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Intraretinal foreign bodies. Management and observations
1Department of Ophthalmology, Wake Forest University, Bowman Gray School of Medicine, Winston-Salem, North Carolina 27103.
Retina (Philadelphia, Pa.)
|January 1, 1990
Summary
Retained intraocular foreign bodies (IOFBs) in the retina and choroid require complex vitreous surgery. Outcomes are often poor, with significant visual impairment and complications like macular pucker common after removal.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Traumatic Eye Injury
Background:
- Retained intraocular foreign bodies (IOFBs) requiring vitreous surgery represent a unique challenge.
- These injuries often involve extensive ocular damage beyond the foreign body itself.
Purpose of the Study:
- To evaluate the outcomes of surgical removal of intraretinal foreign bodies (IRFBs).
- To identify associated ocular damage and long-term complications following IRFB removal.
Main Methods:
- Retrospective evaluation of 16 patients with intraretinal foreign bodies (IRFBs).
- Analysis of surgical techniques, associated injuries, and visual outcomes.
Main Results:
- IRFBs frequently accompanied by corneal perforation, lens disruption, and significant hemorrhage.
- Delayed cataract and retinal detachment were common.
- Macular pucker occurred in over 60% of cases post-removal.
- 44% of patients had visual acuity of 20/200 or worse.
Conclusions:
- Surgical removal of IRFBs is complex and associated with high rates of ocular damage.
- Visual and structural outcomes remain uncertain, influenced by factors beyond surgical technique and promptness.