Intraocular foreign bodies (IOFB) are a public health challenge because they are a major cause of poor vision in the young population. Initial management must be adapted to each case. The history analyzes the trauma circumstances and tries to determine the nature of the IOFB. The ocular examination must be complete. After a systemic antibiotic treatment has been prescribed, the patient is evaluated with plain radiography and a CT scan. The wound will be sutured as soon as possible. The IOFB will usually be removed later using vitrectomy. However, a pars plana magnet extraction can still be considered in some selected cases.