OPEN GLOBE INJURIES WITH INTRAOCULAR FOREIGN BODY: SURGICAL OUTCOME
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Published:
Feb 6, 2016
Keywords:
Open globe injury (OGI), Intraocular foreign body (IOFB), Pars plana vitrectomy (PPV)
Main Article Content
Abstract
Objective: To determine surgical outcome and residual co-morbidities after
surgical intervention in eyes having Open Globe Injury (OGI) with retained
Intra Ocular Foreign Body (IOFB).
Methodology: A prospective interventional case series was carried out at the
department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sci-ences (KIOMS), Hayatabad Medical Complex (HMC), Peshawar from 1st Sep-tember 2012 to 30th November 2013. Patients who were followed post-op -eratively for at least 90 days were included. Eyes having open globe injury
(OGI) and intraocular foreign body (IOFB) who had surgical intervention were
included in our study. Visual outcome was determined comparing final best
corrected visual acuity (BCVA) with initial BCVA. Co-morbidities were noted at
final follow up. For data analysis, Snellen's VA was converted to log MAR VA.
Data was analyzed by SPSS version 16.
Results: Total of 35 patients were included in our study. Male were 94.3%
compared to 5.3% females. Mean age was 32.42 years. Bomb blast injury was
cause of eye trauma in 60% cases while 40% were doing hammer and chisel
work at the time of trauma. IOFB was impacted in anterior segment in 20%
cases while it was impacted in posterior segment in 80% cases. IOFB remov-al was achieved in 33(94.28%) cases; silicone oil was used as temponade in
48.57% cases. Primary repair was required in 40% cases while rest 21(60%)
eyes had self sealed wound. Primary surgical intervention in the form of Pars
Plana Vitrectomy, IOFB removal with the use of intraocular magnet or forceps
was carried out in 71% cases. Mean BCVA log MAR improved from initial
BCVA of 2.20 to 1.20. Common comorbidities at final visit were corneal scars,
macular scars and cataract.
Conclusion: Bomb blast injuries are most common cause of OGI with IOFB in
our region. Significant visual improvement occurs in most of the cases after
skilled vitreo-retinal surgical interventions. Common ocular co-morbidities
are corneal scar, macular scar and cataract.
surgical intervention in eyes having Open Globe Injury (OGI) with retained
Intra Ocular Foreign Body (IOFB).
Methodology: A prospective interventional case series was carried out at the
department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sci-ences (KIOMS), Hayatabad Medical Complex (HMC), Peshawar from 1st Sep-tember 2012 to 30th November 2013. Patients who were followed post-op -eratively for at least 90 days were included. Eyes having open globe injury
(OGI) and intraocular foreign body (IOFB) who had surgical intervention were
included in our study. Visual outcome was determined comparing final best
corrected visual acuity (BCVA) with initial BCVA. Co-morbidities were noted at
final follow up. For data analysis, Snellen's VA was converted to log MAR VA.
Data was analyzed by SPSS version 16.
Results: Total of 35 patients were included in our study. Male were 94.3%
compared to 5.3% females. Mean age was 32.42 years. Bomb blast injury was
cause of eye trauma in 60% cases while 40% were doing hammer and chisel
work at the time of trauma. IOFB was impacted in anterior segment in 20%
cases while it was impacted in posterior segment in 80% cases. IOFB remov-al was achieved in 33(94.28%) cases; silicone oil was used as temponade in
48.57% cases. Primary repair was required in 40% cases while rest 21(60%)
eyes had self sealed wound. Primary surgical intervention in the form of Pars
Plana Vitrectomy, IOFB removal with the use of intraocular magnet or forceps
was carried out in 71% cases. Mean BCVA log MAR improved from initial
BCVA of 2.20 to 1.20. Common comorbidities at final visit were corneal scars,
macular scars and cataract.
Conclusion: Bomb blast injuries are most common cause of OGI with IOFB in
our region. Significant visual improvement occurs in most of the cases after
skilled vitreo-retinal surgical interventions. Common ocular co-morbidities
are corneal scar, macular scar and cataract.
Article Details
How to Cite
1.
Hussain Z, Khan SU, Jan S, Shahnam T. OPEN GLOBE INJURIES WITH INTRAOCULAR FOREIGN BODY: SURGICAL OUTCOME. J Postgrad Med Inst [Internet]. 2016 Feb. 6 [cited 2024 Nov. 21];30(1). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1734
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