scholarly journals Management of Posterior Segment Intraocular Foreign Body with Vitrectomy; Visual and Anatomical Outcome

2018 ◽  
Vol 5 (2) ◽  
pp. 45-48
Author(s):  
Ritesh Kumar Shah ◽  
Raghunandan Byanju ◽  
Sangeeta Pradhan
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Visual Outcome ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
Medical Sciences ◽  
Hand Motion ◽  
Magnetic Metal ◽  
Anatomical Success ◽  
Anatomical Outcome

AIM: To evaluate the anatomical and visual outcome following removal of intraocular foreign body (IOFB) through pars planavitrectomy.MATERIAL & METHODS: A retrospective analysis of 11 cases of retained posterior segment foreign body that underwent pars planavitrectomy for removal of foreign body during the period of January 2013 to August 2017 was conducted. Demographics of patients, mechanism and details of injury, Snellen best corrected visual acuity, examination results at presentation and after surgery, any diagnostic imaging and surgical procedure were recorded and analysed.RESULTS: Out of eleven eyes of eleven patients (mean age= 25.4}8.6, range 22 50 years; all male) preoperative retinal detachment and endophthalmitis was seen in 27.3% and 36.4% of cases respectively. Eighty-two percent of cases presented within 17 days of sustaining injury. Foreign body size ranged from 2mm to 8 mm and all were magnetic metal. After vitrectomy and removal of foreign body, the number of eyes with vision of hand motion or worse decreased from 72.7% to 27.3%. Similarly 45.5% of eyes gained best corrected postoperative visual acuity of better than 6/60. Anatomical success could be achieved in 81.8% of eyes.CONCLUSION: Anatomical outcome following vitrectomy in eyes with retained posterior segment IOFB in terms of retinal attachment is sufficient; however, visual outcome can be affected by other collateral ocular injuries and their sequelae.Journal of Universal College of Medical Sciences, Vol. 5, No. 2, 2017, Page: 45-48 

scholarly journals Posterior Segment Retained Intraocular Foreign Body: A Study from Western Nepal

2021 ◽  
Vol 13 (1) ◽  
pp. 22-30
Author(s):  
Bikram Bahadur Thapa ◽  
Sweta Singh ◽  
Gyanendra Lamichhane ◽  
Shanti Gurung ◽  
Saurav Piya
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Pars Plana Vitrectomy ◽  
Large Diameter ◽  
Visual Outcome ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
Pars Plana ◽  
The Mean

Introduction: Posterior segment retained Intraocular foreign body (IOFB) management is challenging. Facility of pars plana vitrectomy (PPV) and availability of well trained vitreo retina surgeons are the basic need to accomplish this work.  Encircling band provide permanent 360° support to close the anterior retinal break and prevent traction on the retina. The objective of this study is to analyse the clinical characteristics and predictors of the final visual outcome and survival of the globe in cases of retained IOFB in the posterior eye segment. Materials and methods: A hospital based retrospective observational study was conducted. All the patients of retained IOFB in the posterior segment presented from January 2016 to June 2019 were enrolled. Patients presented with visual acuity of NPL were excluded. Statistical analysis was performed using a variety of tests using SPSS version 21.   Results: Forty eyes of 40 patients were included. The mean age was 27.08±10.68 years (range 5-66). 95% of our patients were male. Most of them (52.5%) worked on the farm. 26(65%) of 40 eyes had Zone I injury. The median time spent before presentation was 13.5 day. Retinal detachment, vitreous hemorrhage, and endophthalmitis were present in 15, 23 and 5 eyes, respectively, before IOFB removal. The mean LogMAR visual acuity was improved significantly from 2.50±0.87 to 1.33± 1.01 (p=0.003). Poor presenting visual acuity, retinal detachment and large diameter of IOFB were found as the predictor of poor final visual acuity. Conclusion:  Pars plana vitrectomy by a vitreo retinal surgeon can give encouraging results in the cases of retained posterior segment IOFB. Poor presenting visual acuity, large diameter of IOFB and RD before IOFB removal are predictors of poor visual outcome.

scholarly journals Big intraocular foreign body: Case report

2013 ◽  
Vol 141 (7-8) ◽  
pp. 516-518
Author(s):  
Aleksandar Gakovic ◽  
Igor Kovacevic ◽  
Jovana Bisevac ◽  
Bojana Radovic ◽  
Katarina Cubrilo ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Detailed Examination ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
Traumatic Cataract ◽  
Normal Limits ◽  
The Right ◽  
Fitting In

