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¹Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., İzmir, Uzm. Dr.
²Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., İzmir, Araş. Gör.
³Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., İzmir, Doç. Dr.
⁴Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., İzmir, Prof. Dr. Purpose: To determine prognostic factors and visual outcomes of cases with intraocular foreign bodies (IOFBs).
Materials and Methods: Sixty-six eyes of sixty-six patients who presented with penetrating ocular trauma and retained intraocular foreign body to the Department of Ophthalmology Dokuz Eylul University School of Medicine comprised the study group. The patients were evaluated in terms of visual outcomes and prognostic factors. Associated preoperative findings were traumatic cataract (74.2%), intravitreal hemorrhage (37.9%), retinal detachment (13.6%) and endophthalmitis (12.1%).
Results: Following pars plana vitrectomy and the removal of the intraocular foreign body, visual acuity improved in 32 cases (48.5%), did not change in 18 cases (27.3%), and decreased in 16 cases (24.2%) cases. Mean follow-up was 16.4±13.2 months (6- 69 months). We observed retinal detachment in nine cases (13.6%), phthisis bulbi in six cases (9.1%), secondary glaucoma in three cases (4.5%), and macular scar formation in two cases (3.1%) cases postoperatively. One patient (1.5%) developed sympathetic ophthalmia.
Conclusion: Pars plana vitrectomy is found to be an effective therapeutic approach in removing intraocular foreign bodies, but preoperative and postoperative complications and timing of surgery determine the visual outcome and functional success. Keywords : Endophthalmitis, intraocular foreign body, intravitreal hemorrhage, pars plana vitrectomy, phthisis bulbi, retinal detachment