Clinical characteristics and efficacy of intraocular foreign bodies in 78 cases

Abstract

AIM: To investigate epidemiologic and clinical characteristics, complications, and visual outcomes of post-traumatic intraocular foreign body(IOFB).METHODS: Totally 78 patients with IOFB injury were retrospectively reviewed. Data on age, sex, activity at the time of injury, initial and final visual acuity, complications, surgical methods were recorded. Special attention was paid on risk factors for endophthalmitis.RESULTS: Male adults were the major population affected by IOFBs. Hammering was the most common activities at the time of injury. Explosive injury and posterior segment IOFB had bad final visual outcome. All of anterior segment IOFB was extracted, 93% posterior segment IOFBs was removed. Seven cases of endophthalmitis(9%)were found. Inflammation was controlled by vitrectomy combined with intraocular injection.CONCLUSION: 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.

Keywords

• intraocular foreign body
• vitrectomy
• efficacy