Introduction. Penetrated injuries are most difficult injuries of the eye. Intraocular foreign body (IOFB) may lodge in any of the structures it encounters, from anterior chamber to the retina and choroid. Notable effects caused by foreign body injury include traumatic cataract, vitreous liquefaction, retinal and subretinal hemorrhages, retinal detachment and development of endophtalmitis. Case Outline. A 49?year?old man sustained injury of the right eye with a piece of metal wire. On admission visual acuity was VOD: 1.0 and lower intraocular tension TOD=6 mmHg (10?22 mmHg). Corneal entry wound was noticed near limb on 11h with a prominating foreign body of 18 mm in length that passed through the iris, lens and vitreous. X?ray findings confirmed existence of a large foreign body extending along the entire length of the globe. IOFB removal was done with anatomic forceps. On postoperative detailed clinical examination we observed retinal rupture in the upper temporal quadrant fitting in the area of the IOFB damaged retina. Laser photocoagulation of retinal tear (laser retinal barrage) was done. Visual acuity on discharge was the same (1.0) and intraocular tension was within normal limits (10 mmHg). Conclusion. Penetrated injury of eye requires detailed examination of all eye structures, beginning from the anterior to posterior segment. Timely diagnosed ruptures of the posterior segment of eye before the development of traumatic cataract, and adequate therapeutic procedures prevent serious complications of IOFB penetrated eye injury such as retinal detachment and permanent reduction of visual acuity.

scholarly journals MANAGEMENT OF MAGNETIC INTRAOCULAR FOREIGN BODY

2003 ◽  
Vol 42 (149) ◽  
pp. 300-1 ◽  
Author(s):  
O K Malla ◽  
A K Sharma ◽  
S Shrestha
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Foreign Body ◽  
Key Words ◽  
Foreign Bodies ◽  
Cataract Extraction ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
Delayed Presentation ◽  
History Taking

Posterior segment intraocular foreign bodies pose a problem in restoration of significant visual acuity usuallydue to delayed presentation, improper evaluation and management. However, good history taking, meticulousocular examination and proper management can result in reasonable visual acuity in cases of retainedintraocular foreign body in the posterior segment. We are presenting a case report of penetrating oculartrauma with retained intraocular foreign body in the posterior segment. Following intraocular foreignbody removal, core vitrectomy and subsequent cataract extraction, the patient had best corrected visualacuity of 6/9.Key Words: Intraocular foreign body, vitrectomy, cataract.

scholarly journals Open-Globe Injury With Intraocular Foreign Body

2020 ◽  
pp. 247412642096503
Author(s):  
Filippos Vingopoulos ◽  
Yvonne Wang ◽  
Seanna Grob ◽  
Chloe Yang Ling Li ◽  
Dean Eliott ◽  
...  
Keyword(s):  
Foreign Body ◽  
Primary Repair ◽  
Anterior Segment ◽  
Case Series ◽  
Visual Outcome ◽  
Posterior Segment ◽  
Open Globe ◽  
Time From Injury

Purpose: To investigate characteristics of Open Globe Injuries (OGI) that presented with Intra-Ocular Foreign Body (IOFB), along with their long-term visual outcomes and complications. Methods: Retrospective interventional consecutive case series of OGIs with IOFBs that presented at Massachusetts Eye and Ear from 2010 to 2015. Data collected included time from injury to OGI repair, location of IOFB, retinal detachment (RD) rate, presenting and final visual acuity and subsequent surgeries. Results: Fifty-seven consecutive cases of OGIs with IOFBs were included. Mean follow-up was 28 months and median time from injury to OGI repair was 0 days. Overall, 38/57 (66.7%) eyes achieved final vision of 20/40 or better and 43/57 (75.4%) 20/150 or better. Thirty-three cases had IOFBs in the anterior segment only, 24 cases had posterior segment involvement. Thirty percent of cases (17/57) were complicated by an RD, 58.3% (14/24) in the posterior versus 9.1% (3/33) in the anterior IOFB group ( P = .01). There were no cases of endophthalmitis. Posterior IOFB and higher zone of injury were risk factors for RD both at presentation (both P < .001) and post-primary repair (both P < .001). Posterior IOFB was associated with higher vitrectomy rates both at presentation ( P < .001) and post-primary repair ( P = .002) and worse long-term visual outcome ( P = .01). Conclusions: OGIs with IOFB involving the posterior segment are associated with higher complication and re-operation rates and worse visual prognosis compared to those involving the anterior segment only.

Prognosis of penetrating eye injuries with posterior segment intraocular foreign body

2007 ◽  
Vol 246 (1) ◽  
pp. 161-165 ◽  
Author(s):  
Zsuzsanna Szijártó ◽  
Valéria Gaál ◽  
Bálint Kovács ◽  
Ferenc Kuhn
Keyword(s):  
Foreign Body ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
Eye Injuries

scholarly journals Six-year epidemiological analysis of post traumatic endophthalmitis in a Brazilian hospital

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Luis Filipe Nakayama ◽  
Vinicius Campos Bergamo ◽  
Nilva Simeren Bueno de Moraes
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Penetrating Trauma ◽  
Onset Time ◽  
Intraocular Foreign Body ◽  
Time Interval ◽  
Light Perception ◽  
Initial Visual Acuity ◽  
Open Globe ◽  
Better Than

