CLINCAL EVALUATION OF POSTERIOR SEGMENT INTRAOCULAR FOREIGN BODIES – A  RETROSPECTIVE  STUDY

Dr.Malladi Padma; Dr.D.Padma Prabha; Dr.K.Vishwanath

Volume : VII, Issue : X, October - 2017

CLINCAL EVALUATION OF POSTERIOR SEGMENT INTRAOCULAR FOREIGN BODIES – A RETROSPECTIVE STUDY

Dr. Malladi Padma, Dr. D. Padma Prabha, Dr. K. Vishwanath

Abstract :

Purpose: To study and analyze the characteristics of intra ocular foreign body (IOFB) in posterior segment after ocular trauma.

Design: Retrospective study

Material and methods:

A retrospective chart review was performed for 58 patients with posterior segment intraocular foreign bodies between December 2001 to Feuary –2003 (14 months).

Exclusion criteria: Anterior segment intraocular foreign bodies.

Results:

58 patients were studied blunt trauma seen 18 cases and 40 cases had open globe injuries with corneal injuries in 30 cases , cornea scleral injuries in 3 cases and scleral injuries cases. Most of the patients were male (57), with majority of the patients in 20–30 years age group (40 cases). Occupation related (Wielding work) Metal on metal injury being common (42 cases). The time interval between injury and IOFB removal was around 1 month because of delaying presentation to the tertiary eye care institute. The size of the foreign body ranged from 3mm to 8mm. traumatic cataract was found in 10 cases, vitreous hemorrhages 15 cases, retinal detachments 19 cases. IOFB was diagnosed by plain X–Ray and CT scan, nonmetallic foreign bodies diagnosed by ultrasound.

IOFB in the lens seen in 2 cases in the vitreous (4cases) double perforation (1), 51 cases on the retina.

Pars plana vitrectomy (PPV) was performed in 5 cases, Pars plana vitrectomy and Pars plana lensectomy (PPL) done 10 cases, Scleral buckling PPL +PPV+SOI performed in 19 cases. Endophthalmitis at presentation seen in 1 case, siderosis bulbi in 3 cases.

Conclusions:

Open globe injuries with posterior segment IOFB have a gradual visual prognosis. Most cases were work related, increased awareness of the importance of eye protection can help minimize the occurrence of these injuries.