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Arch Ophthalmol. 2004;122:923-926.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The treatment of intraocular foreign bodies (IOFBs) in the previtrectomy era was largely dependent on the source and composition of the material, associated ocular pathologic features, and intraocular location. With modern vitreoretinal surgical techniques, however, most glass IOFBs are removed despite their inert nature. Occasionally, the surgical complexity involved in their extraction must be weighed against the risks of leaving them in place. We describe 3 patients with retained glass IOFBs in which initially stable or encapsulated glass IOFBs subsequently migrated and induced further complications or visual symptoms. There are rare reports of glass IOFBs located initially in the posterior segment, migrating anteriorly, and producing additional anterior segment decompensation, such as illustrated in case 3 below. However, cases 1 and 2 are most unusual, as late migration caused additional retinal pathologic conditions.

We followed up 3 patients from 2 institutions with retained glass IOFBs for more than 6 months. The . . . [Full Text of this Article]

Report of Cases and Results

Case 1

Case 2

Case 3

Comment
Subhransu Ray, MD, PhD
Boston, Mass

Thomas A. Friberg, MD; Randall R. Beatty, MD
Pittsburgh, Pa

John Loewenstein, MD
Boston

Corresponding author: John Loewenstein, MD, Retina Service, Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, 243 Charles St, Boston, MA 02114 (e-mail: john_loewenstein@meei.harvard.edu).