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Intraocular Foreign Bodies

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Albert and Jakobiec's Principles and Practice of Ophthalmology

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Abstract

Onnisa Nanegrungsunk, MD William F Mieler, MD

Patients with retained intraocular foreign bodies (IOFBs) oftentimes present with a multitude of ocular abnormalities in addition to the IOFB itself. In any open globe injury, one must always be suspicious for the possibility of a retained IOFB. Assessment of the injury needs to be performed in a timely fashion, along with precise localization of the IOFB via a variety of imaging modalities. Then removal of the IOFB and repair of the globe is dependent upon the size, location, and composition of the IOFB(s), along with associated ocular abnormalities. Routes of removal of the IOFB are reviewed, along with the management and prevention of numerous complications including retinal detachment with or without proliferative vitreoretinopathy, hemorrhage, cataract formation, endophthalmitis, metallosis, and other entities. The majority of globes can be salvaged, with varying degrees of visual function. This chapter provides a complete overview of all complexities in the evaluation and management of retained IOFBs.

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Authors and Affiliations

  1. Chang Mai University, Chiang Mai, Thailand

    Onnisa Nanegrungsunk

  2. University of Illinois at Chicago, Chicago, IL, USA

    William F. Mieler

Authors
  1. Onnisa Nanegrungsunk
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  2. William F. Mieler
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Correspondence to William F. Mieler .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, Oregon Health & Science University Department of Ophthalmology, Portland, OR, USA

    Daniel Albert

  2. Massachusetts Eye and Ear, Boston, MA, USA

    Joan Miller

  3. Department of Ophthalmology, University of Illinois at Chicago Department of Ophthalmology, Chicago, IL, USA

    Dimitri Azar

  4. Department of Ophthalmology, Harvard Medical School, Boston, MA, USA

    Lucy H. Young

Section Editor information

  1. Massachusetts Eye and Ear, Boston, USA

    Dean Eliott

  2. Associate Professor of Ophthalmology, Harvard Medical School, Boston, USA

    Demetrios Vavvas

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Nanegrungsunk, O., Mieler, W.F. (2021). Intraocular Foreign Bodies. In: Albert, D., Miller, J., Azar, D., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-90495-5_100-1

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  • DOI: https://doi.org/10.1007/978-3-319-90495-5_100-1

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  • Print ISBN: 978-3-319-90495-5

  • Online ISBN: 978-3-319-90495-5

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