Vitrectomy for the removal of intraocular foreign bodies: visual outcomes and prognostic factors

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Original Article

Author Details : Kiran C. Patel, Parth D. Suthar, Abhishek H Shah, Mehul Patel, Somesh Aggarwal*

Volume : 6, Issue : 1, Year : 2020

Article Page : 59-62

https://doi.org/10.18231/j.ijooo.2020.011

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Abstract

Introduction: Penetrating ocular injuries with intraocular foreign bodies may result in severe visual loss.
The posterior segment IOFBs are best treated by pars plana vitrectomy.
Aims: To correlate the shape, size and location of posterior segment intraocular foreign bodies with visual
outcome and its prognostic factors.
Setting and Design: Tertiary care center of ophthalmology, Ahmedabad , India
Materials and Methods: This is a prospective study of 40 eyes of 40 patients who underwent Pars Plana
Vitrectomy for the removal of posterior segment intraocular foreign bodies in Regional Institute of India.
We studied the following parameters: age, gender, wound site, IOFB characteristics (shape, size, location),
initial and final visual acuity.
Results: Among the study participants, 19 worked in factories, 6 were housekeepers, 7 were farmers and
the remaining 5 patients were either unemployed or retired at the time of the injury. The foreign body was
embedded in the surface of the retina (32.5%), located in the vitreous (55%) and in the sclera (12.5%). Nine
patients (22.5%) developed delayed Retinal Detachment, which was the largest single cause of blindness
in this group.
Conclusion : Our study concludes that the larger the size of posterior segment IOFB, presence of preexisting
or secondary RD, vitreous hemorrhage poorer the prognosis. We also emphasize the use of
protective eye equipments at workplace in preventing this disability caused by penetrating ocular injury.

Keywords: Intraocular foreign body, Pars plana Vitrectomy, Penetrating ocular injury, Industrial hazards.

How to cite : Patel K C, Suthar P D, Shah A H, Patel M, Aggarwal S, Vitrectomy for the removal of intraocular foreign bodies: visual outcomes and prognostic factors. IP Int J Ocul Oncol Oculoplasty 2020;6(1):59-62

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