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[Vitrectomy for intraocular foreign bodies and their complications]
Journal Francais D'Ophtalmologie
|January 1, 1983
Summary
Vitrectomy surgery effectively removed ocular foreign bodies and treated related damage. Combined procedures for foreign body extraction and vitrectomy showed high success rates, while reparative vitrectomy for perforations yielded acceptable visual acuity outcomes.
Area of Science:
- Ophthalmology
- Surgical Procedures
- Retina and Vitreous
Context:
- Management of intraocular foreign bodies (IOFB) presents significant surgical challenges.
- Sequelae from ocular trauma, such as double perforations, require specialized treatment approaches.
- Pars plana vitrectomy is a key technique in modern vitreoretinal surgery.
Purpose:
- To report the outcomes of vitrectomy in 16 cases involving ocular foreign bodies and trauma.
- To evaluate the efficacy of combined foreign body extraction and pars plana vitrectomy.
- To assess the results of pars plana vitrectomy for treating sequelae of double perforations.
Summary:
- 16 patients underwent pars plana vitrectomy. Group 1 (7 patients): combined foreign body extraction (non-metallic/metallic) and vitrectomy using forceps or magnetized thread. Group 2 (9 patients): reparative vitrectomy for sequelae of lead shot double perforations. The Douvas roto-extractor was used in all cases.
- Group 1 outcomes were satisfactory in 6/7 cases, with visual acuities of 0.2 or better; one case resulted in phthisis bulbi.
- Group 2 outcomes were acceptable in 7/9 cases, though generally less satisfactory than in Group 1.
Impact:
- Demonstrates the effectiveness of pars plana vitrectomy in managing complex ocular injuries.
- Highlights the favorable prognosis of combined foreign body extraction and vitrectomy.
- Provides evidence for the utility of vitrectomy in treating severe ocular trauma sequelae.
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