Intralenticular foreign bodies ((ILFBs)) may cause cataract formation in some cases but do not always lead to lens opacification. Rarely, a small foreign body can perforate the cornea and the anterior lens capsule and become lodged within the lens. If the foreign body is not composed of a ferric or cupric material and the anterior lens capsule seals the perforation site, the foreign body may be retained within the lens without significant complication. The management of Intralenticular foreign bodies with or without cataract has varied from time to time in the last century.

We evaluated the surgical removal of the ILFBs with cataract extraction as a single-stage procedure. Best corrected visual acuity at last examination was 6/9 or better in 7 cases and 6/12 in one case with posterior capsular opacification. Timing and necessity of ILFBs removal may be adjusted according to the foreign…