Intraocular foreign bodies

Greven, Craig M.; Engelbrecht, N. E.; Slusher, M. Madison; Nagy, Stephen S

doi:10.1016/s0161-6420(99)00134-7

Cited by 149 publications

(56 citation statements)

References 17 publications

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“…IOFBs have been estimated to occur in 10–41% of open-globe injuries [1–4]. Severe visual loss may be associated with the original injury, secondary endophthalmitis, rhegmatogenous retinal detachment (RD), or a variety of long-term complications including glaucoma, cataract, inflammation, or foreign body toxicity.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Endophthalmitis and Retinal Detachment with Retained Intraocular Foreign Bodies

Parke

Pathengay

Flynn

et al. 2012

Journal of Ophthalmology

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Purpose. To analyze risk factors for endophthalmitis and retinal detachment (RD) in patients with retained intraocular foreign bodies (IOFBs). Design. A retrospective, interventional, consecutive case series. Participants. All patients treated at Bascom Palmer Eye Institute for traumatic IOFBs between 1999 and 2008. Methods. Analysis of visual outcome, mechanism of injury, management, and postoperative course. Results. 108 eyes with IOFBs were identified. Endophthalmitis occurred in 7 eyes (6.4%) at presentation, and risk was higher with vegetable matter exposure (P = 0.003). All eyes with posterior segment IOFBs received intravitreal antibiotics and there were no cases of endophthalmitis after initial management. RD was identified in 6 of 108 eyes (5.5%) at presentation. Risk factors were entry more than 5 mm behind the limbus (P < 0.001) and posterior segment IOFB (P = 0.028). Postoperative RD occurred in 11 of 102 eyes (10.7%). Risk factors for postoperative RD were preoperative endophthalmitis (P = 0.001), posterior segment IOFB (P = 0.008), and retinal impact sites (P = 0.028). Conclusions. Risk factors for endophthalmitis included vegetable matter exposure and delay to initial management. Risk factors for RD were posterior entry site, posterior segment IOFB, endophthalmitis, and retinal impact sites. No eyes developed endophthalmitis after presentation.

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Section: Introductionmentioning

confidence: 99%

Risk Factors for Endophthalmitis and Retinal Detachment with Retained Intraocular Foreign Bodies

Parke

Pathengay

Flynn

et al. 2012

Journal of Ophthalmology

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“…Poor visual outcome is associated with poor presenting visual acuity [1, 4, 5], presence of afferent pupillary defect [1, 6, 7], vitreous hemorrhage [1], retinal detachment [1, 8], or prolapse of intraocular contents [1]. Greven et al have not found relationship between size of the IOFB and the visual outcome [2], however, other authors have [4, 6, 9]. …”

Section: Resultsmentioning

confidence: 99%

“…An ocular trauma review from the United States reported visual acuities of worse than 20/200 in 25% of patients who had IOFB injury [1, 2]. Multiple factors can predict poor visual prognosis, including worse initial visual acuity [1, 4, 5], hyphema [1], vitreous hemorrhage [1], uveal prolapse [1], afferent pupillary defect [1, 6, 7], and retinal detachment [1, 8].…”

Section: Introductionmentioning

confidence: 99%

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Posterior Segment Intraocular Foreign Body: Extraction Surgical Techniques, Timing, and Indications for Vitrectomy

Guevara-Villarreal

Rodríguez‐Valdés

2016

Journal of Ophthalmology

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Ocular penetrating injury with Intraocular Foreign Body (IOFB) is a common form of ocular injury. Several techniques to remove IOFB have been reported by different authors. The aim of this publication is to review different timing and surgical techniques related to the extraction of IOFB. Material and Methods. A PubMed search on “Extraction of Intraocular Foreign Body,” “Timing for Surgery Intraocular Foreign Body,” and “Surgical Technique Intraocular Foreign Body” was made. Results. Potential advantages of immediate and delayed IOFB removal have been reported with different results. Several techniques to remove IOFB have been reported by different authors with good results. Conclusion. The most important factor at the time to perform IOFB extraction is the experience of the surgeon.

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“…Studies have shown that up to 40 percent of open globe injuries can have retained IOFB [1]. Loss of vision can result from endophthalmitis, retinal detachment or metallosis.…”

Section: Introductionmentioning

confidence: 99%