Outcome of vitrectomy for intraocular foreign bodies at Thammasat University hospital

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Paiboon Bowornwattanadilok
Natdanai Pincome

Abstract

Aim: to study the postoperative outcomes of vitrectomy for intraocular foreign bodies in patients with ocular injury

Study Design: Retrospective Case Series

Method: Patient registry of patients with cases of intraocular foreign bodies (IOFB) in patients with ocular injury who received vitrectomy at Thammasat University Hospital between October 2012-September 2016 were examined. Statistical analysis exact fisher’s test to examine the treatment outcome and the relationship of different factors that may affect the treatment outcome.

Results: Of all 25 patients, 23 were male (92%), 2 were female (8%) mean age 34.04± 8.97 years. 12 right eyes (48%) and 13 left eyes (52%). Mean duration between injury and operation was 23.24±46.18 days.19 patient’s eyes (76%) had postoperative visual acuity (VA) of 20/200 or better. 6 patient’s eyes had postoperative VA lesser than 20/200 (24%). One eye resulted in no light perception. No factor was found to have statistically significant association.

Conclusion: The study results have not found any other statistical significance in occurrence relations between postoperative visual outcomes and other examined factors. However, IOFBs 3mm or smaller in size are associated with favorable postoperative visual outcomes (p=0.076).

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Original Study

References

1. Negrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol 1998;5:143-69.
2. Yeh S, Colyer MH, Weichel ED. Current trends in the management of intraocular foreign bodies. Curr Opin Ophthalmol. 2008;19(3):225-33.
3. Greven CM, Engelbrecht NE, Slusher MM, Nagy SS. Intraocular foreign bodies: management, prognostic factors, and visual outcomes. Ophthalmology. 2000;107(3):608-12.
4. Kuhn F, Morris R, Witherspoon CD, Mann L. Epidemiology of blinding trauma in the United States Eye Injury Registry. Ophthalmic Epidemiol. 2006;13(3):209-16.
5. Thoongsuwan S, Rodanant N, Namatra C, Trinavarat A, Tantaterdtum J, Singalavanija A, et al. Visual Outcome and Prognostic Factors in Posterior Segment Intraocular Foreign Bodies. J Med Assoc Thai 2012; 95 (Suppl. 4): 82-86.
6. Kuhn F, Maisiak R, Mann L, Mester V, Morris R, Witherspoon CD. The ocular trauma score (OTS). Ophthalmol Clin North Am. 2002;15(2):163-65.
7. Loporchio D, Mukkamala L, Gorukanti K, Zarbin M, Langer P, Bhagat N. Intraocular foreign bodies: a review. Surv Ophthalmol. 2016;61(5):582-96.
8. Park JH, Lee JH, Shin JP, Kim IT, Park DH. Intraocular foreign body removal by viscoelastic capture using discovisc during 23-gauge microincision vitrectomy surgery. Retina. 2013;33(5):1070-72.
9. Chiquet C, Zech JC, Gain P, Adeleine P, Trepsat C. Visual outcome and prognostic factors after magnetic extraction of posterior segment foreign bodies in 40 cases. Br J Ophthalmol. 1998;82(7):801-6.
10. Thach AB, Ward TP, Dick JS, Bauman WC, Madigan WP Jr, Goff MJ, et al. Intraocular foreign body injuries during operation Iraqi freedom. Ophthalmology. 2005;112(10):1829-33.
11. Szijártó Z, Gaá V, Kovács B, Kuhn F. Prognosis of penetrating eye injuries with posterior segment intraocular foreign body. Graefes Arch Clin Exp Ophthalmol. 2008;246(1):161-5.
12. Colyer MH, Weber ED, Weichel ED, Dick JS, Bower KS, Ward TP, et al. Delayed intraocular foreign body removal without endophthalmitis during Operations Iraqi Freedom and Enduring Freedom. Ophthalmology. 2007;114(8):1439-47.
13. Falavarjani KG, Hashemi M, Modarres M, Parvaresh MM, Naseripour M, Nazari H, et al. Vitrectomy for posterior segment intraocular foreign bodies, visual and anatomical outcomes. Middle East Afr J Ophthalmol. 2013;20(3):244-7.
14. Jonas JB, Knorr HL, Budde WM. Prognostic factors in ocular injuries caused by intraocular or
retrobulbar foreign bodies. Ophthalmology 2000; 107: 823-8.
15. Chaudhry IA, Shamsi FA, Al Harthi E, Al Theeb A, Elzaridi E, Riley FC. Incidence and visual outcome of endophthalmitis associated with intraocular foreign bodies. Graefes Arch Clin Exp Ophthalmol 2008; 246: 181-6.