AIM:To evaluate the effect of surgery in cases of ocular trauma and intraocular foreign bodies.METHODS:Clinical data of 74 cases with foreign bodies were retrospectively analyzed.RESULTS:Successful operation was achieved in 71 eyes(96%), 3 eyes (4%) with failed operation. In 71 cases, all foreign bodies were removed successfully. Among them the complications included traumatic cataract in 42 cases (42/74, 57%), vitreous hemorrhage in 18 cases(18/74, 24%), retinal detachment in 2 cases (2/74, 3%) and secondary glaucoma in 9 cases(9/74, 12%). 44 eyes underwent electromagnet epispastic foreign body by external-route surgery,and 30 eyes underwent vitrectomy extraction. Ophthalmectomy was carried out in 3 cases(3/74, 4%) for the fungal intraocular inflammation after the incomplete extraction of foreign bodies. CONCLUSION:Vitrectomy is more favorable for the extraction of intraocular foreign bodies and the posterior polar ones with lens turbidity and vitreous opacity. Electromagnet epispastic foreign body by external-route surgery is suitable for the accurate positioning magnetic foreign body before the equator. Ultimately the possibility whether the eye can reconstruct has certain relevance with the integrity of the foreign body''s removal.