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Purpose: To share the experience of managing fifty cases of intraocular foreign body in a tertiary care hospital.
Material and Methods: The study was conducted in LRBT Free Base Eye Hospital Eye Karachi from January 2008 to December 2010. We retrospectively reviewed the record of fifty patients of intraocular foreign body who underwent pars plana vitrectomy for foreign body removal. In this study twenty eight (56%) patients had self sealing wound which did not need primary repair, rest of twenty two (44%) patients’ needed primary surgical intervention to restore ocular integrity. After initial management all patients underwent pars plana vitrectomy for foreign body removal. Minimum follow up was 6 months while mean follow up was 15 months.
Results: There were fifty eyes of fifty patients, all males with age ranging between 20 and 50 years who had sustained ocular trauma, mostly involving anterior as well as posterior segments, and few involving only the posterior segment. Preoperative visual acuity was PL to 6/60 in 68% patients and 6/60 to 6/12 in 32% patients, whereas; postoperative visual acuity at final follow up was 6/12 to 6/60 in 64% of patients and 6/60 to PL in 36% of patients.
Conclusion: intraocular foreign body is a common occupational injury of the eye. Timely management of removal of intraocular foreign body and meticulous follow up improves visual acuity.
Shakir Zafar, Zeeshan Kamil, Munira Shakir, Syeda Aisha Bokhari, Syed Fawad Rizvi. (2012) Management of Intraocular Foreign Body in Tertiary Care Hospital, Pakistan Journal of Ophthalmology, Volume 28, Issue 3.
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