Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China

Purpose. To report the long-term follow-up results of posterior segment intraocular foreign body (IOFB) removal in children and to determine the prognostic factors for visual outcome. Methods. Design: retrospective, noncomparative, interventional case series; a single tertiary care center study. Par...

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Main Authors: Ting Zhang, Hong Zhuang, Keyan Wang, Gezhi Xu
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/5861043
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author Ting Zhang
Hong Zhuang
Keyan Wang
Gezhi Xu
author_facet Ting Zhang
Hong Zhuang
Keyan Wang
Gezhi Xu
author_sort Ting Zhang
collection DOAJ
description Purpose. To report the long-term follow-up results of posterior segment intraocular foreign body (IOFB) removal in children and to determine the prognostic factors for visual outcome. Methods. Design: retrospective, noncomparative, interventional case series; a single tertiary care center study. Participants or samples: eleven eyes (11 patients) under 16 years of age with posterior segment IOFB injuries from May 2014 to November 2017. Main outcome measures: clinical features of injury, visual acuity, and complications. Results. The mean age was 6.8 years, and the mean follow-up was 20.2 months. The main IOFB sources were accidental penetration of the eye by materials in the playground (6 cases) or by pencil lead at school (4 cases). The mean IOFB size was 3.8 (range 1–6) mm. At the last visit, the visual acuities were 20/40 or better in 40.0% of patients and better than 20/200 in 70.0%. Poor visual outcome was correlated with intraoperative rhegmatogenous retinal detachment (P=0.0083). Postoperative complications included elevated transient intraocular pressure, retinal redetachment, and secondary glaucoma. Conclusions. The clinical features of pediatric posterior segment IOFBs suggest insufficient awareness of such injuries both on the playground and at school. Visual outcomes from surgical treatment were relatively favorable in this series.
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spelling doaj-art-17c62e72f5874c4691fab2ac62bb672f2025-08-20T03:54:20ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/58610435861043Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East ChinaTing Zhang0Hong Zhuang1Keyan Wang2Gezhi Xu3Department of Ophthalmology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai 200031, ChinaPurpose. To report the long-term follow-up results of posterior segment intraocular foreign body (IOFB) removal in children and to determine the prognostic factors for visual outcome. Methods. Design: retrospective, noncomparative, interventional case series; a single tertiary care center study. Participants or samples: eleven eyes (11 patients) under 16 years of age with posterior segment IOFB injuries from May 2014 to November 2017. Main outcome measures: clinical features of injury, visual acuity, and complications. Results. The mean age was 6.8 years, and the mean follow-up was 20.2 months. The main IOFB sources were accidental penetration of the eye by materials in the playground (6 cases) or by pencil lead at school (4 cases). The mean IOFB size was 3.8 (range 1–6) mm. At the last visit, the visual acuities were 20/40 or better in 40.0% of patients and better than 20/200 in 70.0%. Poor visual outcome was correlated with intraoperative rhegmatogenous retinal detachment (P=0.0083). Postoperative complications included elevated transient intraocular pressure, retinal redetachment, and secondary glaucoma. Conclusions. The clinical features of pediatric posterior segment IOFBs suggest insufficient awareness of such injuries both on the playground and at school. Visual outcomes from surgical treatment were relatively favorable in this series.http://dx.doi.org/10.1155/2018/5861043
spellingShingle Ting Zhang
Hong Zhuang
Keyan Wang
Gezhi Xu
Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China
Journal of Ophthalmology
title Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China
title_full Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China
title_fullStr Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China
title_full_unstemmed Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China
title_short Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China
title_sort clinical features and surgical outcomes of posterior segment intraocular foreign bodies in children in east china
url http://dx.doi.org/10.1155/2018/5861043
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AT keyanwang clinicalfeaturesandsurgicaloutcomesofposteriorsegmentintraocularforeignbodiesinchildrenineastchina
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