Intraocular foreign body (IOFB) injuries represent a significant subset of ocular trauma and pose a critical threat to vision, often requiring urgent and specialized intervention. The management of IOFBs involves prompt diagnosis, careful surgical planning, and postoperative care aimed at preserving both anatomical integrity and visual function. IOFBs may vary widely in composition, metallic, organic, or inert material, and their location within the eye (anterior segment, vitreous cavity, or retina) significantly influences the management approach and prognosis. Imaging modalities such as computed tomography (CT) and B-scan ultrasonography are indispensable in accurately localizing and characterizing the foreign body. Surgical removal techniques range from anterior segment approaches for superficially embedded bodies to pars plana vitrectomy (PPV) for posterior segment involvement. Timely intervention is crucial to prevent complications such as endophthalmitis, retinal detachment, and proliferative vitreoretinopathy. Prophylactic and therapeutic use of intravitreal antibiotics, especially in contaminated or delayed cases, plays a vital role in infection control. Advances in microincision vitrectomy systems and intraoperative imaging have significantly improved surgical outcomes. Visual prognosis depends on factors including the size, location, and composition of the IOFB, time to surgical removal, associated ocular injuries, and the presence of complications like infection or retinal damage. Long-term follow-up is essential to monitor for delayed sequelae such as secondary glaucoma or macular degeneration. Multidisciplinary care and adherence to safety protocols in occupational settings are vital in both managing and preventing IOFB injuries. Continued research and refinement of surgical techniques promise improved outcomes for patients with this vision-threatening condition.