Clinical characteristics and visual outcome, prognostic factor, visual acuity and globe survival in posterior segment intraocular foreign body at Tilganga Institute of Ophthalmology

Abstract

Purpose: To evaluate clinical characteristics, visual outcomes and globe survival after intraocular foreign body removal from posterior segment via pars plana approach. Methods: A hospital based retrospective study. All the patients of penetrating eye injury with intraocular foreign body in posterior segment as detected by computed tomography were enrolled from 2012 to 2014.Results: Thirty patients of 30 eyes were included. The mean age was 27.7 years. (2-52). Twenty-four (80%) were male. Out of 30 eyes 19 (63.3%) eyes had injury at Zone 1 and 11 (36.7%) eyes had injury at Zone 2. The mean time spent between primary repair following surgery and intra ocular foreign body removal, was 15.47 days. Retinal detachment and endophthalmitis prior to intraocular foreign body removal was present in 9/30 of eyes. We looked for correlation between post operative Phthisis bulbi with zone of injury and pre operative endophthalmitis and preoperative retinal detachment. However, p value for the above correlation was more than 0.552 and 0.815 respectively, which was statistically not significant.Conclusions: The eyes with posterior segment intraocular foreign bodies showing clinical features of preoperative endophthalmitis, retinal detachment and the zone of injury also did not have any direct significance with globe survival.

Management of Intraocular Foreign Bodies of Posterior Segment

“…We found that majority of patients with IOFB were young with mean age of 27.7 years and median of 28 years. This finding is similar to the findings of several authors [6].…”

Clinical characteristics and prognostic factors of patients with intraocular foreign bodies from a Tertiary Eye Center in North China

“…In our study, RD was observed in 22.01% of eyes with IOFBs. Similarly, Sharma et al (2018) reported RD in 30% of cases [9]. Despite a higher RD incidence post-trauma, our study found no association between RD and visual outcomes.…”

“…Posterior segment IOFBs are commonly linked with complications like retinal detachment, endophthalmitis, and vitreous hemorrhage [9]. Earlier reports documented endophthalmitis incidence in IOFB cases ranging from 0.00-16.55% (mean = 6.65%).…”

Features of the Content of Cellular Messengers of Inflammation in Eye Injuries

“…Травма глаза всегда связана с риском серьезных медицинских последствий, среди которых особое место отводится снижению остроты зрения вплоть до односторонней или двусторонней слепоты [4]. Кроме того, травма органа зрения несет в себе бремя прямых и косвенных экономических потерь, обусловленных не только временной и стойкой нетрудоспособностью пострадавших, но и затратами на оказание медицинской помощи [5].…”

“…[73]. Однако, по признанию исследователей, использование предложенных способов прогнозирования в практической работе невозможно из-за двух проблем: низкого удельного веса выявленных факторов риска и сложности объективизации критериев, оценивающих степень тяжести повреждения [74][75][76][77][78]. В качестве примера можно привести обзор 2000 года, авторы которого предприняли попытку предикции посттравматического инфекционного эндофтальмита и пролиферативной витреоретинопатии у 130 пациентов при травмах глаз, вызванных внутриглаз-ными или ретробульбарными инородными телами [79].…”