Management of Intraocular Foreign Bodies of the Posterior Segment to Maximize Anatomical and Functional Outcomes

Open globe injury (OGI) repair remains one of the most challenging surgeries in all of eye surgery. Intraocular foreign bodies (IOFBs) constitute a subset with special treatment considerations. It is also clear that these operations can create a more complicated situation due to damage to the cornea or crystalline lens to ensure safe removal of the posterior segment IOFBs. In these operations, indications, time, and surgical technique of removal of the IOFB should be planned in detail to maximize anatomical and functional success and prevent permanent vision loss of the patient.Several controversies exist in the management of IOFBs that will be reviewed in this article.