An evaluation of approaches to imaging for the pre-surgical assessment of intraocular foreign body size

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Authors

Wanniarachchi, Kujani
Kaza, Hrishikesh
Safi, Antoine
Ratneswaren, Tarini
Poulson, Arabella
Snead, Martin P.

Issue Date

2025

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Article

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This study aims to assess the accuracy of CT imaging in estimating intraocular foreign body (IOFB) size by comparing pre-operative radiological measurements with post-surgical dimensions. A retrospective review of 12 cases over 9 years at a UK tertiary centre. IOFB size on CT imaging was compared with post-surgical measurements. Soft tissue window CT overestimated IOFB size (p=0.025). Bone window CT was more accurate but still varied, with one-third differing by>50% to definitive size. We conclude that caution is needed in CT-based IOFB size estimation. Plain radiographs may provide additional accuracy.

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The British journal of ophthalmology

Volume

109

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