Delhi Journal of Ophthalmology

Management of Metallic Intraocular Foreign Body Retained at Different Levels in The Eye

Balbir Khan,1 Rajwinder Kaur,2 Kulbir Kaur,3  Matreja PS,4 Shallu Samria1
1Department of Ophthalmology, Adesh Medical College And Hospital, Kurukshetra, Haryana India.
2Department of Ophthalmology, Adesh Institute Of Medical Sciences And Research, Bathinda, Punjab, India.
3Department Of Clinical Research, Revival Research Institute, Michigan, USA.
4Department Of Pharmacology,Teerthanker Mahaveer Medical College And Research Centre UP, India.

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Rajwinder Kaur (MS)
Department Of Ophthalmology 
Adesh Institute Of Medical Sciences and Research, Bathinda Punjab, India
Email: rajujerry26@gmail.com


Received: 22-DEC-2019 Accepted: 23-NOV-2020 Published Online: 09-JUL-2021
DOI: https://dx.doi.org/10.7869/djo.654

Abstract
Purpose: The aim of this study was to analyse the clinical presentation and outcome of management in metallic retained intraocular foreign bodies.

Material and Methods: 60 patients with metallic retained intraocular foreign bodies were included in the interventional case series over a period of two years. The details of patients were retrospectively analyzed and all findings including mechanism of injury, best corrected visual acuity, anterior and posterior segment findings were recorded. The various preoperative, intraoperative and postoperative clinical factors were noted. The functional and anatomical outcomes were also evaluated after one year follow up.

Results: All patients (100%) were males with a mean age of 26.5 years. The most common cause of ocular injury was chisel hammer or nail hammer related. Intra-operatively the foreign body was located on the retina in 74% patients and was intralenticular in 11.5% cases. The most common complication was endophthalmitis which was noted in 35% of patients followed by retinal detachment in 10% of patients.  Favourable visual outcome was achieved in 90% (n-54) of patients and anatomical success was achieved in 92% (n-55) patients at one-year of follow-up. There was a significant [p<0.05] difference between pre-operative and post-operative visual acuity.

Conclusions: Prophylactic intravitreal antibiotics and steroids are mainstay in preventing infection in penetrating injuries and helps in preserving useful vision. Better preoperative visual acuity, prophylactic buckle support and micro incision vitrectomy surgery were favourable factors related to better visual results in such cases.

Keywords :Endophthalmitis, Intralenticular, Retinal Detachment, Retained Intraocular Foreign Body