Outcomes and prognostic factors of 25G minimally invasive vitrectomy for intraocular foreign body

AIM:To explore clinical characteristics, outcomes and prognostic factors for cases with intraocular foreign bodies(IFB)and treated with 25G minimally invasive vitrectomy(PPV).<p>METHODS: Patients traumatized with retained IFB and treated with PPV were retrospectively collected from the Departm...

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Main Authors: Yun-Xia Luo, Min Tian, Xiao-Hong Xiang, Qi Zhou, Hong-Bin Lyu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-05-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2020/5/202005035.pdf
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author Yun-Xia Luo
Min Tian
Xiao-Hong Xiang
Qi Zhou
Hong-Bin Lyu
author_facet Yun-Xia Luo
Min Tian
Xiao-Hong Xiang
Qi Zhou
Hong-Bin Lyu
author_sort Yun-Xia Luo
collection DOAJ
description AIM:To explore clinical characteristics, outcomes and prognostic factors for cases with intraocular foreign bodies(IFB)and treated with 25G minimally invasive vitrectomy(PPV).<p>METHODS: Patients traumatized with retained IFB and treated with PPV were retrospectively collected from the Department of Ophthalmology, Affiliated Hospital of Southwest Medical University from 2016-1-1 to 2019-1-1. The clinical records including general condition, time and cause of injury, locations andsize of IFBs, comorbidities, and best corrected visual acuity(BCVA)were reviewed and statistical analyzed.<p>RESULTS: Among the 105 patients, most of them are middle-aged and young men, mostly from townships. The nature of IFB was mainly metals(62 cases, 59.0%). The entrance of IFB of 78 cases(74.3%)located at Zone I of the eye. There were 17 patients with BCVA≥0.1 before surgery, 88 patients with BCVA<0.1. And 43 patients gained BCVA≥0.1 after operation, and 62 patients with BCVA<0.1. Postoperative BCVA was significantly improved compared with preoperative BCVA(<i>P</i><0.05). Through multivariate Logistic regression analysis, poor preoperative BCVA, retinal detachment, and endophthalmitis are risk factors for poor visual prognosis.<p>CONCLUSION: PPV for treatment of IFB can achieve a better outcome. The poor prognosis of visual acuity is related to retinal detachment, endophthalmitis, and the position and size of IFB.
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spelling doaj.art-f36b190c2ad44375a72e747fa3fea2062022-12-21T18:13:55ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232020-05-0120589690010.3980/j.issn.1672-5123.2020.5.35Outcomes and prognostic factors of 25G minimally invasive vitrectomy for intraocular foreign bodyYun-Xia Luo0Min Tian1Xiao-Hong Xiang2Qi Zhou3Hong-Bin Lyu4Department of Ophthalmology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, ChinaDepartment of Ophthalmology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, ChinaDepartment of Ophthalmology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, ChinaDepartment of Ophthalmology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, ChinaDepartment of Ophthalmology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, ChinaAIM:To explore clinical characteristics, outcomes and prognostic factors for cases with intraocular foreign bodies(IFB)and treated with 25G minimally invasive vitrectomy(PPV).<p>METHODS: Patients traumatized with retained IFB and treated with PPV were retrospectively collected from the Department of Ophthalmology, Affiliated Hospital of Southwest Medical University from 2016-1-1 to 2019-1-1. The clinical records including general condition, time and cause of injury, locations andsize of IFBs, comorbidities, and best corrected visual acuity(BCVA)were reviewed and statistical analyzed.<p>RESULTS: Among the 105 patients, most of them are middle-aged and young men, mostly from townships. The nature of IFB was mainly metals(62 cases, 59.0%). The entrance of IFB of 78 cases(74.3%)located at Zone I of the eye. There were 17 patients with BCVA≥0.1 before surgery, 88 patients with BCVA<0.1. And 43 patients gained BCVA≥0.1 after operation, and 62 patients with BCVA<0.1. Postoperative BCVA was significantly improved compared with preoperative BCVA(<i>P</i><0.05). Through multivariate Logistic regression analysis, poor preoperative BCVA, retinal detachment, and endophthalmitis are risk factors for poor visual prognosis.<p>CONCLUSION: PPV for treatment of IFB can achieve a better outcome. The poor prognosis of visual acuity is related to retinal detachment, endophthalmitis, and the position and size of IFB.http://ies.ijo.cn/cn_publish/2020/5/202005035.pdfintraocular foreign body25g minimally invasive vitrectomyvisual acuityinfluence factors
spellingShingle Yun-Xia Luo
Min Tian
Xiao-Hong Xiang
Qi Zhou
Hong-Bin Lyu
Outcomes and prognostic factors of 25G minimally invasive vitrectomy for intraocular foreign body
Guoji Yanke Zazhi
intraocular foreign body
25g minimally invasive vitrectomy
visual acuity
influence factors
title Outcomes and prognostic factors of 25G minimally invasive vitrectomy for intraocular foreign body
title_full Outcomes and prognostic factors of 25G minimally invasive vitrectomy for intraocular foreign body
title_fullStr Outcomes and prognostic factors of 25G minimally invasive vitrectomy for intraocular foreign body
title_full_unstemmed Outcomes and prognostic factors of 25G minimally invasive vitrectomy for intraocular foreign body
title_short Outcomes and prognostic factors of 25G minimally invasive vitrectomy for intraocular foreign body
title_sort outcomes and prognostic factors of 25g minimally invasive vitrectomy for intraocular foreign body
topic intraocular foreign body
25g minimally invasive vitrectomy
visual acuity
influence factors
url http://ies.ijo.cn/cn_publish/2020/5/202005035.pdf
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