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[Posterior segment intraocular foreign bodies. Clinical and epidemiological features]
M Fonollá Gil1, J Castro Navarro, C González Castaño
1Servicio Universitario de Oftalmología, Hospital General de Asturias, España.
Archivos De La Sociedad Espanola De Oftalmologia
|October 10, 2001
Summary
Intraocular foreign bodies, often ferromagnet metal from work accidents, primarily affect young males. While vitrectomy can restore vision, severe visual loss remains a risk.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Public Health
Context:
- Intraocular foreign bodies (IOFBs) pose a significant risk of visual impairment.
- Posterior segment IOFBs present unique diagnostic and therapeutic challenges.
Purpose:
- To analyze epidemiologic factors, ocular involvement, and visual outcomes in patients with posterior segment IOFBs.
- To identify common causes, management strategies, and complications associated with IOFBs.
Summary:
- This retrospective study reviewed 21 patients with posterior segment IOFBs, predominantly young males (mean age 38.7 years) injured during work accidents.
- Ferromagnet metal was the most common IOFB type (71.4%). Sixteen patients required vitrectomy for removal.
- Good visual acuity (≥0.4) was achieved in 57.9% of cases, but 15.7% experienced no light perception.
- Late complications included retinal detachment (19.04%), pthisis bulbi (14.2%), and cataracts (9.5%).
Impact:
- Highlights the importance of preventative measures in occupational settings to reduce IOFB incidence.
- Informs surgical decision-making and patient counseling regarding visual prognosis and potential complications.
- Underscores the need for timely and effective surgical intervention, such as vitrectomy, for optimal visual recovery.