Objective:

To analyze intraocular foreign body (IOFB) injuries using data from the IRIS Registry, which captures a significant portion of US ophthalmologists, and characterize presentation patterns, management, and long-term visual outcomes.

Key Findings:

• Distinct visual recovery pattern: minimal improvement at one month, rapid gain at two months, and stabilization thereafter, suggesting a need for tailored follow-up.
• Patients self-identifying as Black or African American had worse mean visual outcomes, indicating potential social determinants or inequities that require addressing.
• Median patient age shifted to 55 years, possibly due to demographic changes in the workforce and increased exposure to DIY activities, highlighting a shift in the population at risk.

Interpretation:

The findings suggest a need for deeper investigation into the disparities in visual outcomes among different racial groups and the factors influencing the recovery trajectory post-IOFB removal, including access to care and socioeconomic status.

Limitations:

• Study did not assess the frequency of additional interventions post-surgery, which may influence visual outcomes.
• Lack of granular data on social determinants of health affecting outcomes.

Conclusion:

This study provides the largest contemporary analysis of IOFB injuries in the US, offering valuable insights for clinicians to manage patient expectations and improve care.