gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Management of the eye with posterior segment IOFB: Pearls and pitfalls

Meeting Abstract

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  • Ferenc Kuhn - Birmingham/USA
  • R. Morris - Birmingham/USA

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V098

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Kuhn et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Several myths are still associated with the management of eyes with a posterior segment intraocular foreign body (IOFB). These include, but are not limited to, the following: The presence of a foreign object inside the eye always represents an emergency and the object must instantly be removed; the most important part of management is extraction of the IOFB; if the lens is injured, the posterior capsule should always be preserved so that the intraocular lens can be implanted in the bag; phacoemulsification is the safest method of extracting the traumatic cataract; even for ferrous IOFBs, the forceps is the most ideal tool for IOFB removal; and minimizing the scope of posterior segment manipulations is preferable to reduce the risk of proliferative vitreoretinopathy. This intraoperative videofilm illustrates how effective management is when the surgeon’s actions are based on a rational plan, rather than on blindly following the above-listed myths.