Intraocular Foreign Body: Etiology, Management, and Clinical Outcomes

Area of Science:

• Ophthalmology
• Trauma Surgery

Background:

• Intraocular foreign bodies (IOFBs) are a significant concern in open globe injuries.
• Tertiary care centers manage complex cases requiring specialized treatment.

Purpose of the Study:

• To evaluate outcomes of patients with IOFBs treated at a tertiary care hospital.
• To identify factors influencing the final visual outcome in these patients.

Main Methods:

• Retrospective analysis of adult patients (≥18 years) undergoing surgery for IOFB (Oct 2023-Nov 2024).
• Data collected included demographics, injury characteristics, IOFB details, and visual acuity (VA) pre- and post-operatively.
• Intraocular pressure (IOP) was also monitored.

Main Results:

• 17 patients (14.7%) with open globe injuries had IOFBs; all were male, mean age 36.9 years.
• IOFB size >4.0 mm and corneal injury were associated with poor final visual acuity.
• Initial visual acuity of 0.3 logMAR or better predicted good visual outcome.

Conclusions:

• IOFB presence complicates open globe injury management, often necessitating repeat surgeries.
• Work-related injuries are common and preventable, underscoring the importance of protective eyewear.
• Early intervention and appropriate management are crucial for preserving vision.