Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body

Ratanapakorn, Tanapat; Kongmalai, Parichat; Sinawat, Suthasinee; Sanguansak, Thuss; Bhoomibunchoo, Chavakij; Laovirojjanakul, Wipada; Yospaiboon, Yosanan

doi:10.2147/opth.s290619

Cited by 11 publications

(9 citation statements)

References 20 publications

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“…Most previous studies of IOFBs have revealed that males predominate, and the average ages have been close to those in other findings. For example, Ratanapakorn et al reported that males accounted for 93.3% of patients and that the mean age was 36.4 years for 359 consecutive patients with retained IOFBs in Thailand [ 17 ]. Anguita et al reported that among 61 Latin American patients with IOFBs, males accounted for 97%, and the mean age was 37.9 years old [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of causative microorganisms of posttraumatic endophthalmitis with and without retained intraocular foreign bodies

et al. 2021

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Background The goals of this work were to report the demographic characteristics of patients with clinically diagnosed endophthalmitis with or without intraocular foreign bodies (IOFBs) and to analyze the causative microorganisms. Methods A retrospective analysis was conducted on 1257 patients with clinically diagnosed posttraumatic endophthalmitis who were admitted to Zhongshan Ophthalmic Center between January 1, 2013, and August 31, 2020. Results Of the 1257 patients with clinically diagnosed posttraumatic endophthalmitis, 452 (36.0%) patients had IOFBs. Male dominance was more common among the patients with IOFBs than the patients without IOFBs. The average age of the patients with IOFBs was older than that of the patients without IOFBs. The most common microbial pathogens in these two groups were Gram-positive cocci and Gram-negative bacilli. Gram-positive bacilli were more common in the patients with IOFBs than in those without IOFBs (17.9 vs. 9.4%), and Bacillus spp. accounted for 12.6 and 5.5%, respectively. Fungi were less abundant in the patients with IOFBs than in those without IOFBs (8.0 vs. 15.6%). Conclusions Patients with IOFBs were mostly male and older than those without IOFBs. Gram-positive bacilli were more common and fungi were less common in patients with IOFBs than in those without IOFBs.

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Section: Discussionmentioning

confidence: 99%

Comparison of causative microorganisms of posttraumatic endophthalmitis with and without retained intraocular foreign bodies

et al. 2021

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“…Although thankfully rare in the UK, penetrating ocular trauma and intraocular foreign body constitutes an emergency, which often leads to a poor final best-corrected visual acuity in most patients [ 3 ]. The majority of responsible injuries are work related, presenting in young male adults, especially those employed in the construction industry [ 4 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…The presence of an intraocular foreign body increases the risk of endophthalmitis and other ocular morbidities like corneal scarring, cataract and retinal detachment [ 2 ]. The three most common causes of eye injuries leading to IOFB’s reported are grass trimming, chiselling and hammering, with many injuries potentially avoidable with education surrounding appropriate protective safety glasses [ 3 ]. Anterior chamber location of intraocular foreign bodies is rare and usually easily detected on slit-lamp examination [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Intraocular foreign body in the anterior chamber angle of the eye—a 30-year-old ‘emergency’

Ali

Buscombe

Jones

2021

Oxford Medical Case Reports

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We report an unusual case of a missed intraocular foreign body, which was incidentally discovered in the anterior chamber drainage angle of the left eye of a retired masonry worker, some 30 years after the inciting injury. The ocular penetration and intraocular foreign body were missed during initial emergency management, despite the high-velocity mechanism of chiselling granite, which was reported. This case effectively highlights the need for a careful history and examination in high-velocity injuries to the eye (such as those caused by hammering and grinding), a high index of suspicion for intraocular foreign bodies, and considers best practice in managing such presentations.

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“…The consequence of intraocular cilium was not predictable and can cause inflammation to varying degrees. There were reports of inducing uveitis, iris cyst, cataract, intralenticular abscess, and endophthalmitis [ 17 ]. Therefore, if surgery was necessary anyway and once a cilium was found, it should not be left behind because it may cause inflammation.…”

Section: Discussionmentioning

confidence: 99%

Value of Ocular Endoscopy in Extraction of Intraocular Foreign Bodies of Cilia in Patients with Open Ocular Trauma

Zha

Wang

et al. 2021

Med Sci Monit

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Background The aim of this study was to analyze the value of ocular endoscopy in detecting and extracting intraocular cilia in patients with ocular trauma. Material/Methods We retrospectively analyzed data on identification and extraction of 46 intraocular cilia in 16 eyes with open-globe injury during endoscope-assisted vitrectomy. Results A total of the 16 patients with open-globe injury were operated on from September 2002 to June 2019. The cornea in 14 eyes was cloudy. Two eyes had endophthalmitis and 13 eyes had retinal detachment. A total of 46 cilia were extracted through direct observation under the ocular endoscope during vitrectomy 1 to 68 weeks after injury. The number of cilia per eye varied from 1 to 10. Most of the cilia were located in or near the wound. Postoperative IOP was normal in 14 patients. The follow-up after surgery showed hypotony in only 2 eyes (7.2 and 5.8 mmHg, respectively). Compared with preoperative intraocular pressure, there was a statistically significant difference. The postoperative visual acuity improved in 12 eyes and remained unchanged in 3 eyes. The vision after surgery was significantly improved compared with that before surgery ( P =0.006). The intraocular pressure increased significantly after operation ( P <0.001). And no glaucoma or retinal detachment or endophthalmitis was found. No eyes needed additional vitreous surgery. Conclusions Ocular endoscopy allows surgeons to detect intraocular cilia that were no undetected by CT or B-ultrasound preoperatively in time and to extract them effectively. It improves performance of vitrectomy in the presence of a cloudy cornea and also prevents exogenous endophthalmitis. The vision of patients with ocular trauma was improved.

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Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body

Cited by 11 publications

References 20 publications

Comparison of causative microorganisms of posttraumatic endophthalmitis with and without retained intraocular foreign bodies

Comparison of causative microorganisms of posttraumatic endophthalmitis with and without retained intraocular foreign bodies

Intraocular foreign body in the anterior chamber angle of the eye—a 30-year-old ‘emergency’

Value of Ocular Endoscopy in Extraction of Intraocular Foreign Bodies of Cilia in Patients with Open Ocular Trauma

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