VT298 : Catch 22: IOFBR through primary posterior capsulorrhexis -23g all the way

Dr.Nivean M, Dr.NIDHEE JAIN F., Dr.pratheeba devi nivean, Dr.SANGEETHA SEKARAN

Retained Intraocular foreign body is a leading cause of ocular morbidity in young patients. The morbidity results from the mode of injury, the site of injury and its associated complications such as endophthalmitis, siderosis etc. hence managing these cases appropriately is essential for good visual outcomes.

Presenting a case of retained metallic intraocular foreign body involving the macular region in a young patient. , we showcase a novel technique of 23 G pars plana vitrectomy along with phacoemulsification of the lens, creation of a primary posterior vitreo capsulorrhexis through which the FB was brought into the anterior chamber and removed through the phacoemulsification clear corneal tunnel. A new Extended depth of focus PCIOL was then placed in the bag for good range ofvision in a young patient.

This unique sutureless technique maximizes the post op visual recovery for the patient with minimal tissue trauma and good surgical outcomes in a single surgery.