Dilek Yasa
Beyoglu Eye Training And Research Hospital, Turkey
Biography
Dilek Yassa completed her education at Beyoglu Eye Training and Research Hospital. Ophthalmology, Istanbul University, Faculty of Medicine and Doctor of Medicine. She is currently working at Beyoglu Eye Training and Research Hospital as an Assistant Professor of Ophthalmology and Retina Specialist.
Abstract
Purpose: To identify the prognostic factors influencing visual and anatomical outcomes of intraocular foreign body removal with 23-G pars plana vitrectomy (PPV).
Methods: The medical records of 63 eyes of 63 consecutive patients who were followed at least six months were retrospectively reviewed. A logistic regression was performed to ascertain the effects of age, preoperative visual acuity, foreign body removal site (cornea/sclera), the time between trauma and surgery, lens damage during trauma, retinal detachment and intraocular tamponade used on the likelihood that the participants had functional success (6/60 or better).
Results: Twenty eight eyes underwent a primary surgical repair prior to PPV. The mean follow-up period was 12 months (6–36 months). Thirty patients (68.3%) showed 6/60 or better vision at the end of their follow-up period. Two significant predictive factors had independent and combined effects on post-operative visual outcome: preoperative visual acuity (odds ratio (OR=14.5, p=0.001) and presence of preoperative retinal detachment (OR=1.21, p=0.01) Post-operative complications included epiretinal membrane (5.8%), retinal detachment (3.2%), endophthalmitis (1.6%) and phthisis bulbi (1.6%).
Conclusıon: Using multivariate analysis, pre-operative visual acuity and retinal detachment were found to be predictors of poor visual outcome after intraocular foreign body removal.