Management of multiple non-magnetic intraocular and intraorbital foreign bodies following a motor vehicle accident: a case report

We report a rare case of multiple non-magnetic intraocular and intraorbital foreign bodies (IOFBs) resulting from a motor vehicle accident. A 29-year-old male presented with sudden vision loss and pain in his right eye after windshield fragments penetrated the eye. Initial examination revealed severe visual impairment. Emergency and subsequent staged surgical interventions were performed to remove multiple glass-like foreign bodies, repair retinal detachment, and ultimately restore visual acuity. Three months after extensive procedures, best-corrected visual acuity significantly improved to 0.2. This case report is crucial as it presents a rare instance of a patient with open-globe injury and multiple non-magnetic IOFBs achieving good visual outcomes despite complex procedures. It underscores the importance of thorough evaluation, phased surgery, and multidisciplinary teamwork in managing such cases, while also indicating the associated difficulties, thereby offering valuable insights for clinical decision-making and future research on severe ocular traumas.