Metallic Intraocular Foreign Bodies: Characteristics, Interventions, and Prognostic Factors for Visual Outcome and Globe Survival

Purpose To describe metallic intraocular foreign body (IOFB) injuries and identify prognostic factors for visual outcome and globe survival. Design Interventional, consecutive, retrospective case series. Methods setting: Wills Eye Hospital. study population: Ninety-six eyes of 96 patients with metal...

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Bibliographic Details
Published in:American journal of ophthalmology 2008-09, Vol.146 (3), p.427-433.e2
Main Authors: Ehlers, Justis P, Kunimoto, Derek Y, Ittoop, Sabita, Maguire, Joseph I, Ho, Allen C, Regillo, Carl D
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Aged
Aged, 80 and over
Antibiotics
Biological and medical sciences
Cataracts
Child
Defects
Eye Enucleation
Eye Evisceration
Eye Foreign Bodies - diagnosis
Eye Foreign Bodies - etiology
Eye Foreign Bodies - surgery
Eye Injuries, Penetrating - diagnosis
Eye Injuries, Penetrating - etiology
Eye Injuries, Penetrating - surgery
Eye Protective Devices
Female
Humans
Injuries
Male
Medical prognosis
Medical sciences
Metals
Middle Aged
Miscellaneous
Multivariate analysis
Ophthalmology
Orbit
Patients
Prognosis
Retina
Retrospective Studies
Risk Factors
Standard deviation
Variables
Visual Acuity - physiology
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Summary:Purpose To describe metallic intraocular foreign body (IOFB) injuries and identify prognostic factors for visual outcome and globe survival. Design Interventional, consecutive, retrospective case series. Methods setting: Wills Eye Hospital. study population: Ninety-six eyes of 96 patients with metallic intraocular foreign bodies. procedures: Metallic IOFB injuries between January 1991 to June 2002 were reviewed for clinical characteristics, surgical intervention, and outcome. Univariate and multivariate analyses were performed to identify prognostic variables. main outcome measures: Final visual acuity and globe survival. Results The average patient age was 33.0 years with a male predominance (94%). Forty percent of eyes had a presenting vision of 20/50 or better. Following IOFB removal, 40% of patients required additional interventions. Thirty-one percent of eyes had a final acuity of 20/50 or better. Eight percent of patients ultimately required enucleation or evisceration. Excellent visual outcome (defined as ≥20/50) was associated with multiple variables, including normal lens at presentation and anterior segment IOFB ( P < .003). Factors associated with poor visual outcome (defined as
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2008.05.021