Intraocular Foreign Body in a Pediatric Patient

Drs. Mohammed Al Falah, Marko Popovic, and Rajeev Muni present a case of a 9-year-old girl with a self-sealing corneal wound and an intraocular foreign body (IOFB) caused by a penetrating ocular trauma. A core vitrectomy was initially done, along with triamcinolone staining to elevate the posterior hyaloid membrane. A limited peripheral vitrectomy was then performed, and an MVR blade was used to enlarge the scleral wound so that the IOFB could be successfully removed. Finally, endolaser treatment was applied to the wound area and intravitreal antibiotic injections were administered. The video highlights how challenging posterior vitreous detachment induction in pediatric patients can be, as well as the use of the vitreous as a platform for removing the IOFB to avoid iatrogenic retinal trauma.

Relevant Financial Disclosures: Dr. Muni is a consultant for Alcon and Bausch + Lomb. Drs. Al Falah and Popovic have no relevant disclosures.