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Journals / Retina-Vitreus / 2011 / Cilt: 19 - Sayı: 1

Vitreoretinal surgery outcomes in patients with ıntraocular foreign body

Göz içi yabancı cisim olgularında vitreoretinal cerrahi sonuçlarımız

Fevzi AKKAN
Dinçer DİNÇ
Osman Murat UYAR
Kadir ELTUTATR
Pages
16–21
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

At the same time, preoperative and postoperative complications are important for a good visual prognosis and anatomic success.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: To evaluate the anatomic and functional outcomes of pars plana vitrectomy and intraocular foreign body (IOFB) removal in patients presenting with open-globe injuries due to lacerations by retained IOFBs.
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Key Findings & Data:Material and Methods: 55 male (91.6%) and 5 female (8.4%) patients who were diagnosed with IOFB were examined retrospectively in our clinic between March 2004-January 2010.
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Conclusion & Impact:At the same time, preoperative and postoperative complications are important for a good visual prognosis and anatomic success.
🔬Design:Research Article
📍Scope:2004 Verileri
⚙️Variables:Domain Parameters

Abstract

Purpose: To evaluate the anatomic and functional outcomes of pars plana vitrectomy and intraocular foreign body (IOFB) removal in patients presenting with open-globe injuries due to lacerations by retained IOFBs. Material and Methods: 55 male (91.6%) and 5 female (8.4%) patients who were diagnosed with IOFB were examined retrospectively in our clinic between March 2004-January 2010. Patients were evaluated according to complications and the best corrected visual acuity (BVCA) post-operatively. Pars plana lensectomy or phacoemulcification surgery was performed in 32 (53.3%) patients that had traumatic cataract. Results: The average age of the patients was 30.49±8.42 (21-51) and the mean follow-up time was 13.3±2.6 months (8-18). Preoperative visual acuities were light perception in 31 (51.6%) cases, between hand motion and 0.05 in 19 (31.7%) cases, between 0.1-0.15 in 4 (6.7%) cases and between 0.2-0.4 in 6 (10%) patients. At the last examination BCVA was 0.8 and above in 8 (13.3%) cases, between 0.5-0.7 in 11 (18.3%) cases, between 0.2-0.4 in 14 (23.3%) cases, between 0.1-0.15 in 13 (21.7%) cases, between hand motion-0.05 in 13 (21.7%) cases and light perception in 2 (3.3%) cases. In the early postoperative period; there were 10 (16.6%) cases with anterior chamber fibrinoid reaction and 4 (6.7%) cases with elevated intraocular pressure who responded the medical treatment. In the late postoperative period; there were 5 (8.3%) cases with macular scar, 4 (6.7%) cases with corneal opacity, 3 (5.0%) cases with retinal detachment and 2 (3.3%) cases with phthisis bulbi. Conclusions: Pars plana vitrectomy is an effective and reliable method for removing intraocular foreign bodies. At the same time, preoperative and postoperative complications are important for a good visual prognosis and anatomic success.

Özet

Amaç: Travma sonrası arka segmentte yerleşmiş göz içi yabancı cisimleri (GİYC) sebebiyle pars plana vitrektomi (PPV) ve yabancı cisim ekstraksiyonu uygulanan hastalarda anatomik ve görsel sonuçların değerlendirilmesi. Gereç ve Yöntem: Kliniğimizde Mart 2004-Ocak 2010 tarihleri arasında GİYC tanısıyla PPV uygulanan 55’i (%91.6) erkek 5’i (%8.4) kadın, 60 hastanın 60 gözü geriye dönük olarak incelendi. Hastalar ameliyat öncesi ve sonrası en iyi düzeltilmiş görme keskinlikleri (EİDGK) ve komplikasyonlar açısından değerlendirildi. Travmatik katarakt bulunan 32 (%53.3) olguya aynı zamanda fakoemülsifikasyon veya pars plana lensektomi uygulandı. Bulgular: Hastaların yaş ortalamaları 30.49±8.42 (21-51 yaş) iken ortalama takip süreleri 13.3±2.6 aydı (8-18 ay). Ameliyat öncesi EİDGK 31 (%51.6) olguda ışık hissi düzeyinde, 19 (%31.7) olguda el hareketi ile 0.05 arasında, 4 (%6.7) olguda 0.1-0.15 arasında, 6 (%10.0) olguda ise 0.2-0.4 arasında idi. Son kontrollerde EİDGK; 8 (%13.3) olguda 0.8 ve üzeri, 11 (%18.3) olguda 0.5-0.7 arası, 14 (%23.3) olguda 0.2-0.4 arası, 12 (%20.0) olguda 0.1-0.15 arası, 13 (%21.7) olguda parmak sayma-0.05 arası, 2 (%3.3) olguda ise ışık hissi düzeyindeydi. Ameliyat sonrası erken dönemde 10 (%16.6) gözde tedavi ile gerileyen ön kamarada fibrin reaksiyon, 4 (%6.7) gözde tıbbi tedavi ile kontrol altına alınan artmış göz içi basıncı görülürken; geç dönemde 4 (%6.7) gözde korneada lökom, 5 (%8.3) gözde makulada skar, 3 (%5.0) gözde retina dekolmanı ve 2 (%3.3) gözde fitizis bulbi görüldü. Sonuç: GİYC’lerin çıkartılmasında PPV etkin ve güvenilir bir yöntem olmakla beraber, iyi bir görsel prognoz ve anatomik başarı için ameliyat öncesi ve sonrası komplikasyonlar önem arz etmektedir

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Cite This Article

AKKAN, F., DİNÇ, D., UYAR, O. M., ELTUTATR, K. (2011). Vitreoretinal surgery outcomes in patients with ıntraocular foreign body. Retina-Vitreus, Cilt: 19 - Sayı: 1, 16–21. https://ajindex.com/articles/307709

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