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

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.

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

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v13i1.28981 ◽

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.

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Posterior segment intraocular foreign body with secondary retinal detachment in a phakic eye: a case report

International Journal of Medical Research and Review ◽

10.17511/ijmrr.2020.i05.06 ◽

2020 ◽

Vol 8 (5) ◽

pp. 375-378

Author(s):

Dr. Amit C Porwal ◽

◽

Dr. Hardik Jain ◽

Dr. Pratik Mahajan ◽

◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Retinal Detachment ◽

Visual Loss ◽

Foreign Bodies ◽

Vitreoretinal Surgery ◽

Crystalline Lens ◽

Posterior Segment ◽

Intraocular Foreign Body ◽

Current Case

Intraocular foreign bodies (IOFBs) are an important cause of visual loss. The current case describesa case of retained intraocular foreign body with secondary retinal detachment in a phakic eye in a38-year-old man. The foreign body was safely removed through the sclerotomy port withouttouching the crystalline lens. The current case report wanted to show the anatomic and visualoutcomes of vitreoretinal surgery in such cases.

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Results of intraocular foreign body removal from the posterior segment by direct approach

Ophthalmology journal ◽

10.17816/ov2015424-29 ◽

2015 ◽

Vol 8 (4) ◽

pp. 24-29 ◽

Cited By ~ 1

Author(s):

Vadim Petrovich Nikolaenko ◽

Mariya Valerievna Kataeva

Keyword(s):

Foreign Body ◽

Retinal Detachment ◽

Vitreoretinal Surgery ◽

Vitreous Hemorrhage ◽

Cataract Extraction ◽

Intraocular Foreign Body ◽

Direct Approach ◽

Eye Injuries ◽

Foreign Body Removal ◽

History Analysis

Objective: to evaluate early and remote complication of intraocular foreign body (FB) removal by direct approach, and to determine indications for splinter removal through the wound. Material and methods. Case history analysis was performed in 31 patients with missile eye injuries. In all patients, FB was removed by direct approach at initial surgical debridement. Results. Foreign body penetration was accompanied with injuries of different eye segments, which were manifested by vitreous hemorrhage, hyphema, subretinal hemorrhage, retinal detachment, traumatic cataract. In 12 patients, there was a need in additional surgical treatment consisting in retinal laser barrage, vitrectomy, cataract extraction. As a result of treatment, visual acuity increased in 58.06% of injured. At the remote post-op period, retinal detachment developed in 16.13% cases, and vitreoretinal procedures were performed. Conclusions. Intraocular foreign body removal from the posterior eye segment using direct approach is appropriate if the FB is in the wound or in its immediate proximity. Most serious complications of missile injury are proliferative vitreoretinopathy and retinal detachment, demanding vitreoretinal surgery.

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Intraoperative Macula Protection by Perfluorocarbon Liquid for the Metallic Intraocular Foreign Body Removal during 23-Gauge Vitrectomy

Journal of Ophthalmology ◽

10.1155/2017/6232151 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Robert Rejdak ◽

Tomasz Choragiewicz ◽

Joanna Moneta-Wielgos ◽

Dominika Wrzesinska ◽

Dorota Borowicz ◽

...

Keyword(s):

Foreign Body ◽

Intraocular Foreign Body ◽

Perfluorocarbon Liquid ◽

Foreign Body Removal ◽

Corrected Distance Visual Acuity ◽

Iatrogenic Lesion ◽

Pars Plana ◽

The Mean ◽

23 Gauge

Purpose.To evaluate visual and safety outcomes of 23-gauge (G) pars plana vitrectomy (PPV) with application of perfluorocarbon liquid (PFCL) for intraoperative protection of the macula during intraocular foreign body (IOFB) removal.Methods.Retrospective study of 42 patients who underwent 23 G PPV for IOFB removal from posterior segment with intraoperative PFCL application for the macula shielding. Collected data included corrected distance visual acuity (CDVA), size of IOFB, and complication rate. The mean follow-up period was 12 months.Results. The mean preoperative CDVA was 0.54 logMAR (SD 0.46), and the final mean CDVA was 0.68 logMAR (SD 0.66). All IOFBs were metallic with mean dimensions of 4.6 mm × 2.1 mm. Twenty-two IOFBs were removed through the corneal tunnel and 20 IOFBs through the sclerotomy. No intraoperative iatrogenic lesion of the macula was observed. As a tamponade, silicon oil was applied in 31 eyes, SF6gas in 5 eyes, air in 4 eyes, and 2 eyes required no tamponade. Secondary retinal detachment was observed in 17% of cases, but at the end of the follow-up, all the retinas were attached.Conclusion. PFCL application during PPV is a safe method of protecting the macula from unexpected falling of the metallic IOFB during its removal.

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Big intraocular foreign body: Case report

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1308516g ◽

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.

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Posterior-segment intraocular foreign body removal preserving intraocular lens – A novel technique

Journal of Clinical Ophthalmology and Research ◽

10.4103/jcor.jcor_153_20 ◽

2021 ◽

Vol 9 (3) ◽

pp. 136

Author(s):

ChahveerSingh Bindra ◽

ParminderSingh Bindra ◽

Preeti Bindra

Keyword(s):

Foreign Body ◽

Intraocular Lens ◽

Posterior Segment ◽

Intraocular Foreign Body ◽

Foreign Body Removal ◽

Novel Technique

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Long-term results of delayed removal of the intraocular foreign body in open eyeball injury with damage to the posterior segment of the eye

Modern technologies in ophtalmology ◽

10.25276/2312-4911-2021-3-175-178 ◽

2021 ◽

pp. 175-178

Author(s):

U.S. Fayzieva ◽

◽

M.D. Gulyamova ◽

O.I. Ikramov ◽

◽

...

Keyword(s):

Surgical Treatment ◽

Foreign Body ◽

Retinal Detachment ◽

Clinical Efficacy ◽

Posterior Segment ◽

Intraocular Foreign Body ◽

Long Term Results ◽

Step Method ◽

Post Traumatic

Purpose. To study the clinical efficacy of the long-term results of a step-by-step method of surgical treatment of open eye trauma complicated by the presence of the intraocular foreign body (IFB) in the posterior segment, including primary surgical treatment (PST) and delayed vitreoretinal surgery with IFB extraction within 24 hours after PST. Material and methods. The clinical efficacy of delayed IFB removal within 2 years was studied in 32 eyes with open trauma of the eyeball complicated by the presence of IFB in the posterior segment. Concomitant traumatic complications included partial hemophthalmos (84.4%) and rhegmatogenous retinal detachment (RD) (59.4%). Results. By the end of 2 years of follow-up, the anatomical effect was observed in all examined 21 eyes, including 15 eyes (71.4%) with hemophthalmos and 13 eyes (61.9%) with traumatic retinal detachment. In this case, recurrence of RD occurred in 7 eyes, post-traumatic traction RD- in 3 eyes. Functional effect with improved visual acuity was in 12 eyes (57.1%). At the same time, the MCVA was 0.3±0.05 (0.15–0.5). Conclusion. The presented method made it possible to achieve a stable anatomical effect and stable functional results, even in the presence of severe trauma complicated by total hemophthalmos and retinal detachment, in the long term. Key words: open eyeball injury, intraocular foreign body, primary surgical treatment, transvitreal intraocular foreign body extraction, post-traumatic traction retinal detachment.

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