Surgical Management of Nonmagnetic Intraocular Foreign Bodies

The intraocular foreign body

“…Results of foreign body surgery with and without use of vitrectomy have been presented by various authors (1,4,7,8,17,26,28,21,31). Neubauer (24) was able to achieve a final visual acuity of better than 0,3 in 34~ of his cases (n = 211) after removal of intraocular copper-containing intraocular foreign bodies without pars plana vitrectomy.…”

The intraocular foreign body

“…Results of foreign body surgery with and without use of vitrectomy have been presented by various authors (1,4,7,8,17,26,28,21,31). Neubauer (24) was able to achieve a final visual acuity of better than 0,3 in 34~ of his cases (n = 211) after removal of intraocular copper-containing intraocular foreign bodies without pars plana vitrectomy.…”

Visual and Anatomic Outcomes of Vitrectomy With Temporary Keratoprosthesis or Endoscopy in Ocular Trauma With Opaque Cornea

“…Preretinal traction and PVR are the leading cause of surgical failure in penetrating and perforating injuries and their early removal is known to reduce late complications such as retinal tears and detachments. [33][34][35][36][37][38] There is no consensus regarding the timing of vitrectomy following ocular trauma, but several studies have reported better outcomes when surgery is performed within the fi rst 2 weeks. 35,[38][39][40] In our opinion, high-risk conditions predisposing to vitreoretinal traction should undergo prompt vitrectomy even in the absence of a frank retinal detachment.…”

“…1,28,41 IOFBs should also be removed promptly to reduce the risk of retinal toxicity when their composition is unknown. 36 Early IOFB removal also prevents encapsulation, which may otherwise complicate their safe removal. 36,42 An indirect benefi t of the early treatment of occult pathology and the prevention of its progression is shorter surgical time.…”

“…36 Early IOFB removal also prevents encapsulation, which may otherwise complicate their safe removal. 36,42 An indirect benefi t of the early treatment of occult pathology and the prevention of its progression is shorter surgical time. The management of more extensive retinal detachments and PVR in the keratoprosthesis group required additional procedures such as macular membrane stripping and the instillation and removal of perfl uorocarbon liquids for intraoperative tamponade and countertraction during membrane dissection.…”

Wartime open globe eye injuries

“…The prognosis of vision preservation in severely traumatized eyes (particularly with non-magnetic foreign bodies, with well-known complications) has been greatly improved by the introduction of early (7-10 days after wounding) pars plana vitrectomy [6,18,[22][23][24]. Immediate treatment reduces the possibility of infection and other complications, and plays an important role in the recovery of useful visual acuity [21,22].…”

The intraocular foreign body

“…Results of foreign body surgery with and without use of vitrectomy have been presented by various authors (1,4,7,8,17,26,28,21,31). Neubauer (24) was able to achieve a final visual acuity of better than 0,3 in 34~ of his cases (n = 211) after removal of intraocular copper-containing intraocular foreign bodies without pars plana vitrectomy.…”

Visual and Anatomic Outcomes of Vitrectomy With Temporary Keratoprosthesis or Endoscopy in Ocular Trauma With Opaque Cornea

“…Preretinal traction and PVR are the leading cause of surgical failure in penetrating and perforating injuries and their early removal is known to reduce late complications such as retinal tears and detachments. [33][34][35][36][37][38] There is no consensus regarding the timing of vitrectomy following ocular trauma, but several studies have reported better outcomes when surgery is performed within the fi rst 2 weeks. 35,[38][39][40] In our opinion, high-risk conditions predisposing to vitreoretinal traction should undergo prompt vitrectomy even in the absence of a frank retinal detachment.…”

“…1,28,41 IOFBs should also be removed promptly to reduce the risk of retinal toxicity when their composition is unknown. 36 Early IOFB removal also prevents encapsulation, which may otherwise complicate their safe removal. 36,42 An indirect benefi t of the early treatment of occult pathology and the prevention of its progression is shorter surgical time.…”

“…36 Early IOFB removal also prevents encapsulation, which may otherwise complicate their safe removal. 36,42 An indirect benefi t of the early treatment of occult pathology and the prevention of its progression is shorter surgical time. The management of more extensive retinal detachments and PVR in the keratoprosthesis group required additional procedures such as macular membrane stripping and the instillation and removal of perfl uorocarbon liquids for intraoperative tamponade and countertraction during membrane dissection.…”

Wartime open globe eye injuries

“…The prognosis of vision preservation in severely traumatized eyes (particularly with non-magnetic foreign bodies, with well-known complications) has been greatly improved by the introduction of early (7-10 days after wounding) pars plana vitrectomy [6,18,[22][23][24]. Immediate treatment reduces the possibility of infection and other complications, and plays an important role in the recovery of useful visual acuity [21,22].…”

The intraocular foreign body

“…Results of foreign body surgery with and without use of vitrectomy have been presented by various authors (1,4,7,8,17,26,28,21,31). Neubauer (24) was able to achieve a final visual acuity of better than 0,3 in 34~ of his cases (n = 211) after removal of intraocular copper-containing intraocular foreign bodies without pars plana vitrectomy.…”

Visual and Anatomic Outcomes of Vitrectomy With Temporary Keratoprosthesis or Endoscopy in Ocular Trauma With Opaque Cornea

“…Preretinal traction and PVR are the leading cause of surgical failure in penetrating and perforating injuries and their early removal is known to reduce late complications such as retinal tears and detachments. [33][34][35][36][37][38] There is no consensus regarding the timing of vitrectomy following ocular trauma, but several studies have reported better outcomes when surgery is performed within the fi rst 2 weeks. 35,[38][39][40] In our opinion, high-risk conditions predisposing to vitreoretinal traction should undergo prompt vitrectomy even in the absence of a frank retinal detachment.…”

“…1,28,41 IOFBs should also be removed promptly to reduce the risk of retinal toxicity when their composition is unknown. 36 Early IOFB removal also prevents encapsulation, which may otherwise complicate their safe removal. 36,42 An indirect benefi t of the early treatment of occult pathology and the prevention of its progression is shorter surgical time.…”

“…36 Early IOFB removal also prevents encapsulation, which may otherwise complicate their safe removal. 36,42 An indirect benefi t of the early treatment of occult pathology and the prevention of its progression is shorter surgical time. The management of more extensive retinal detachments and PVR in the keratoprosthesis group required additional procedures such as macular membrane stripping and the instillation and removal of perfl uorocarbon liquids for intraoperative tamponade and countertraction during membrane dissection.…”

Wartime open globe eye injuries

“…The prognosis of vision preservation in severely traumatized eyes (particularly with non-magnetic foreign bodies, with well-known complications) has been greatly improved by the introduction of early (7-10 days after wounding) pars plana vitrectomy [6,18,[22][23][24]. Immediate treatment reduces the possibility of infection and other complications, and plays an important role in the recovery of useful visual acuity [21,22].…”