Original ArticlesPrognostic factors in ocular injuries caused by intraocular or retrobulbar foreign bodies
Section snippets
Patients and methods
The study included 130 patients who were referred from 1989 to 1997 because of open-globe injuries with lacerations by FBs (Table 1). All FBs were located posterior to the lens. All patients underwent pars plana vitrectomy for removal of the FB and for repair of additional structural damage if present. All patients included in the study were operated by one of two surgeons (HLJK and JBJ) who were alternatively on call every other night during the entire study period.
The characteristics of the
Results
Final visual outcome ranged between no light perception and 1.20, with a mean of 0.58 ± 0.42 (median, 0.60). Five patients reported no light perception, and nine patients had light perception with no projection. Final visual acuity was equal to or better than 0.10 in 105 (105/130 [80.8%]) patients, it was equal to or better than 0.50 in 81 (81/130 [62.3%]) patients, and it was 1.00 or better in 26 (26/130 [20.0%]) patients.
Posttraumatic endophthalmitis developed in seven (7/130 [5.4%]) patients
Discussion
The purpose of this study was to determine risk factors and prognostic indicators of posttraumatic infectious endophthalmitis, proliferative vitreoretinopathy, and final visual outcome in patients with open-globe injuries caused by intraocular or retrobulbar foreign bodies. The results suggest that, for the development of posttraumatic infectious endophthalmitis, the timing of surgery is one of the factors that have an impact on the result and that can partially be influenced by the surgeon.
References (28)
- et al.
Pars plana vitrectomy in ocular trauma
Am J Ophthalmol
(1979) - et al.
Severe perforating injuries treated with pars plana vitrectomy
Am J Ophthalmol
(1976) - et al.
Management of intraocular foreign bodies
Ophthalmology
(1987) - et al.
Penetrating ocular injuries. Types of injuries and visual results
Ophthalmology
(1983) - et al.
Results and prognostic factors in penetrating ocular injuries with retained intraocular foreign bodies
Ophthalmology
(1988) - et al.
Open-globe injury. Updates on types of injuries and visual results
Ophthalmology
(1996) Early vitrectomy in the management of the severely traumatized eye
Am J Ophthalmol
(1982)- et al.
Timing of vitrectomy after penetrating ocular injuries
Ophthalmology
(1984) - et al.
Rural endophthalmitis
Ophthalmology
(1989) - et al.
Retained intraocular foreign bodies and endophthalmitis
Ophthalmology
(1990)
Infectious endophthalmitis after penetrating injuries with retained intraocular foreign bodies
National Eye Trauma System. Ophthalmology
Factors influencing final visual results in severely injured eyes
Am J Ophthalmol
Silicone oil in the repair of complex retinal detachments. A prospective observational multicenter study
Ophthalmology
Proliferative vitreoretinopathy (PVR)a personal approach of its pathogenesis and treatment: Proctor Lecture [review]
Invest Ophthalmol Vis Sci
Cited by (190)
Clinical outcomes of posterior segment intraocular foreign bodies: The volume effect
2021, Journal Francais d'OphtalmologieSimultaneous Bilateral Open-Globe Repair and Vitreoretinal Surgery for Explosive-Related Ocular Injury
2023, Journal of VitreoRetinal Diseases