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Intraocular foreign bodies: management, prognostic factors, and visual outcomes
C M Greven1, N E Engelbrecht, M M Slusher
1Department of Ophthalmology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1033, USA. cgreven@wfubmc.edu
Ophthalmology
|March 11, 2000
Summary
Most patients with intraocular foreign bodies (IOFBs) achieved good vision after surgery. Presenting vision and injury type were key predictors of final visual outcomes in this study.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Retinal Surgery
Background:
- Intraocular foreign bodies (IOFBs) are a significant cause of vision loss.
- Determining prognostic factors is crucial for managing IOFB injuries.
Purpose of the Study:
- To identify prognostic factors influencing visual outcomes in patients with IOFBs.
- To evaluate the effectiveness of surgical IOFB removal.
Main Methods:
- Retrospective, noncomparative case series of 59 patients.
- Surgical removal of IOFBs and repair of ocular trauma.
- Analysis of presenting ocular findings and final visual acuity (minimum 6-month follow-up).
Main Results:
- 71% of patients achieved best corrected visual acuity of 20/40 or better.
- 85% achieved ambulatory vision.
- Presenting visual acuity was the strongest predictor of final outcome (P < 0.01).
Conclusions:
- Excellent final visual outcomes were achieved in the majority of patients.
- Presenting visual acuity, mechanism of injury (hammering metal on metal), afferent pupillary defect, and vitreous hemorrhage are key prognostic factors.