Detection of vitrector shavings on OCT

• Published in: Retinal cases & brief reports
• Main Authors: Silvasi, Truman L, Omari, Amro A, Sitto, Mina M, Gupta, Chirag K, Williams, George A
• Format: Journal Article
• Language: English
• Published: United States 25-07-2023
• ISSN: 1937-1578
• DOI: 10.1097/ICB.0000000000001464

To describe multiple retained intraocular foreign bodies felt to be from a vitrectomy instrument.
Observational case report.
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.
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.
We demonstrate retained intraocular foreign body shavings which are rarely seen following vitrectomy. These can be confirmed using OCT.