Objective To compare the clinical efficacy of different surgical methods in the management of posterior segment intraocular foreign body (IOFB),which include IOFBs are removed through wall of eyeball (from scleral wound,scleral incision or pars plana) or IOFBs are removed by vitrectomy (from pars plana or limbus).Methods The medical records of 62 cases (62 eyes) of posterior segment IOFB were retrospectively analyzed.Results Follow up was 6 ~ 12 months.In all cases,the IOFBs were removed in one surgery.Nine cases underwent removal of IOFBs through the wall of eyeball,2 cases of which from scleral wound,3 cases of which from scleral incision,4 cases of which from pars plana.In these 9 cases,visual acuities increased in 8 eyes and decreased in one eye which caused by retinal detachment and treated by vitrectomy.The IOFBs are removed by vitrectomy in 53 cases,22 cases of which from pars plana and 31 cases of which from limbus.In these 53 cases,visual acuities increased in 45 eyes,were no change in 6 eyes and decreased in 2 eyes which caused by ocular atrophy and treated by enucleation.Conclusion The posterior segment IOFBs can be removed by different surgical methods which depends on the size and location of IOFBs.Correct choice of surgical methods can restore the anatomic structure of eyeball and avoid the surgical complications. Key words: Body, foreign, intraocular; Removal; Methods, different