Abstract Background To evaluate the epidemiology of endophthalmitis cases related to ocular trauma, including visual acuity during and 1 year after trauma, source of trauma and method of treatment. Methods A retrospective study analyzed the epidemiological data of patients with a clinical presentation of endophthalmitis after ocular penetrating trauma between January 2012 and January 2017 at Escola Paulista de Medicina/UNIFESP, a hospital in São Paulo, SP, Brazil. Results A total of 453 patients with antecedent open globe trauma were evaluated, among these, 30 patients with suspected endophthalmitis. All patients were male. The time interval between trauma and ophthalmological evaluation and collection of vitreous and aqueous material was 1 day in 36.66%, 2–7 days in 43.44%, 7–14 days in 10% and more than 15 days in 10% of patients; 66.66% had positive cultures. 11 patients had intraocular foreign body. One year after trauma, visual acuity was classified as no light perception (NLP) in 33.33%, light perception in 6.66%, hand motion in 13.33%, counting fingers in 13.33%, and better than 20/400 in 20% of patients. Considering presence of intraocular foreign body, initial visual acuity and symptoms onset time, only initial visual acuity showed as better prognostic factor in final visual acuity. Conclusion Endophthalmitis is a severe ocular inflammatory condition that may lead to irreversible vision loss. Initially only one patient had visual acuity of NLP, but after 1 year, 33% showed visual acuity of NLP, and only 20% had visual acuity better than 20/400, what is consistent with a severe infection with a guarded prognosis. The high incidence of endophthalmitis after ocular penetrant trauma justifies distinct treatment and greater attention.

scholarly journals Clinical characteristics and visual outcome, prognostic factor, visual acuity and globe survival in posterior segment intraocular foreign body at Tilganga Institute of Ophthalmology

2018 ◽  
Vol 10 (1) ◽  
pp. 66-72 ◽  
Author(s):  
Sanjita Sharma ◽  
Raba Thapa ◽  
Sanyam Bajimaya ◽  
Eli Pradhan ◽  
Govinda Poudyal
Keyword(s):  
Foreign Body ◽  
Retinal Detachment ◽  
Clinical Characteristics ◽  
Primary Repair ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
P Value ◽  
Foreign Body Removal ◽  
Penetrating Eye Injury ◽  
The Mean

Purpose: To evaluate clinical characteristics, visual outcomes and globe survival after intraocular foreign body removal from posterior segment via pars plana approach. Methods: A hospital based retrospective study. All the patients of penetrating eye injury with intraocular foreign body in posterior segment as detected by computed tomography were enrolled from 2012 to 2014.Results: Thirty patients of 30 eyes were included. The mean age was 27.7 years. (2-52). Twenty-four (80%) were male. Out of 30 eyes 19 (63.3%) eyes had injury at Zone 1 and 11 (36.7%) eyes had injury at Zone 2. The mean time spent between primary repair following surgery and intra ocular foreign body removal, was 15.47 days. Retinal detachment and endophthalmitis prior to intraocular foreign body removal was present in 9/30 of eyes. We looked for correlation between post operative Phthisis bulbi with zone of injury and pre operative endophthalmitis and preoperative retinal detachment. However, p value for the above correlation was more than 0.552 and 0.815 respectively, which was statistically not significant.Conclusions: The eyes with posterior segment intraocular foreign bodies showing clinical features of preoperative endophthalmitis, retinal detachment and the zone of injury also did not have any direct significance with globe survival.  

scholarly journals Intraocular Foreign Body Removal by 23-Gauge Micro Incision Vitrectomy Surgery and Back Flush Flute Needle: A Case Series Study

2016 ◽  
Vol 9 (5) ◽  
pp. 262
Author(s):  
Mohamadhosein Ahoor ◽  
Rana Sorkhabi
Keyword(s):  
Foreign Body ◽  
Case Series ◽  
Intraocular Foreign Body ◽  
Medical Sciences ◽  
Corneal Incision ◽  
Case Series Study ◽  
Corneal Endothelial Cell Density ◽  
23 Gauge ◽  
A New Technique ◽  
Vitrectomy Surgery

<p><strong>BACKGROUND: </strong>This study aimed to consider a new technique to extract an intraocular foreign body by 23-gauge micro incision vitrectomy surgery (23G-MIVS).</p><p><strong>METHOD: </strong>This case series was done on Patients with intraocular foreign bodies and cataract during 2012-2015 in Tabriz University of Medical Sciences. Phacoemulsification and aspiration of lens nucleus, intraocular lens implantation, 23G-MIVS, and extraction of the foreign body were performed on patients. The foreign body was removed through a posterior capsulor hexis, anterior continuous curvilinear capsulorhexis, and a corneal incision. In all cases, the foreign body was safely removed through the corneal incision with back flush Flute Needle, and IOL was implanted and well positioned. The surgical incision did not require suturing.</p><p><strong>RESULTS:</strong> This technique was successful for the patients and the corneal endothelial cell density was maintained over 2000 cells/mm2 in all cases during recent follow-up examinations.</p><p><strong>CONCLUSION: </strong>We found that 23G-MIVS with this technique is suitable to remove the foreign body. It is safe, without complications, and can be used without enlarging the 23-gauge sclerotomy.</p>

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