Incidence and visual outcome of endophthalmitis associated with intraocular foreign bodies

Chaudhry, Imtiaz A.; Shamsi, Farrukh A.; Al-Harthi, Essam; Al-Theeb, Abdulwahab; Elzaridi, Elsanusi; Riley, Fenwick C.

doi:10.1007/s00417-007-0586-5

Cited by 101 publications

(79 citation statements)

References 21 publications

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“…8,14,15 Other authors have demonstrated that delayed IOFBs removal was also appropriate when a primary wound was repaired promptly, with broad spectrum antibiotic administration 16,17 and no increased risk of endophthalmitis. As our medical center is a tertiary referral center, the mean time of IOFBs removal in this study was 30.7 days (median 6 days), whereas the incidence of endophthalmitis was 9.1%, which is comparable to other studies; range 0-20%.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors and outcomes of posterior segment intraocular foreign bodies

Choovuthayakorn

Hansapinyo

Ittipunkul

et al. 2011

Eye

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Purpose To identify the predictive factors for anatomical and visual outcomes in posterior segment intraocular foreign body (IOFB) patients managed by pars plana vitrectomy (PPV). Methods A retrospective chart review was performed for 77 patients, who had PPV for IOFBs removal between January 2001 and July 2007. Univariate and multivariate analyses were conducted to evaluate the predictive factors.Results The mean age of the patients was 33.4 years. The nature of IOFBs was mainly metal, with injuries most commonly caused by an electric grass trimmer. The mean time interval between injury and IOFBs removal was 30.7 days. The mean preoperative visual acuity (VA) was 1.82 logarithm of the minimal angle of resolution (logMAR), and mean final was VA 1.10 logMAR. From multivariate analysis, good visual outcome was correlated with the corneoscleral entry site, and poor visual outcome was correlated with the presence of relative afferent pupillary defect. Conclusions In noncombat IOFBs, most cases were work-related. Delayed IOFBs removal was acceptable when primary wounds were repaired appropriately and extensive antibiotics administered. Even though advancement in vitreoretinal surgery can reduce the frequency of blindness, further promotion and education on eye protection during work are needed.

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Section: Discussionmentioning

confidence: 99%

Predictive factors and outcomes of posterior segment intraocular foreign bodies

Choovuthayakorn

Hansapinyo

Ittipunkul

et al. 2011

Eye

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“…19 In contrast to this, it has been shown that there is no significant increase in risk of endophthalmitis in IOFB cases if treated early with a combination of broad-spectrum systemic and topical antibiotics with possible primary wound repair. In multiple injury cases, surgical delay is likely.…”

Section: Discussionmentioning

confidence: 99%

The role of computerised tomography in predicting visual outcome in ocular trauma patients

Chaudhary

Upendran

Campion

et al. 2015

Eye

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Purpose Ocular blast injuries in the military setting are particularly associated with significant maxillofacial trauma and/or brain injury. The opportunity to perform a comprehensive ophthalmic evaluation is frequently limited in the acute multiple trauma scenario. We aim to describe the relationship between the clinical effects of acute ocular and orbital blast trauma with the findings on computerised tomography (CT). Methods This was a retrospective consecutive case series of all soldiers with facial and/or suspected ocular injuries. A total of 80 eyes that had suffered blast injuries of varying severity were studied. Assessment of orbital and ocular CT images were performed by military consultant radiologists. A comparison was made with actual clinical findings. Statistical analysis was performed using Fisher's exact test.Results No pathological findings were described in 37 of the 80 eyes imaged by orbital and ocular CT scans. Clinically, these eyes and orbits were all found to be intact, or had minor trauma. All foreign bodies and penetrating eye injuries were successfully diagnosed by CT. Absence of an orbital fracture did not rule out a globe injury. However, a corneal or scleral defect was less likely when an orbital fracture was absent. Conclusion The eye is a delicate structure prone to injury that requires urgent repair if breached. It is difficult to assess thoroughly in the unconscious or distressed patient. In this context, CT imaging is invaluable to be able to make a relatively confident prediction of clinical findings and decide upon the necessity for acute ophthalmic surgical intervention.

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“…[2,18,[20][21][22][23][24] The general consensus is that a delay in IOFB removal increases the risk for endophthalmitis. [24][25][26][27][28][29] In contrast to this view, Colyer and colleagues [30] have reported prompt wound closure and systemic antibiotics followed by delayed removal with no reported endophthalmitis. When we compared the groups that underwent IOFB removal within 48 hours (53%) and IOFB removal after 48 hours (47%) for initial incidence of endophthalmitis, there was no significant difference.…”

Section: Discussionmentioning

confidence: 99%