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Objective: To investigate the clinical effect of excisions of intraorbital and/or periorbital metallic foreign bodies with the help of teleroentgen system. Methods: Selecting 86 cases (86 eyes) of metallic foreign body patients in our hospital from July 2002 to July 2012. Individual surgical methods were made according to the imaging fetures got by teleroentgen system to extract the intraorbital and/or periorbital metallic foreign body through the skin or conjunctiva. Results: Foreign bodies of 86 patients were successfully removed, including 83 cases (96.5%) in one operation, and 3 cases (3.5%) in two operations. Over a period of 2 ~ 18 (9.2 ± 5.3) months follow-up, there were 62 patients (72.1%) whose eyesight reached the level as that before the operation, 21 patients (24.4%) whose eyesight has been improved in the last follow-up. The eye movement disorders were observed in 34 cases (39.5%) and 16 cases (18.6%) in the last preoperative and postoperative follow-up respectively. And the traumatic ptosis were found in 5 cases (5.8%) and 3 cases (3.5%) in the preoperative and postoperative final follow up respectively. Conclusion: The surgical method which excisions of intraorbital and/or periorbital metallic foreign bodies under the teleroentgen system of interventional radiology room with little intraorbital and periorbital tissue damage, shorter operative time and satisfactory results is easy to operate and worth promoting. [ABSTRACT FROM AUTHOR]