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Year : 2015  |  Volume : 7  |  Issue : 2  |  Page : 35-40

Clinical presentations and outcomes following ocular injury with intraocular foreign bodies

Department of Ophthalmology, Topiwala National Medical College and B. Y. L. Nair Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Mansukhani Sasha Anil
Akshi Eye Center, 169 A, Mayur Niwas, 2nd Floor, Dr. Ambedkar Road, Dadar T. T. Circle, Dadar East, Mumbai - 400 014, Maharashtra
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DOI: 10.4103/1858-540X.169384

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Context: Globally, of 55 million ocular trauma cases occurring per year, 1.6 million are rendered blind. Intraocular foreign bodies (IOFBs) form a major subset (40%) of the penetrating eye injuries. Aims: To study the clinical presentations, visual outcomes, and the prognostic factors in penetrating eye injuries with IOFB. Settings and Design: This is a prospective cohort study conducted at a tertiary care center. Thirty-three eyes of 33 consecutive patients presenting to our center between March and December 2012 with IOFB injury were included in the study. Materials and Methods: After obtaining informed consent, detailed history and examination findings were noted at presentation. Computed tomography scanning was done in all patients. The details of the IOFB extraction procedure were noted and the patients were followed up for 3 months following the surgery. Statistical Analysis Used: All statistical calculations were performed in Stata (12.1) using the t-test. Results: Fifty-three percent were males between 15 and 30 years of age. Seventy-three percent had foreign body located in the posterior segment, whereas 27% were located in the anterior segment. The incidence of endophthalmitis was 16.67%. The final best corrected visual acuity appeared to be worse with poorer vision at presentation, larger foreign body size, scleral entry wound, and foreign body removal during a secondary surgery. Conclusions: Penetrating eye injuries with IOFB usually occurred in young males at work places. Factors leading to poor visual outcome were poor vision at presentation and larger foreign body size.

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