Vitrectomy for intra ocular foreign body removal
Saroya, J.S.; Sasikanth, R.R.; Agarwal, T.; Agarwal, S.; Agarwal, A.
Indian Journal of Ophthalmology 40(2): 38-40
1992
ISSN/ISBN: 0301-4738 PMID: 1452279 Document Number: 396737
Ten consecutive cases of perforating ocular injuries with retained intraocular foreign bodies over a period of 5.7 years with reviewed retrospectively in this study. All cases were operated upon by a 3 port pars plana vitrectomy and if necessary endolaser done. All ten cases (100%) were successful in terms of intraocular foreign body removal through the parsplana sclerotomy but ultimately we lost three (3) (30%) cases of which two had retinal detachments with P.V.R. D-3 preoperatively and the other had endophthalmitis. Of the seven (70%) successful cases four eyes (40%) had a post-operative vision of 6/12 or better while 2 (20%) had 6/24 and the last had 6/60 (10%). Nine cases (90%) had a magnetic intraocular foreign body and one (10%) had a non-magnetic glass intraocular foreign body. Various complications of intraocular foreign bodies like vitreous haemorrhage, retinal incarceration, cataract and retinal detachment were noted preoperatively. Silicone oil was used in three (30%) cases. Sulfur Hexafluoride was used in 5 cases (50%). Endolaser photocoagulation was done in 7 cases (70%).