Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds
Purpose. Siderosis bulbi may occur as a result of retained intralenticular foreign bodies (ILFBs) that were missed during examination in patients with self-sealing wounds and without a significant decrease in visual acuity. This study aimed to explore the clinical characteristics and visual outcomes...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/6613205 |
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| author | Zhitao Su Yuanqi Wang Quanyong Yi Lin Lin Kairan Lai Panpan Ye Yao Wang Xiaoyun Fang |
| author_facet | Zhitao Su Yuanqi Wang Quanyong Yi Lin Lin Kairan Lai Panpan Ye Yao Wang Xiaoyun Fang |
| author_sort | Zhitao Su |
| collection | DOAJ |
| description | Purpose. Siderosis bulbi may occur as a result of retained intralenticular foreign bodies (ILFBs) that were missed during examination in patients with self-sealing wounds and without a significant decrease in visual acuity. This study aimed to explore the clinical characteristics and visual outcomes of ILFBs with self-sealing corneal penetrating wounds. Methods. Fifteen eyes of 15 patients with ILFBs and self-sealing corneal penetrating wounds, seen between October 2014 and September 2019, were retrospectively analyzed. Data regarding the patient demographics, clinical features, surgical procedure, and initial and final best-corrected visual acuity (BCVA) were analyzed. Results. All patients were male with a mean age of 41 years. The foreign bodies passed through the cornea, sometimes through the iris, through the anterior capsule, and finally localized in the lens. All ILFBs were pointed and metallic objects and were successfully removed with phacoemulsification and posterior chamber intraocular lens (IOL) implantation. Anterior capsule violation was found in three eyes, but no posterior capsule rupture was found. The IOL was placed in a capsule bag in all the cases. The BCVA ranged from 20/200 to 20/25 preoperatively and improved to between 20/32 and 20/20 at the last follow-up visit. The IOLs were well-centered. Apart from posterior capsule opacity in four eyes, no other postoperative complications were found. Conclusions. In patients with a pointed metallic ILFB and self-sealing corneal penetrating wounds (with or without cataracts), early diagnosis and removal of the metallic ILFB combined with lens removal and IOL implantation may avoid late complications and achieve good visual outcomes. |
| format | Article |
| id | doaj-art-49258fc937c84d7ba36f4a7c0db9f0e8 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-49258fc937c84d7ba36f4a7c0db9f0e82025-08-20T03:36:48ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/66132056613205Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating WoundsZhitao Su0Yuanqi Wang1Quanyong Yi2Lin Lin3Kairan Lai4Panpan Ye5Yao Wang6Xiaoyun Fang7Eye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, ChinaEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, ChinaNingbo Eye Hospital, Ningbo 315040, ChinaEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, ChinaEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, ChinaEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, ChinaEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, ChinaEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, ChinaPurpose. Siderosis bulbi may occur as a result of retained intralenticular foreign bodies (ILFBs) that were missed during examination in patients with self-sealing wounds and without a significant decrease in visual acuity. This study aimed to explore the clinical characteristics and visual outcomes of ILFBs with self-sealing corneal penetrating wounds. Methods. Fifteen eyes of 15 patients with ILFBs and self-sealing corneal penetrating wounds, seen between October 2014 and September 2019, were retrospectively analyzed. Data regarding the patient demographics, clinical features, surgical procedure, and initial and final best-corrected visual acuity (BCVA) were analyzed. Results. All patients were male with a mean age of 41 years. The foreign bodies passed through the cornea, sometimes through the iris, through the anterior capsule, and finally localized in the lens. All ILFBs were pointed and metallic objects and were successfully removed with phacoemulsification and posterior chamber intraocular lens (IOL) implantation. Anterior capsule violation was found in three eyes, but no posterior capsule rupture was found. The IOL was placed in a capsule bag in all the cases. The BCVA ranged from 20/200 to 20/25 preoperatively and improved to between 20/32 and 20/20 at the last follow-up visit. The IOLs were well-centered. Apart from posterior capsule opacity in four eyes, no other postoperative complications were found. Conclusions. In patients with a pointed metallic ILFB and self-sealing corneal penetrating wounds (with or without cataracts), early diagnosis and removal of the metallic ILFB combined with lens removal and IOL implantation may avoid late complications and achieve good visual outcomes.http://dx.doi.org/10.1155/2021/6613205 |
| spellingShingle | Zhitao Su Yuanqi Wang Quanyong Yi Lin Lin Kairan Lai Panpan Ye Yao Wang Xiaoyun Fang Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds Journal of Ophthalmology |
| title | Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds |
| title_full | Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds |
| title_fullStr | Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds |
| title_full_unstemmed | Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds |
| title_short | Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds |
| title_sort | clinical characteristics and visual outcomes in patients with intralenticular foreign bodies with self sealing corneal penetrating wounds |
| url | http://dx.doi.org/10.1155/2021/6613205 |
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