Clinical analysis of eyeball double perforation caused by metal foreign body

Objective: To observe the clinical results of eyeball double perforation caused by metal foreign body treated by virectomy. Methods: By clinical examination combined with orbital CT, 12 eyes in 12 cases were diagnosed as eyeball double perforation caused by metal foreign body, all these eyes underwent vitrectomy, endocoagulation, and C_3F_8 vitreous cavity tamponade. Postoperative follow-up ranged from 6 months to 5 years. Results: Nine eyes’ retina remained attached. 3 eyes with retina detachment and PVR were reoperated with vitrectomy and silicon oil tamponade, and the retina reattached. Conclusion: Orbital CT is an accurate and sensitive method in diagnosing eyeball double perforation caused by metal foreign body, vitrectomy is an efficacious surgical method in the treatment of eyeball double perforation.