Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes
DOI:
https://doi.org/10.48560/rspo.28266Keywords:
Eye Foreign Bodies, Eye Injuries, Penetrating, Treatment Outcome, VitrectomyAbstract
Introduction: Our objective was to evaluate the clinical presentation of patients with intraocular foreign bodies (IOFB) and establish prognostic factors for visual outcomes.Methods: Medical records of all patients undergoing surgery for an intraocular foreign body at Centro Hospitalar Universitário de Santo António in the last decade were retrospectively reviewed.
Results: This study included 108 eyes of 107 patients. Most patients were adult males (88.9%) of working age (88.9% were 18-64 years old). Retinal lesions were documented in 40.7% of the eyes and 17 (15.7%) eyes presented with retinal detachment. Seven (6.5%) eyes presented with endophthalmitis. The majority (78.7%) of IOFB were metallic and entered the globe mainly through the cornea (68.5%). The median (interquartile range) time to first procedure was 1 (0-2) days, with most IOFB (72.2%), retrieved at that moment. Pars plana vitrectomy were performed in 74 eyes. In this study, good presenting visual acuity (VA), lens sparing, absence of hyphema and retinal detachment and the presence of vitreous hemorrhage were associated with good final VA.
Conclusion: Open-globe injuries with IOFB are a public health issue that impose preventable social and economic burden as it affects mostly working-age subjects. Hence, early intervention and preventive measure are of uttermost importance to prevent social and visual disability.
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