Detection of vitrector shavings on OCT

Retin Cases Brief Rep. 2023 Jul 25. doi: 10.1097/ICB.0000000000001464. Online ahead of print.

Abstract

Purpose: To describe multiple retained intraocular foreign bodies felt to be from a vitrectomy instrument.

Methods: Observational case report.

Patient: A 66-year-old male with history of rhegmatogenous retinal detachment repaired with PPV, scleral buckle, endolaser, and fluid-air exchange presented with dyschromatopsia OD.

Results: OCT demonstrated metallic vitrector shavings detected on OCT above the optic nerve head and macula. Repeat OCT 9 months later demonstrated movement of the vitrector shavings throughout the vitreous.

Conclusion: We demonstrate retained intraocular foreign body shavings which are rarely seen following vitrectomy. These can be confirmed using OCT.