alexa Prognosis of penetrating eye injuries with posterior segment intraocular foreign body.


Journal of Clinical & Experimental Ophthalmology

Author(s): Szijrt Z, Gal V, Kovcs B, Kuhn F

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Abstract PURPOSE: To identify the prognostic factors concerning the anatomy and visual acuity of eyes subject to trauma related posterior intraocular foreign body. PATIENTS AND METHODS: The records of 28 eyes of 27 patients who underwent pars plana vitrectomy and intraocular foreign body removal during a 5 year period were retrospectively reviewed. Ocular trauma score was calculated for each eye. RESULTS: The most common initial findings were corneal wound (68\%), lens injury (50\%), retinal lesion (50\%), vitreous hemorrhage (25\%), and endophthalmitis (14\%). Multiple foreign body causing perforating injury with retained posterior segment foreign body occurred in 7\% of the cases. The foreign body was found on the surface of the retina in 39\% of the cases. Postoperative complications were retinal detachment (46\%), proliferative vitreoretinopathy (25\%), and phthysis (4\%). No eye was enucleated and 1 eye (4\%) lost light perception. The final best corrected visual acuity became better or equal to 0.5 Snellen E in 34\% of the eyes. The mean follow-up was 19 months (1.5-60 months). CONCLUSIONS: Prognosis was significantly worse in cases with lower trauma score, initial visual acuity less than 0.1 Snellen E, large foreign body, upset of bacterial endophthalmitis, and with proliferative vitreo-retinopathy. Visual outcomes in our cases were better than estimated follow-up visual acuity based on ocular trauma score parameters. This article was published in Graefes Arch Clin Exp Ophthalmol and referenced in Journal of Clinical & Experimental Ophthalmology

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