Poster Manoj Saxena

The purpose of this video presentation is to report the innovative use of an entry wound for the removal of a retained metallic IOFB lodged in the ciliary body area. The anteriorly placed retained metallic or non-metallic IOFB, especially in the ciliary body region, has always posed a serious surgical challenge both in location and extraction. Endoscopic vitreoretinal surgery comes in handy in this situation, but what if it is not handy? A male patient presented in our clinic with the history of diminution of vision in left eye after a penetrating injury while hammering a metallic object 3 days earlier. On examination there was an entry wound at 8 o’clock position just beyond the ora serrata along with clear lens and vitreous haemorrhage. On skiagram of the orbit, an IOFB was detected. B-scan sonography revealed a foreign body with vitreous haemorrhage and a lower nasal retinal detachment. On CT scan, the IOFB was seen to be lying in the ciliary body area.