Clinical presentations and surgical outcomes of intraocular foreign body presenting to an ocular trauma unit.

Autor: Anguita R; Hospital Del Salvador, Universidad de Chile, Santiago, Chile. rodrigoanguita@gmail.com.; Moorfields Eye Hospital NHS Foundation Trust, London, UK. rodrigoanguita@gmail.com., Moya R; Hospital Del Salvador, Universidad de Chile, Santiago, Chile.; Centro de la visión, Clínica las Condes, Santiago, Chile., Saez V; Hospital Del Salvador, Universidad de Chile, Santiago, Chile., Bhardwaj G; Moorfields Eye Hospital NHS Foundation Trust, London, UK.; Faculty of Medicine and Health, Sydney Medical School, Discipline of Ophthalmology and Eye Health and Save Sight Institute, The University of Sydney, Sydney, Australia., Salinas A; Hospital Del Salvador, Universidad de Chile, Santiago, Chile., Kobus R; Hospital Del Salvador, Universidad de Chile, Santiago, Chile., Nazar C; Hospital De La Florida, Santiago, Chile., Manriquez R; Hospital Del Salvador, Universidad de Chile, Santiago, Chile., Charteris DG; Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Jazyk: angličtina
Zdroj: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie [Graefes Arch Clin Exp Ophthalmol] 2021 Jan; Vol. 259 (1), pp. 263-268. Date of Electronic Publication: 2020 Jul 30.
DOI: 10.1007/s00417-020-04859-6
Abstrakt: Objectives: To describe, evaluate, and identify the characteristics, prognostic factors, and visual outcomes in patients with intraocular foreign body (IOFB) in a Latin American population.
Methods: A retrospective, observational case-series of patients with a diagnosis of IOFB. Variables analyzed included age, gender, initial and final best correct visual acuity (BCVA), ocular trauma score, intraocular pressure, mechanism of injury, material and number of IOFB, zone of injury, timing of primary repair and IOFB removal, complications, and follow up.
Results: Sixty-one patients with IOFB were identified of which 97% were male with a mean age of 37.9 years (SD 2.16). The most common IOFB location was intravitreal (43%). IOFBs were metallic in 78%, vegetal in 3%, and other materials in 11%. Primary repair and secondary IOFB removal were performed at a mean timepoint of 3 days and 5 days, respectively. Systemic and topical antibiotics were administered to all patients. The initial BCVA was 1.62 logMAR and the final was 0.6 logMAR, which was statistically significant (Pearson's chi-squared test, p value 0.01). No cases of endophthalmitis were seen.
Conclusion: IOFB removal can be delayed when there are no signs of infection or evidence of retinal detachment, without an increased risk of endophthalmitis and a negative impact on visual outcomes. Use of topical and systemic antibiotics appear sufficient to prevent endophthalmitis in these cases.
Databáze: MEDLINE
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