Posterior segment intraocular foreign bodies: the effect of weight and size, early versus late vitrectomy and outcomes

dc.contributor.authorÖztaş, Zafer
dc.contributor.authorNalçacı, Serhad
dc.contributor.authorAfrashı, Filiz
dc.contributor.authorErakgün, Tansu
dc.contributor.authorMenteş, Jale
dc.contributor.authorDeğirmenci, Cumali
dc.contributor.authorAkkın, Cezmi
dc.date.accessioned2020-12-01T12:25:59Z
dc.date.available2020-12-01T12:25:59Z
dc.date.issued2015
dc.departmentEge Üniversitesien_US
dc.description.abstractBACKGROUND: the objective of this study was to identify the effects of weight and size characteristics of posterior segment intraocular foreign bodies (IOFBs) in open globe injuries.METHODS: Fifty-eight eyes of 58 patients with posterior segment IOFBs were enrolled in the study. All IOFBs were removed by pars plana vitrectomy. Factors including age, gender, best corrected visual acuity (BCVA), nature of IOFBs, weight and dimensions of IOFBs, initial ocular features, timing of IOFB removal, entry site of IOFBs, interventions and complications were evaluated.RESULTS: Mean age of the patients was 32.7±14.2 years, and mean follow up period was 18±13.3 months. Weight, length, width and thickness of IOFBs were found negatively correlated with initial and final BCVA levels (p<0.05). Weight of IOFBs was significantly greater in eyes with initial hyphema, vitreous hemorrhage, retinal hemorrhage, retinal detachment, and uveal prolapse (p<0.05). Width and thickness of IOFBs were significantly greater in eyes with hyphema, vitreous hemorrhage, retinal hemorrhage and uveal prolapse (p<0.05). Length of IOFBs was significantly longer in eyes with hyphema (p<0.05). Presence of initial or subsequent retinal detachment was associated with poor final BCVA (p<0.05). There was no association between the timing of IOFB removal and incidence of endophthalmitis.CONCLUSION: Greater weight and size of posterior segment IOFBs were associated with worse outcomes in open globe injuries. Protective eyewear has a crucial importance to avoid work-related injuries. in our study, early or late vitrectomy for an IOFB removal had no significant effect on anatomic and visual outcomes. Therefore, vitrectomy can be postponed until optimal conditions are obtaineden_US
dc.identifier.endpage502en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue6en_US
dc.identifier.startpage496en_US
dc.identifier.urihttps://app.trdizin.gov.tr//makale/TVRrM01EVTVPUT09
dc.identifier.urihttps://hdl.handle.net/11454/65462
dc.identifier.volume21en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCerrahien_US
dc.titlePosterior segment intraocular foreign bodies: the effect of weight and size, early versus late vitrectomy and outcomesen_US
dc.typeArticleen_US

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