Endoscopic-assisted removal of intraocular foreign body embedded in ciliary sulcus

PURPOSE: To report a novel approach for removal of intraocular foreign body in the ciliary sulcus. OBSERVATIONS: A 72-year-old male presented with an intraocular foreign body embedded in the ciliary body, localized with ultrasound biomicroscopy. An intraoperative endoscopic camera was then used to directly visualize the foreign body in the ciliary body and the object was successfully removed with intraocular forceps. CONCLUSIONS AND IMPORTANCE: Removal of foreign bodies in the ciliary sulcus often require either a transscleral approach or a pars plana approach with vitrectomy. In this case, direct visualization with endoscopy allowed for a much safer and less invasive technique for intraocular foreign body removal, preventing the need for sclerotomy or vitrectomy.