First Author: M.Stamenkovic SERBIA
Co Author(s): V. Lukic V. Jaksic Z. Zikic A. Bajic S. Babovic I. Sencanic
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To investigate epidemiologic, clinical characteristics and visual outcomes of posttraumatic intraocular foreign body (IOFB)
Eye Clinic, Zvezdara Medical University centre, Belgrade, Serbia
Consecutive series of 22 eyes with IOFB located in posterior segment presented at the Eye Clinic, Zvezdara Medical University centre from 2010 to 2014. Clinical characteristics including age, gender, presenting visual acuity (VA), mechanism of injury, initial ocular examination characteristics, complications, final VA, and intraocular foreign body characteristics were collected retrospectively. All available data were recorded for each patient. If data were not available, the patient was excluded from analysis for that particular data point. Best corrected visual acuity (BCVA) was determined with the Snellen E chart. Slit lamp examination was carried out on all eyes without the use of a contact lens.
The average patient age was 41.10 years with mail predominance (21 male patients, and 1 female). There were n=13 (59.01%) right eyes and n=9 (40.90%) left eyes involved. The most frequent injury mechanism was hammering n=12 (54.55%), and the composition of IOFB was metallic in 19 cases (86.36%). Initial VA was • Less 0.1 n=16 eyes (72.73%) • 0.1-0.4 n=0 eyes • 0.5 and more n=6 eyes (27.27%) Final BCVA: • Less 0.1 n=16 (72.73%) eyes • 0.1-0.4 n=1 (4.55%) eyes • 0.5 and more n=5 (22.73%) eyes Complications • Cataract n=9 eyes • Vitreous haemorrhage n=8 eyes • Retinal detachment n=5 eyes • Endophthalmitis n=2 eyes
Location of IOFB in posterior segment causes more severe damage of the intraocular tissues and is related with worse visual prognosis. Initial visual acuity represents another well-recognized predictor of visual outcome, poor initial visual acuity predicts poor final vision. Other factors that predict poor final vision are large wound size and the development of complications, particularly endophthalmitis.