Nicoară Simona Delia, Irimescu Iulian, Călinici Tudor, Cristian Cristina
Department of Ophthalmology, "Iuliu Hațieganu" University of Medicine and Pharmacy, 8, V. Babeș str, 400012, Cluj-Napoca, Romania.
Department of Neuroscience, "Iuliu Hațieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
BMC Ophthalmol. 2015 Nov 2;15:151. doi: 10.1186/s12886-015-0128-6.
Intraocular foreign bodies (IOFBs) are an important cause of visual loss within the group of working age population. We aim to present the clinical features and the algorithm according to which we manage the foreign bodies that are located in the posterior segment of the eye. We define the outcomes and the prognostic factors that influenced the final visual acuity and globe survival in patients with IOFBs that we extracted by pars plana vitrectomy (PPV) over a 5-year period.
We reviewed the medical records of all the cases with IOFBs that we removed by PPV, over 5 years (2009-2013). We extracted the following parameters: age, gender, wound anatomy, IOFB characteristics, ocular lesions, initial and final visual acuities. We used the program SPSS version 20.0.0. for the statistical analysis of our data.
During 5 years, we treated 21 IOFBs by PPV, representing 12.20 % of all the open globe injuries. All the patients were males with the median age of 36 years. The foreign body was located in the vitreous - 11 cases (52.38 %), retina--seven cases (33.33 %) and perforating--three cases (14.28 %). Retinal detachment (RD) at presentation was identified in eight cases (38.09 %) and endophthalmitis, in six cases (28.57 %). The visual outcome was significantly worse in patients with RD at presentation (p = 0.012) and with IOFBs larger than 3 mm (p = 0.042). Endophthalmitis did not influence the visual outcome.
The worse prognostic factors were: RD at presentation and large foreign body.
IRCT2015040418966N3 / Apr. 9/2015.
眼内异物（IOFBs）是劳动年龄人群视力丧失的重要原因。我们旨在呈现临床特征以及处理位于眼后段异物的算法。我们定义了通过玻璃体切割术（PPV）在5年期间提取的眼内异物患者的最终视力和眼球存活情况的结局及预后因素。
我们回顾了5年（2009 - 2013年）期间所有通过PPV取出眼内异物的病例的病历。我们提取了以下参数：年龄、性别、伤口解剖结构、眼内异物特征、眼部病变、初始和最终视力。我们使用SPSS 20.0.0程序对数据进行统计分析。
在5年期间，我们通过PPV治疗了21例眼内异物，占所有开放性眼球损伤的12.20%。所有患者均为男性，中位年龄为36岁。异物位于玻璃体的有11例（52.38%），视网膜的有7例（33.33%），穿通伤的有3例（14.28%）。就诊时发现视网膜脱离（RD）的有8例（38.09%），眼内炎的有6例（28.57%）。就诊时患有RD的患者（p = 0.012）和眼内异物大于3 mm的患者（p = 0.042）的视觉结局明显更差。眼内炎不影响视觉结局。
预后较差的因素为：就诊时的视网膜脱离和大的异物。
IRCT2015040418966N3 / 2015年4月9日。
