Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in Quebec
Purpose. To identify predictive factors for visual outcomes of patients presenting with a posterior segment intraocular foreign body (IOFB). Methods. A retrospective chart review was performed for all consecutive patients operated for posterior segment IOFB removal between January 2009 and December...
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/9990290 |
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| author | Jean-Philippe Rozon Guillaume Lavertu Mélanie Hébert Eunice You Serge Bourgault Mathieu Caissie Eric Tourville Ali Dirani |
| author_facet | Jean-Philippe Rozon Guillaume Lavertu Mélanie Hébert Eunice You Serge Bourgault Mathieu Caissie Eric Tourville Ali Dirani |
| author_sort | Jean-Philippe Rozon |
| collection | DOAJ |
| description | Purpose. To identify predictive factors for visual outcomes of patients presenting with a posterior segment intraocular foreign body (IOFB). Methods. A retrospective chart review was performed for all consecutive patients operated for posterior segment IOFB removal between January 2009 and December 2018. Data were collected for patient demographics, clinical characteristics at presentation, IOFB characteristics, surgical procedures, and postoperative outcomes. A multiple logistic regression model was built for poor final visual acuity (VA) as an outcome (defined as final VA 50 letters or worse [Snellen equivalent: 20/100]). Results. Fifty-four patients were included in our study. Ninety-three percent of patients were men, with a mean age of 40.4 ± 12.6 years. Metallic IOFB comprised 88% of cases with a mean ± standard deviation (SD) size of 5.31 ± 4.62 mm. VA improved in 70% of patients after IOFB removal. Predictive factors for poor VA outcome included poor baseline VA, larger IOFB size, high number of additional diagnoses, an anterior chamber extraction, a second intervention, the use of C3F8 or silicone tamponade, and the presence of vitreous hemorrhage, hyphema, and iris damage. Predictive factors for a better visual outcome included first intention intraocular lens (IOL) implantation and the use of air tamponade. In the multiple logistic regression model, both baseline VA (p = 0.009) and number of additional complications (p = 0.01) were independent risk factors for a poor final VA. Conclusions. A high number of concomitant complications and poor baseline VA following posterior segment IOFB were significant predictive factors of poor visual outcome. |
| format | Article |
| id | doaj-art-fb25ef9171494dfda8ca0db1bc227009 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-fb25ef9171494dfda8ca0db1bc2270092025-02-03T01:04:26ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/99902909990290Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in QuebecJean-Philippe Rozon0Guillaume Lavertu1Mélanie Hébert2Eunice You3Serge Bourgault4Mathieu Caissie5Eric Tourville6Ali Dirani7Faculty of Medicine, Université Laval, Québec, CanadaDepartment of Ophthalmology, Centre Universitaire d’Ophtalmologie, CHU de Québec–Université Laval, Québec, CanadaDepartment of Ophthalmology, Centre Universitaire d’Ophtalmologie, CHU de Québec–Université Laval, Québec, CanadaDepartment of Ophthalmology, Centre Universitaire d’Ophtalmologie, CHU de Québec–Université Laval, Québec, CanadaDepartment of Ophthalmology, Centre Universitaire d’Ophtalmologie, CHU de Québec–Université Laval, Québec, CanadaDepartment of Ophthalmology, Centre Universitaire d’Ophtalmologie, CHU de Québec–Université Laval, Québec, CanadaDepartment of Ophthalmology, Centre Universitaire d’Ophtalmologie, CHU de Québec–Université Laval, Québec, CanadaDepartment of Ophthalmology, Centre Universitaire d’Ophtalmologie, CHU de Québec–Université Laval, Québec, CanadaPurpose. To identify predictive factors for visual outcomes of patients presenting with a posterior segment intraocular foreign body (IOFB). Methods. A retrospective chart review was performed for all consecutive patients operated for posterior segment IOFB removal between January 2009 and December 2018. Data were collected for patient demographics, clinical characteristics at presentation, IOFB characteristics, surgical procedures, and postoperative outcomes. A multiple logistic regression model was built for poor final visual acuity (VA) as an outcome (defined as final VA 50 letters or worse [Snellen equivalent: 20/100]). Results. Fifty-four patients were included in our study. Ninety-three percent of patients were men, with a mean age of 40.4 ± 12.6 years. Metallic IOFB comprised 88% of cases with a mean ± standard deviation (SD) size of 5.31 ± 4.62 mm. VA improved in 70% of patients after IOFB removal. Predictive factors for poor VA outcome included poor baseline VA, larger IOFB size, high number of additional diagnoses, an anterior chamber extraction, a second intervention, the use of C3F8 or silicone tamponade, and the presence of vitreous hemorrhage, hyphema, and iris damage. Predictive factors for a better visual outcome included first intention intraocular lens (IOL) implantation and the use of air tamponade. In the multiple logistic regression model, both baseline VA (p = 0.009) and number of additional complications (p = 0.01) were independent risk factors for a poor final VA. Conclusions. A high number of concomitant complications and poor baseline VA following posterior segment IOFB were significant predictive factors of poor visual outcome.http://dx.doi.org/10.1155/2021/9990290 |
| spellingShingle | Jean-Philippe Rozon Guillaume Lavertu Mélanie Hébert Eunice You Serge Bourgault Mathieu Caissie Eric Tourville Ali Dirani Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in Quebec Journal of Ophthalmology |
| title | Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in Quebec |
| title_full | Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in Quebec |
| title_fullStr | Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in Quebec |
| title_full_unstemmed | Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in Quebec |
| title_short | Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in Quebec |
| title_sort | clinical characteristics and prognostic factors of posterior segment intraocular foreign body canadian experience from a tertiary university hospital in quebec |
| url | http://dx.doi.org/10.1155/2021/9990290 |
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