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¹M.D. Beyoglu Eye Training and Research Hospital, Istanbul/TURKEY
²M.D. Taksim Training and Research Hospital, Eye Clinic, Istanbul/TURKEY To define a new rapid, effective and safe technique for the removal of intraocular foreign bodies by creating a tunnel within the vitreous body. An 18-year-old male having scleral penetrating trauma with a dart arrow was evaluated. Case applied to clinic with an 8/10 uncorrected visual acuity and 8 mmHg intraocular pressure. There were conjunctival hyperemia, scleral wound and mild corneal edema. Crystalline lens was clear. The retina was attached. After primary suturation, an eyelash was observed on the nasal pars plana in fundus examination at postoperative day 1. The patient underwent complementary surgery for the removal of intraocular foreign body. A thin vitreous tunnel was created within vitreous body from the temporal sclerotomy to the nasal site. Cilium was taken out by the help a 23-gauge forceps through temporal sclerotomy site. Laser photocoagulation was performed to the retinal area corresponding to the eyelash. Uncorrected visual acuity was 10/10 and intraocular pressure was 17 mmHg at the first postoperative day and at the last visit at 6 months. Retina was reattached, and the crystalline lens was clear. Vitreous tunnel method may be a rapid and safe alternative method for the removal of intraocular foreign body in selected cases. Most of the vitreous body remains intact and the crystalline lens is preserved. Shortened operation time also minimizes the risk of light toxicity to the macula. Keywords : PPV, Intraocular foreign body, eyelash