Delayed Intraocular Foreign Body Removal without Endophthalmitis during Operations Iraqi Freedom and Enduring Freedom

Colyer, Marcus H.; Weber, Eric; Weichel, Eric D.; Dick, J. Stavely; Bower, Kraig S.; Ward, Thomas P.; Haller, Julia A.

doi:10.1016/j.ophtha.2006.10.052

Cited by 190 publications

(174 citation statements)

References 38 publications

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“…8,14,15 Other authors have demonstrated that delayed IOFBs removal was also appropriate when a primary wound was repaired promptly, with broad spectrum antibiotic administration 16,17 and no increased risk of endophthalmitis. As our medical center is a tertiary referral center, the mean time of IOFBs removal in this study was 30.7 days (median 6 days), whereas the incidence of endophthalmitis was 9.1%, which is comparable to other studies; range 0-20%.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors and outcomes of posterior segment intraocular foreign bodies

Choovuthayakorn

Hansapinyo

Ittipunkul

et al. 2011

Eye

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Purpose To identify the predictive factors for anatomical and visual outcomes in posterior segment intraocular foreign body (IOFB) patients managed by pars plana vitrectomy (PPV). Methods A retrospective chart review was performed for 77 patients, who had PPV for IOFBs removal between January 2001 and July 2007. Univariate and multivariate analyses were conducted to evaluate the predictive factors.Results The mean age of the patients was 33.4 years. The nature of IOFBs was mainly metal, with injuries most commonly caused by an electric grass trimmer. The mean time interval between injury and IOFBs removal was 30.7 days. The mean preoperative visual acuity (VA) was 1.82 logarithm of the minimal angle of resolution (logMAR), and mean final was VA 1.10 logMAR. From multivariate analysis, good visual outcome was correlated with the corneoscleral entry site, and poor visual outcome was correlated with the presence of relative afferent pupillary defect. Conclusions In noncombat IOFBs, most cases were work-related. Delayed IOFBs removal was acceptable when primary wounds were repaired appropriately and extensive antibiotics administered. Even though advancement in vitreoretinal surgery can reduce the frequency of blindness, further promotion and education on eye protection during work are needed.

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Section: Discussionmentioning

confidence: 99%

Predictive factors and outcomes of posterior segment intraocular foreign bodies

Choovuthayakorn

Hansapinyo

Ittipunkul

et al. 2011

Eye

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“…Other large studies recommending the use of postoperative systemic levofloxacin in the management of patients with perforating/penetrating eye injuries with foreign bodies. 32 The fact that none of the eyes in our series developed endophthalmitis may also be due to the fact that all the eyes underwent primary repair within 1 (10 eyes) or 2 days (10 eyes) of the penetrating injury. No intraocular or oral steroids were used in the perioperative stage as their role in the management of ocular trauma remains controversial and their effectiveness remains still unproven.…”

Section: Eyementioning

confidence: 82%

Vitreoretinal surgery for shotgun eye injuries: outcomes and complications

Khoueir¹,

Cherfan²,

Assi³

2015

Eye

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“…However, a previous series reported no cases of endophthalmitis following ocular trauma due to explosive material. [19][20][21][22] In most of the patients, signs of burns on the eyelids and ocular surface and in the vitreous gel suggested that injuries from hot, projectile particles may be associated with endophthalmitis less frequently than are other penetrating ocular injuries.…”

Section: Discussionmentioning

confidence: 99%

Ocular injuries from improvised explosive devices

Erdurman

Hürmeriç

Gokce

et al. 2011

Eye

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Purpose To document the characteristics, treatments, and anatomical and functional outcomes of patients with ocular trauma from improvised explosive devices (IEDs). Methods Retrospective review of ocular injuries caused by IEDs, admitted to our tertiary referral centre. Results In total, sixty-one eyes of the 39 patients with an average age of 24 years (range, 20-42 years) were included in the study. In total, 49 (80%) eyes of the patients had open-globe and 12 (20%) had closed-globe injury.In eyes with open-globe injury, intraocular foreign body (IOFB) injury was the most frequently encountered type of injury, observed in 76% of eyes. Evisceration or enucleation was required as a primary surgical intervention in 17 (28%) of the eyes. Twentytwo (36%) eyes had no light perception at presentation. Patients were followed up for an average of 6 months (range, 4-34 months). At the last follow-up, 26 (43%) of 61 eyes had no light perception. Postoperative proliferative vitreoretinopathy (PVR) developed in 12 (50%) of the 24 eyes that underwent vitreoretinal surgery, and four of these eyes became phthisical. There were no cases of endophthalmitis. The presence of open-globe injury and presenting visual acuity worse than 5/200 were significantly associated with poor visual outcome (o5/200, Po0.05).In eyes with open-globe injury, the presence of an IOFB was not associated with poor visual outcome (P40.05). Conclusion Ocular injuries from IEDs are highly associated with severe ocular damage requiring extensive surgical repair or evisceration/enucleation. Postoperative PVR is a common cause of poor anatomical and visual outcome.

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Delayed Intraocular Foreign Body Removal without Endophthalmitis during Operations Iraqi Freedom and Enduring Freedom

Cited by 190 publications

References 38 publications

Predictive factors and outcomes of posterior segment intraocular foreign bodies

Predictive factors and outcomes of posterior segment intraocular foreign bodies

Vitreoretinal surgery for shotgun eye injuries: outcomes and complications

Ocular injuries from improvised explosive devices

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