Clinical presentation and outcomes following posterior segment IOFB
Purpose: To review the clinical features, causes of injury, types of foreign bodies, results of vitrectomy and prognostic factors in patients with posterior segment intraocular foreign bodies (IOFB). Methods: Study design: Retrospective review of clinical records. Study participants: 108 consecutive...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2010-10-01
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| Series: | Delhi Journal of Ophthalmology |
| Online Access: | https://journals.lww.com/10.4103/0972-0200.377303 |
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| Summary: | Purpose:
To review the clinical features, causes of injury, types of foreign bodies, results of vitrectomy and prognostic factors in patients with posterior segment intraocular foreign bodies (IOFB).
Methods:
Study design: Retrospective review of clinical records. Study participants: 108 consecutive patients with posterior segment IOFB presenting at the study hospital between 1994 and 2007; and treated with IOFB removal by intraocular forceps or electromagnet or combination of the two following vitrectomy. Outcome measures: Clinical presentations, investigations, surgical techniques, final anatomical and visual status and duration of follow up. Statistical analysis: Chi-squared test.
Results:
The commonest presenting feature was uniocular visual loss. Work place injuries while chiseling and hammering (67.5%, n=73) without protective eyewear were the commonest. Metallic IOFBs were significantly common at 77.16% (n=98). IOFBs were removed using intraocular magnet (74%, n=80), intraocular forceps (18.5%, n=20) or a combination of the two (7.4%, n=8). Final visual acuity of ≥20/120 was achieved in 32.4% (n=35) cases. Presence of Relative Afferent Pupillary Defect (RAPD) (p<0.001), posterior segment haemorrhage (p<0.001) and Retinal Detachment (RD) (p=0.045) at presentation implied bad prognosis.
Conclusions:
IOFBs were mostly occupational and preventable. Cases presenting with RAPD, posterior segment haemorrhage and RD had bad visual prognosis. |
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| ISSN: | 0972-0200 2454-2784 |