[Late complications after penetrating ocular injuries caused by intraocular and intraorbital foreign bodies]

Klin Oczna. 2009;111(10-12):313-8.
[Article in Polish]

Abstract

Purpose: To evaluate late complications in patients with penetrating ocular injuries caused by intraocular or intraorbital foreign bodies (IOFBs).

Material and methods: We reviewed 58 posttraumatic patients with IOFBs removed by external electromagnet or intraocular forceps. The patients underwent a follow-up examinations at 1 to 7 years after trauma. We noted final visual acuity, frequency and type of complications and following surgical treatment.

Results: Final visual acuity of 5/50 or more was obtained in 65.5% of patients. Ocular complications were found in 50 patients (86.2%). The most frequent consequence of past trauma was corneal scar (58.6%), cataract (44.8%), and retinal detachment (20.7%). 37 patients (63.7%), required the next surgical interventions. 23 patients 139.6%), underwent posttraumatic cataract extraction, 9 (15.5%)--pars plana vitrectomy for retinal detachment or vitreoretinal proliferations, 5 (8.6%)--scleral buckling procedure, 3 (5.2%)--antiglaucoma surgery, and 2 (3.4%)--enucleation.

Conclusions: Penetrating ocular injuries caused by IOFBs were often complicated with corneal scar, cataract and retinal detachment. More than 2/3rd of patients required subsequent surgical interventions.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cataract / etiology
  • Cataract Extraction
  • Cicatrix / etiology*
  • Corneal Diseases / etiology*
  • Eye Foreign Bodies / complications*
  • Eye Injuries, Penetrating / complications*
  • Female
  • Follow-Up Studies
  • Glaucoma / etiology
  • Glaucoma / surgery
  • Humans
  • Male
  • Middle Aged
  • Retinal Detachment / etiology*
  • Retinal Detachment / surgery
  • Visual Acuity
  • Young Adult