Predictive factors and outcomes for posterior segment intraocular foreign bodies

Agrawal, Rupesh; Laude, Augustinus

doi:10.1038/eye.2012.24

Cited by 2 publications

(2 citation statements)

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“…Severe VH or traumatic cataract might influence a lot on initial VA and could be managed well by surgery, and this may be the reason why in some studies initial BCVA was not correlated with a poor visual prognosis 2 , 29 , 30 . Presence of RAPD was statistically significant correlated to the poor final visual outcome, which was also reported by Choovuthayakorn et al 31 . Presence of RAPD implies a severe damage of eye, especially the retina, and when this sign is found, the visual outcome might be compromised.…”

Section: Discussionsupporting

confidence: 82%

“…A recent study revealed that if the detached retina was reattached without macular involvement, the final VA could be better 30 . Several authors also described scleral/corneoscleral entry 3 , 31 and IOFB ≥ 3 mm 15 , 29 , 33 – 36 to be important predictive factors for the poor visual outcome. However, our results did not show a correlation between the visual outcome, IOFB size and entry site.…”

Section: Discussionmentioning

confidence: 99%

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Clinical and imaging characteristics, outcomes and prognostic factors of intraocular foreign bodies extracted by vitrectomy

Liu,

Bai,

Song

2023

Sci Rep

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To investigate the clinical and computer tomography (CT) features and visual prognostic factors of pars plana vitrectomy (PPV) for management of retained posterior segment intraocular foreign body (IOFB). Medical records of 96 patients with IOFB removed by PPV between July 2017 and June 2021 were retrieved. The medical records, including demographic data, initial and final best corrected visual acuity (BCVA) using standard Snellen chart, characteristics of IOFB, CT findings, and surgical details, were reviewed. Outcome was evaluated according to the final BCVA and prognostic factors were obtained. The mean age was 42.31 ± 12.05 years (range 13–71 years) with 94 males (97.9%) and two females (2.1%). CT was sensitive of IOFB in 93.75% (90 eyes) and the locations were consistent with that found during PPV: 20 foreign bodies were located in vitreous, 6 near ciliary body, and 70 on or in retina. Mean diameter of IOFB removed by PPV is 3.52 mm ± 3.01 mm (range 1–22; median 3), and mean area is 6.29 ± 6.48 mm2 (range 0.5–40; median 3), which was statistically associated with the initial VA < 0.1 and endophthalmitis. Endophthalmitis was found in 24 (25.0%) eyes and large wound together with scleral entry site might be related to the endophthalmitis. Visual outcome < 0.1 was associated with relative afferent pupillary defect, initial VA < 0.1, and presence of endophthalmitis. Initial VA ≥ 0.1 was independent predictive factor for a better final BCVA. Relative afferent pupillary defect, initial BCVA < 0.1, and presence of endophthalmitis are poor visual prognostic factors.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Clinical and imaging characteristics, outcomes and prognostic factors of intraocular foreign bodies extracted by vitrectomy

Liu,

Bai,

Song

2023

Sci Rep

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Response to Comment on ‘Predictive factors and outcomes of posterior segment intraocular foreign bodies’

Choovuthayakorn

Hansapinyo

Ittipunkul

et al. 2012

Eye

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especially if there is presence of a vegetative foreign body, prompt wound closure with simultaneous removal of IOFB with systemic and intravitreal antibiotics should be the preferred practice pattern for most ophthalmologists.5 Second sitting removal of IOFB should be considered only in patients with significantly large corneoscleral wounds that may leak during vitrectomy and in cases with associated retinal detachment requiring complex vitreoretinal surgery. 5 Conflict of interestThe authors declare no conflict of interest.

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Predictive factors and outcomes for posterior segment intraocular foreign bodies

Cited by 2 publications

References 9 publications

Clinical and imaging characteristics, outcomes and prognostic factors of intraocular foreign bodies extracted by vitrectomy

Clinical and imaging characteristics, outcomes and prognostic factors of intraocular foreign bodies extracted by vitrectomy

Response to Comment on ‘Predictive factors and outcomes of posterior segment intraocular foreign bodies’

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