, con implicaciones socio-económicas importantes para el paciente y sus familiares, pues ocurre generalmente en adultos jóvenes, con una buena agudeza visual al inicio del evento traumático y que se verá comprometida según la severidad del trauma, las estructuras oculares que afecte y las complicaciones que puedan aparecer; de ahí que la pérdida de la visión sea una de las minusvalías más temidas. Presentación del caso: Paciente con alteraciones anatómicas y funcionales producidas por un trauma ocular a globo abierto penetrante zona 3, y presencia de cuerpo extraño intraocular vegetal, donde se logró un diagnóstico precoz y conducta quirúrgica oportuna obteniendo resultados visuales excelentes. Conclusiones: El trauma ocular a globo abierto penetrante zona III con cuerpo extraño intraocular vegetal, a pesar de su difícil manejo, permite alcanzar buenos resultados visuales. Esto depende del diagnóstico precoz, y una conducta pertinente basándose en criterios actuales del BETT Y del OTS(AU)
Introduction: Ocular trauma is a fundamental cause for ophthalmological morbidity worldwide, with important socio-economic implications for the patient and their relatives, since it usually occurs in young adults, with good visual acuity at the beginning of the traumatic event and which will be seen compromised based on trauma seriousness, the affected ocular structures and the complications that may appear; hence, vision loss is one of the most feared handicaps. Case presentation: Patient with anatomical and functional alterations produced by an ocular trauma in open penetrating globe zone III, and the presence of a vegetal intraocular foreign body, where an early diagnosis and timely surgical behavior were achieved, obtaining excellent visual results. Conclusions: Ocular trauma in open penetrating globe zone III with vegetal intraocular foreign body, in spite of its difficult management, allows to achieve good visual results. Based on current criteria, this depends on early diagnosis and relevant behavior based on current criteria(AU)
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Humans , Male , Vitrectomy/methods , Eye Foreign Bodies/diagnostic imaging , Endophthalmitis/epidemiology , Foreign-Body Reaction/etiologyABSTRACT
Purpose: The objective of this study is to describe the removal of retained intraocular foreign body (RIOFB) by bimanual pars plana vitrectomy through midline sclerotomy in phakic patients. Technique: Four eyes with RIOFB and clear lens underwent microincision vitrectomy surgery. A chandelier illumination was placed through one of the existing ports. The foreign body (FB) was localized by direct visualization (intravitreal) or indentation (pars plana), stabilized using an intraocular magnet/FB forceps introduced through a midline sclerotomy and freed of vitreous from all sides using a vitrectomy cutter through the other port bimanually, reoriented along their long axis and extracted through the midline sclerotomy. Results: All four FBs were removed successfully without slippage or damage to the clear lens. Conclusion: Chandelier illumination-assisted removal of FB through midline sclerotomy helps in easier localization, stabilization and removal, avoiding lens touch even in anteriorly located FBs such as at pars plana.
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Intraocular foreign body (IOFB) in cases of penetrating eye injury accounts for an important indication of vitreoretinal intervention following ocular trauma. Vascular occlusion as a complication of IOFB is rare. Here we present a case of a 34-year-old male with post-traumatic cataract and an intraocular metallic foreign body (IOFB) lodged in the superficial layers of the retina inferotemporal to the disc, causing an inferotemporal branch retinal artery occlusion. The case was managed by lensectomy with pars plana vitrectomy and IOFB removal followed by a second procedure of secondary IOL implantation. Final best-corrected visual acuity improved to 6/24. This case highlights an unusual sequelae following penetrating ocular trauma.
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Objective To investigate the clinical efficacy of 25G minimally invasive vitrectomy for the removal of foreign bodies in the posterior segment of the ball.Methods The clinical data of 21 patients (21 eyes) with intraocular foreign bodies who underwent 25G minimally invasive vitrectomy combined with intrabulbar foreign body removal were retrospectively analyzed,including magnetic foreign bodies in 17 patients and non-magnetic foreign bodies in 4 patients.All the patients had cataract and vitreous hemorrhage,with 3 patients (3 eyes) suffering secondary endophthalmitis,and 12 patients (12 eyes) suffering secondary retinal detachment.Cataract extraction,retinal reattachment and silicone oil tamponade were combined according to different conditions,and the complications and surgical outcomes were analyzed for 6-month followup.Results All patients received preoperative examinations,immediately following implementation of 25G minimally invasive vitrectomy and intrabulbar foreign body removal procedures.The removal rate of foreign bodies in phase Ⅰ was 100％.All the endophthalmitis and retinal detachment were cured before operation.The turbid lens was removed during operation from the corneal incision in 20 patients (20 eyes),and from a scleral incision in 1 patient after cataract extraction.A total of 19 eyes had better postoperative visual acuity than preoperative vision,14 eyes underwent phase Ⅱ intraocular lens implantation,and silicone oil was retained in 2 eyes.No postoperative complications related to minimally invasive surgery occurred.Conclusion 25G minimally invasive vitrectomy has good clinical outcomes in the removal of intraocular foreign bodies in the posterior segment of the eye,with minimal surgical trauma,rapid visual function recovery,and fewer complications,but great attention should be paid to its indications.
