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Vitrectomy for intra ocular foreign body removal.

J S Saroya1, R R Sasikanth, T Agarwal

  • 1Eye Research Centre, Madras, India.

Indian Journal of Ophthalmology
|April 1, 1992
PubMed
Summary
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This study successfully removed all intraocular foreign bodies using pars plana vitrectomy. However, 30% of cases were lost due to complications like retinal detachment and endophthalmitis.

Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Perforating ocular injuries with retained intraocular foreign bodies pose significant visual threats.
  • Prompt and effective management is crucial to preserve vision and prevent complications.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of 3-port pars plana vitrectomy for retained intraocular foreign bodies.
  • To identify complications and visual prognosis following surgical intervention.

Main Methods:

  • Retrospective review of ten consecutive cases with perforating ocular injuries and retained intraocular foreign bodies.
  • Surgical intervention involved 3-port pars plana vitrectomy, with endolaser photocoagulation and silicone oil/Sulfur Hexafluoride use as necessary.

Main Results:

Related Experiment Videos

  • 100% success in foreign body removal via pars plana sclerotomy.
  • 30% of cases were ultimately lost, with two due to retinal detachment (PVR D-3) and one to endophthalmitis.
  • Among the 70% of successful cases, visual outcomes varied: 40% achieved 6/12 or better, 20% had 6/24, and 10% had 6/60.
  • 90% of intraocular foreign bodies were magnetic. Preoperative complications included vitreous hemorrhage, retinal incarceration, cataract, and retinal detachment.

Conclusions:

  • Pars plana vitrectomy is an effective technique for removing intraocular foreign bodies.
  • Despite successful removal, significant complications such as retinal detachment and endophthalmitis can lead to vision loss.