Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48560/rspo.28266 |
Resumo: | Introduction: Our objective was to evaluate the clinical presentation of patients with intraocular foreign bodies (IOFB) and establish prognostic factors for visual outcomes. Methods: Medical records of all patients undergoing surgery for an intraocular foreign body at Centro Hospitalar Universitário de Santo António in the last decade were retrospectively reviewed. Results: This study included 108 eyes of 107 patients. Most patients were adult males (88.9%) of working age (88.9% were 18-64 years old). Retinal lesions were documented in 40.7% of the eyes and 17 (15.7%) eyes presented with retinal detachment. Seven (6.5%) eyes presented with endophthalmitis. The majority (78.7%) of IOFB were metallic and entered the globe mainly through the cornea (68.5%). The median (interquartile range) time to first procedure was 1 (0-2) days, with most IOFB (72.2%), retrieved at that moment. Pars plana vitrectomy were performed in 74 eyes. In this study, good presenting visual acuity (VA), lens sparing, absence of hyphema and retinal detachment and the presence of vitreous hemorrhage were associated with good final VA. Conclusion: Open-globe injuries with IOFB are a public health issue that impose preventable social and economic burden as it affects mostly working-age subjects. Hence, early intervention and preventive measure are of uttermost importance to prevent social and visual disability. |
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Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual OutcomesCorpos Estranhos Intraoculares: Caraterísticas Clínicas e Fatores de Prognóstico para Resultados VisuaisArtigos OriginaisIntroduction: Our objective was to evaluate the clinical presentation of patients with intraocular foreign bodies (IOFB) and establish prognostic factors for visual outcomes. Methods: Medical records of all patients undergoing surgery for an intraocular foreign body at Centro Hospitalar Universitário de Santo António in the last decade were retrospectively reviewed. Results: This study included 108 eyes of 107 patients. Most patients were adult males (88.9%) of working age (88.9% were 18-64 years old). Retinal lesions were documented in 40.7% of the eyes and 17 (15.7%) eyes presented with retinal detachment. Seven (6.5%) eyes presented with endophthalmitis. The majority (78.7%) of IOFB were metallic and entered the globe mainly through the cornea (68.5%). The median (interquartile range) time to first procedure was 1 (0-2) days, with most IOFB (72.2%), retrieved at that moment. Pars plana vitrectomy were performed in 74 eyes. In this study, good presenting visual acuity (VA), lens sparing, absence of hyphema and retinal detachment and the presence of vitreous hemorrhage were associated with good final VA. Conclusion: Open-globe injuries with IOFB are a public health issue that impose preventable social and economic burden as it affects mostly working-age subjects. Hence, early intervention and preventive measure are of uttermost importance to prevent social and visual disability.Introdução: O nosso objectivo foi avaliar a apresentação clínica de pacientes com corpo estranho intraocular (CEIO) e estabelecer fatores prognósticos para resultados visuais. Métodos: Os processos clínicos de todos os pacientes submetidos a cirurgia pela presença de corpo estranho intraocular no Centro Hospitalar Universitário Porto na última década revistos retrospetivamente. Resultados: Este estudo incluiu 108 olhos de 107 pacientes. A maioria dos pacientes eram adultos (88,9%) em idade ativa (88,9% tinham 18-64 anos). As lesões de retina foram documentadas em 40,7% dos olhos e 17 (15,7%) olhos apresentaram-se com descolamento de retina. Sete (6,5%) olhos tinham endoftalmite à presentação. A maioria (78,7%) dos CEIOs eram metálicos e entraram no globo pela córnea (68,5%). A mediana (intervalo interquartil) do tempo para o primeiro procedimento foi de 1 (0-2) dias, com a maioria dos CEIOs (72,2%) recuperados naquele momento. A vitrectomia via pars plana foi realizada em 74 olhos. Neste estudo, boa acuidade visual (AV) à admissão, ausência de lesão lenticular, hifema e descolamento de retina e presença de hemorragia vítrea foram associados a boa AV final. Conclusão: Os traumas oculares abertos com CEIOs são um problema de saúde pública que impõe despesas sociais e económicas evitáveis, pois afetam principalmente indivíduos em idade ativa. Assim, a intervenção precoce e as medidas preventivas são de extrema importância para prevenir a incapacidades sociais e visuais.Ajnet2023-09-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.48560/rspo.28266eng1646-69501646-6950Ferreira, AndréBarbosa Ribeiro, BrunoCoelho, JoãoMeireles, Angelinainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-05T20:30:22Zoai:ojs.revistas.rcaap.pt:article/28266Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:33:27.111895Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes Corpos Estranhos Intraoculares: Caraterísticas Clínicas e Fatores de Prognóstico para Resultados Visuais |
title |
Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes |
spellingShingle |
Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes Ferreira, André Artigos Originais |
title_short |
Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes |
title_full |
Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes |
title_fullStr |
Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes |
title_full_unstemmed |
Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes |
title_sort |
Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors for Visual Outcomes |
author |
Ferreira, André |
author_facet |
Ferreira, André Barbosa Ribeiro, Bruno Coelho, João Meireles, Angelina |
author_role |
author |
author2 |
Barbosa Ribeiro, Bruno Coelho, João Meireles, Angelina |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Ferreira, André Barbosa Ribeiro, Bruno Coelho, João Meireles, Angelina |
dc.subject.por.fl_str_mv |
Artigos Originais |
topic |
Artigos Originais |
description |
Introduction: Our objective was to evaluate the clinical presentation of patients with intraocular foreign bodies (IOFB) and establish prognostic factors for visual outcomes. Methods: Medical records of all patients undergoing surgery for an intraocular foreign body at Centro Hospitalar Universitário de Santo António in the last decade were retrospectively reviewed. Results: This study included 108 eyes of 107 patients. Most patients were adult males (88.9%) of working age (88.9% were 18-64 years old). Retinal lesions were documented in 40.7% of the eyes and 17 (15.7%) eyes presented with retinal detachment. Seven (6.5%) eyes presented with endophthalmitis. The majority (78.7%) of IOFB were metallic and entered the globe mainly through the cornea (68.5%). The median (interquartile range) time to first procedure was 1 (0-2) days, with most IOFB (72.2%), retrieved at that moment. Pars plana vitrectomy were performed in 74 eyes. In this study, good presenting visual acuity (VA), lens sparing, absence of hyphema and retinal detachment and the presence of vitreous hemorrhage were associated with good final VA. Conclusion: Open-globe injuries with IOFB are a public health issue that impose preventable social and economic burden as it affects mostly working-age subjects. Hence, early intervention and preventive measure are of uttermost importance to prevent social and visual disability. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48560/rspo.28266 |
url |
https://doi.org/10.48560/rspo.28266 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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1646-6950 1646-6950 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Ajnet |
publisher.none.fl_str_mv |
Ajnet |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133599975342080 |