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AIM:To evaluate the outcomes and safety of minimally invasive 23G pars plana vitrectomy(PPV) combined with silicone oil tamponade for the removal of giant intraocular foreign body (IOFB).METHODS:A total of 12 cases diagnosed with giant IOFB were included in this retrospective study in which 11 eyes of 11 males and 1 eye of 1 female were treated in Changsha Aier Eye Hospital between February 2012 and March 2015.Among these patients,the preoperative best corrected visual acuity varied from light perception to 0.1 with retinal detachment identified in all 12 eyes.All patients underwent 23G minimally invasive PPV.After the vitreous was removed and the damaged retina was repaired,silicone oil was filled,and then the scleral incision was extended to remove the giant IOFB.Lens extraction and intraocular lens implantation were performed in some patients when necessary.Silicone oil was removed 6mo later.RESULTS:The giant IOFB was removed successfully just with 1 attempt in each of 12 eyes,and no IOFB fell and reinjured the retina or damaged the cornea during the procedure.All retinas were reattached and no endophthalmitis was observed in any patients postoperatively.The silicone oil was removed successfully after 6mo,and by then the visual acuity was improved in all cases.Sixty-seven percent of patients became free of blindness and 25％ free of visual disability.CONCLUSION:Removing giant IOFB through 23G PPV assisted with silicone oil tamponade is safe and effective.
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AIM: To investigate the infection factors,diagnosis and treatment of endophthalmitis after intraocular foreign body injury.METHODS: Totally 256 cases with intraocular foreign bodies including the occurrence of endophthalmitis in 42 cases were analyzed retrospectively.RESULTS: The incidence of endophthalmitis after intraocular foreign body injury was 16.4%.Posterior segment foreign bodies and combined with traumatic cataract were the risk factors of endophthalmitis after intraocular foreign body injury (all P0.05).Vitrectomy was the main treatment of endophthalmitis.CONCLUSION: Posterior segment foreign bodies and combined with traumatic cataract were the risk factors of endophthalmitis after intraocular foreign body injury.It should be kept the integrity of the posterior capsule of lens in traumatic cataract surgery.Intravitreal injection of vancomycin and ceftazidime is recommended in emergency surgery.Vitrectomy should be performed as soon as possible when confirmed endophthalmitis.
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AIM: To explore the effect of early posterior approach vitrectomy in the treatment of penetrating ocular trauma with intraocular foreign body.METHODS: Totally 10 cases of penetrating ocular trauma with intraocular foreign bodies(IOFB) in the past two years were included.Emergency vitrectomy, intraocular foreign body removal and silicone oil tamponade were performed by the same surgeon.Antibiotics and steroids were given after surgeries.Retinal photocoagulation was done according to fundus conditions after surgeries.RESULTS: One patient combined with preoperation endophthalmitis and severely damaged retina failed to recover, eventually came to phthisis bulbi.Vitrectomy and IOFB removal were all successfully performed in the other patients.The postoperation follow-up time was 3-18mo.Two of the patients received secondary vitrectomy and silicone replacement surgeries due to recurrent retinal detachment.The remaining patients had no further bleeding with intraoclar pressure(IOP) 8-21mmHg.At the last follow-up, three of them gained best corrected visual acuity better than 0.1, two patients had visual acuity of 0.01 to 0.1 and four patients had poor visual acuity of light perception to FC/50cm because of macular damage.The patient with phthisis bulbi had no light perception.CONCLUSION: Early vitrectomy, foreign body removal and silicone oil tamponade is an effective treatment for patients with penetrating eyeball injury with IOFB.