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[Intraocular foreign bodies: a descriptive and prognostic study of 52 cases]
E Lala-Gitteau1, S Arsène, P-J Pisella
1Service d'Ophtalmologie, CHU de Tours, Hôpital Bretonneau, Tours. gitteau.lala@free.fr
Background:
The aim of this study was to determine prognostic factors as well as anatomical and functional outcomes in patients undergoing surgical removal of an intraocular foreign body, according to the ocular findings at presentation and surgical management.
Materials And Methods:
Retrospective (1993-2003) clinical study of 52 consecutive patients, with univariate analysis adjusting for the initial and final clinical examinations, for the surgical strategy and complications.
Results:
Final best corrected visual acuity of 5/10 or more was obtained in 35 patients (67%) and of 1/10 or more in 44 patients (85%). The prognostic factors of a final visual acuity less than 5/10 identified were an initial visual acuity less than 5/10 (p<0.001), age over 40 years (p=0.015), a foreign body larger than 3 mm (p=0.0015), and multiple surgeries (p=0.015).
Conclusion:
Thanks to recent surgical progress, final visual outcomes were excellent in 67% of patients. The initial visual acuity, age, the length of the foreign, and the number of surgical interventions were significant predictor factors. However, the anatomical and functional prognosis of intraocular foreign bodies remains difficult to establish at the initial clinical examination.
