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2018 ; 2018
(ä): 5861043
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Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign
Bodies in Children in East China
#MMPMID30046460
Zhang T
; Zhuang H
; Wang K
; Xu G
J Ophthalmol
2018[]; 2018
(ä): 5861043
PMID30046460
show ga
PURPOSE: To report the long-term follow-up results of posterior segment
intraocular foreign body (IOFB) removal in children and to determine the
prognostic factors for visual outcome. METHODS: Design: retrospective,
noncomparative, interventional case series; a single tertiary care center study.
Participants or samples: eleven eyes (11 patients) under 16 years of age with
posterior segment IOFB injuries from May 2014 to November 2017. Main outcome
measures: clinical features of injury, visual acuity, and complications. RESULTS:
The mean age was 6.8 years, and the mean follow-up was 20.2 months. The main IOFB
sources were accidental penetration of the eye by materials in the playground (6
cases) or by pencil lead at school (4 cases). The mean IOFB size was 3.8 (range
1-6)?mm. At the last visit, the visual acuities were 20/40 or better in 40.0% of
patients and better than 20/200 in 70.0%. Poor visual outcome was correlated with
intraoperative rhegmatogenous retinal detachment (P=0.0083). Postoperative
complications included elevated transient intraocular pressure, retinal
redetachment, and secondary glaucoma. CONCLUSIONS: The clinical features of
pediatric posterior segment IOFBs suggest insufficient awareness of such injuries
both on the playground and at school. Visual outcomes from surgical treatment
were relatively favorable in this series.