A 35 years old male patient presented with history of penetrating ocular trauma while working in industry. He presented 2 days after trauma with c/o pain, dimness of vision, congestion. He was noted to have hypopyon and dense vitritis with vitreous hemorrhage. Retina was attached. CT scan revealed presence of IOFB at 6 O’clock Ora.
Intraoperatively, at outset, entry wound was sutured in SNQ. AC wash was done. Thorough Vitrectomy with PVD induction was done and IOFB released from vitreous adhesions. Retinal break was noted in SNQ where vitreous adhesion had developed at place where IOFB had ricocheted off retinal surface, after PVD was induced. IOFB was removed from the eye using intraocular magnet developed by Dr.Ferenc Kuhn. Bimanual technique was used for this. Active suction was used to lift the IOFB from retinal surface and then magnet was used to hold the IOFB. This reduces inadvertent retinal trauma. Sclerotomy was enlarged for removal of IOFB. At conclusion of surgery, endolaser was done around retinal break and C3F8 gas injection.