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Visual involvement in foreign-body intestinal perforations.

C Sevillano1, M N Moraña2, S Estévez2

  • 1Servicio de Oftalmología, Complexo Hospitalario de Pontevedra, Pontevedra, España.

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|November 13, 2015
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Summary

Poor vision, particularly reduced near visual acuity in elderly patients, is linked to a higher risk of intestinal perforation from foreign body ingestion, often caused by fish bones. Improving vision may prevent these serious gastrointestinal events.

Keywords:
Cuerpo extrañoForeign bodyIngestionIngestiónIntestinal perforationOcularPerforación intestinalVisionVisión

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Area of Science:

  • Ophthalmology
  • Gastroenterology
  • Geriatrics

Background:

  • Intestinal perforation is a serious complication of foreign body ingestion, accounting for 21% of cases in our hospital.
  • Foreign body ingestion leading to intestinal perforation is particularly prevalent in elderly patients.

Purpose of the Study:

  • To analyze the visual characteristics of patients who suffered intestinal perforation due to foreign body ingestion.
  • To identify potential risk factors and preventive strategies for foreign body-induced intestinal perforation.

Main Methods:

  • Retrospective analysis of 29 cases of intestinal perforation due to foreign body ingestion since 1990.
  • Evaluation of patient demographics, ingested foreign bodies, and visual acuity measurements.

Main Results:

  • The average patient age was 74.2 years, with most being female and presbyopic.
  • Fish bones were the most common foreign body (55%).
  • Patients exhibited significantly reduced corrected near visual acuity (0.73) and uncorrected visual acuity (0.145), with 65% having cataracts.

Conclusions:

  • Impaired near vision and cataracts are associated with foreign body ingestion leading to intestinal perforation.
  • Early intervention for cataracts and visual enhancement may reduce the incidence of gastrointestinal perforations.