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Article

Tips for Removing Foreign Bodies

Consider using the inferior port when removing IOFBs from the posterior segment.

By: James C. Rice, FCOphth (SA), Jason Thomas, FCOphth (SA), Jonel Steffen, FCOphth (SA), Raoul Scholtz, FCOphth (SA)

Retinal Physician July 11, 2025 Vol 22, Issue July/August 2025 Page(s): 6-8

Clinical Scorecard: Tips for Removing Foreign Bodies

At a Glance

Category	Detail
Condition
Key Mechanisms	Surgical techniques for IOFB removal from the posterior segment, focusing on minimizing trauma and complications, including risks of large sclerotomies.
Target Population
Care Setting

Key Highlights

Add highlight: 'Be aware of the risks associated with large sclerotomies, including hemorrhage and intraocular turbulence.'

Guideline-Based Recommendations

Diagnosis

Management

Monitoring & Follow-up

Observe for complications such as retinal injury or hemorrhage post-extraction, and consider the use of OVD for stabilization.

Risks

Patient & Prescribing Data

Techniques should be tailored to the specific characteristics of the IOFB and the patient's ocular condition, considering the timing of intervention.

Clinical Best Practices

Add practice: 'Assess the nature and size of the IOFB before choosing surgical techniques.'

References

Surgical Techniques for IOFB Removal

James C. Rice

Specialties: Ophthalmology

Bio: James C. Rice, FCOphth (SA), is an ophthalmology author focused on retinal surgical techniques. In Retinal Physician, he has written about approaches for removing intraocular foreign bodies from the posterior segment, including the use of an inferotemporal port to help reduce complications during extraction.

FCOphth (SA)

Specialties: Ophthalmology

Bio: FCOphth (SA) is listed in the byline credentials for authors of a Retinal Physician article on surgical approaches for removing intraocular foreign bodies from the posterior segment.

Jason Thomas

Specialties: Surgery

Bio: Jason Thomas, FCOphth (SA), is an ophthalmologist whose work in Retinal Physician focuses on vitreoretinal surgical techniques, including removal of intraocular foreign bodies from the posterior segment. In a 2025 article, he and coauthors described approaches to intraocular foreign body extraction and highlighted use of the inferotemporal port to reduce complications such as foreign body dislodgement, retained fragments, and retinal injury.

Jonel Steffen

Specialties: Ophthalmology

Bio: Jonel Steffen, FCOphth (SA), is an ophthalmologist whose work includes retinal surgery topics, including techniques for removing intraocular foreign bodies from the posterior segment. Steffen has also coauthored peer-reviewed ophthalmology literature on inflammatory eye disease, including a report on isolated immunoglobulin G4-related uveitis diagnosed by choroidal biopsy.

Raoul Scholtz

Specialties: Ophthalmology

Bio: Raoul Scholtz, FCOphth (SA), is an ophthalmologist whose work includes retinal surgery and management of posterior segment intraocular foreign bodies. He contributed to Retinal Physician guidance on techniques for removing intraocular foreign bodies from the posterior segment. His peer-reviewed ophthalmology publications include work on optic disk pit pressure dynamics, ocular metastasis as an initial presentation of breast cancer, choroidal melanoma surgery complications, cataract extraction in primary angle-closure glaucoma, and glaucoma filtering surgery techniques.