A 36 year – old mechanic was hammering on some iron rods when suddenly his right eye was hit by a flying metal piece and he felt a sharp pain in the eye followed by dimness of vision. He was brought to an Ophthalmologist who suspected an Intraocular foreign body. So he was referred to a retinal surgeon for further management.

On examination his vision in the right eye was 6/12p while left eye was 6/6. Ocular examination showed mild redness of the right eye and a small white mark in the cornea with surrounding edema, which was probably the site of injury. Lens showed localized opacity (cataract) in the lower part indicating the area where the foreign body hit the lens. Fundus examination revealed a small shiny piece (foreign body) in the lower periphery, just on the retinal surface. The patient was explained that the surgery to remove the foreign body would not improve his vision much but it was essential to remove the piece because if left inside it would cause chronic inflammation and damage in the eye in future.

The patient underwent Pars Plana Vitrectomy to remove the foreign body. After the vitreous removal the metallic piece was lifted up with a magnet and brought out of the eye. Meticulous examination of the retinal periphery did not show any tear. The cataract and the corneal opacity were not treated, as they were small, localized and not interfering in the central vision. Postoperative vision of the patient was 6/9.

A 42 – year old worker was brought with pain and loss of vision right eye. He was supervising some work in an automobile workshop when suddenly a large metal piece flew up and hit his right eye. Immediately he experienced severe pain with bleeding and complete loss of vision. On examination vision in the right eye was just perception of light while left eye was 6/6. Ocular examination showed a very soft eyeball with a large surrounding hemorrhage. The anterior chamber was full of blood and the pupil could not be seen.

A scleral perforation was suspected and the patient was immediately taken up for surgery. Exploration of the eyeball was done and a large scleral tear found on the lateral part, beneath the lateral rectus muscle. It was sutured and the anterior chamber was given a wash. Postoperatively the vision remained the same and there was no view of the fundus due to hemorrhage inside the eyeball. Ultrasonography was done to see the status of the retina. It showed retinal detachment and vitreous echoes indicating hemorrhage.

He underwent Pars Plana Vitrectomy right eye in which the vitreous hemorrhage was removed, retina flattened, a large tear in retina sealed with laser and silicon oil put. Postoperatively the retina remained stable and the silicon oil was removed 3 months later. His subsequent vision was 6/18.