Adriono Gitalisa A, Agustiawan Referano, Fibrian Kartika C, Ardiani Lily S, Irawati Yunia
Department of Ophthalmology, Faculty of Medicine, University of Indonesia, dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Retina Service, JEC Eye Hospitals and Clinics, Jakarta, Indonesia.
J Surg Case Rep. 2022 May 5;2022(5):rjac198. doi: 10.1093/jscr/rjac198. eCollection 2022 May.
Intraocular foreign bodies (IOFBs) are the most common emergency cases in ophthalmology causing severe visual impairment to blindness. We present nine male patients with IOFBs, aged 28-64 years old, which displayed a wide spectrum of findings. Based on IOFB location, four cases were intravitreal, two were intraretinal, two were intralenticular and one was intracorneal. The most common material was metal, from hammering projectiles (six patients). The injuries mainly occurred at workplace (five patients). All IOFBs were successfully extracted. Initial visual acuity (VA) ranged from light perception to 20/32; six patients had better final VA, up to 20/20. A wide range of ocular manifestations is associated with IOFBs. Removing retained IOFB procedure is dependent on location, nature, lens opacity and vitreoretinal involvement. Meticulous ocular examination and imaging modality are vital to identify the IOFB presence. Various visual outcomes depend on zone involvement, IOFB size and level of difficulties of surgery.
眼内异物（IOFBs）是眼科最常见的急症病例，可导致严重视力损害甚至失明。我们报告了9例年龄在28至64岁之间的男性眼内异物患者，呈现出广泛的临床表现。根据眼内异物的位置，4例位于玻璃体腔内，2例位于视网膜内，2例位于晶状体内部，1例位于角膜内。最常见的异物材料是金属，来自锤击物（6例患者）。损伤主要发生在工作场所（5例患者）。所有眼内异物均成功取出。初始视力（VA）范围从光感至20/32；6例患者最终视力较好，可达20/20。眼内异物可伴有多种眼部表现。取出残留眼内异物的手术方法取决于其位置、性质、晶状体混浊情况以及玻璃体视网膜受累情况。细致的眼部检查和影像学检查对于确定眼内异物的存在至关重要。各种视觉预后取决于受累区域、眼内异物大小以及手术难度。
