Long-Term Outcome of Pars Plana Vitrectomy for Retained Posterior Segment Intraocular Foreign Body Secondary to Gunshot Injury

Hammouda Hamdy Ghoraba,1,2 Mahmoud Leila,3 Adel Galal Zaky,4 Sameh Mohamed Elgouhary,4 Amin Faisal Ellakwa,4 Hosam Othman Mansour,5 Mohamed Amin Heikal2,6,7 1Faculty of Medicine, Tanta University, Tanta, Egypt; 2Magrabi Eye Hospital, Tanta, Egypt; 3Retina Department, Research Institute of Ophthalmol...

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Autores principales:	Ghoraba HH, Leila M, Zaky AG, Elgouhary SM, Ellakwa AF, Mansour HO, Heikal MA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	intraocular foreign body ocular gunshot injury penetrating ocular trauma iofb-associated endophthalmitis ppv for iofb Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1e02b9513d0a411b82eb074916588ca8
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spelling	oai:doaj.org-article:1e02b9513d0a411b82eb074916588ca82021-12-02T14:47:30ZLong-Term Outcome of Pars Plana Vitrectomy for Retained Posterior Segment Intraocular Foreign Body Secondary to Gunshot Injury1177-5483https://doaj.org/article/1e02b9513d0a411b82eb074916588ca82021-05-01T00:00:00Zhttps://www.dovepress.com/long-term-outcome-of-pars-plana-vitrectomy-for-retained-posterior-segm-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Hammouda Hamdy Ghoraba,1,2 Mahmoud Leila,3 Adel Galal Zaky,4 Sameh Mohamed Elgouhary,4 Amin Faisal Ellakwa,4 Hosam Othman Mansour,5 Mohamed Amin Heikal2,6,7 1Faculty of Medicine, Tanta University, Tanta, Egypt; 2Magrabi Eye Hospital, Tanta, Egypt; 3Retina Department, Research Institute of Ophthalmology, Giza, Egypt; 4Ophthalmology Department, Faculty of Medicine, Menoufia University, Shebin ElKom, Menoufia, Egypt; 5Ophthalmology Department, Faculty of Medicine, Al Azhar University - Damietta Branch, New Damietta, Egypt; 6Ophthalmology Department, Faculty of Medicine, Benha University, Benha, Egypt; 7Vitreoretinal Department, Magrabi Eye Hospital, Eastern province, Khober, KSACorrespondence: Mahmoud Leila 146 Street 3, 2nd Floor, Flat#8, Hadabet Al-Ahram, Giza, 12572, EgyptTel +201286644025Email mahmoudleila@yahoo.comPurpose: To report the long-term outcome of pars plana vitrectomy (PPV) for management of retained posterior segment intraocular foreign body (IOFB) secondary to gunshot injury.Methods: This is a retrospective interventional case series including consecutive patients who had PPV for retained posterior segment IOFB secondary to gunshot injury. Main outcome measures were final best-corrected visual acuity (BCVA), long-term globe survival and detection of complications. Spearman correlation analyzed relationships between numerical data. Kruskal–Wallis test compared differences in initial BCVA and final BCVA across variables. Categorical variables were tested using Chi square or Fisher’s exact test. P value is significant at 0.05.Results: The study included 103 eyes of 103 patients. Mean baseline BCVA was 0.01 decimal unit (2 logMAR). Mean duration from primary repair to PPV was 3 weeks. Mean duration of post-operative follow-up was 60 months. Mean final BCVA was 0.04 decimal unit (1.3 logMAR), p 0.001. Post-operatively, BCVA improved in 58.2% of patients. Nineteen patients (18%) gained ≥ 2 lines of vision, and 15 patients (14.5%) achieved final BCVA of 0.4 decimal unit (logMAR 0.4). All complications were related to the original injury. These included macular scar (19%), macular pucker (6%), recurrent retinal detachment (4%), subretinal fibrosis (3%), consecutive optic atrophy (3%), and PVR (3%). Phthisis bulbi or sympathetic ophthalmia did not develop in any case.Conclusion: PPV for removal of IOFB caused by gunshot injury yielded long-term favorable functional outcome with excellent globe survival. Poor initial BCVA, location of IOFB in the posterior pole, associated lens injury and retinal detachment are significant adverse prognostic factors for final BCVA but not for globe survival.Keywords: Intraocular foreign body; IOFB, ocular gunshot injury, penetrating ocular trauma, IOFB-associated endophthalmitis, pars plana vitrectomy for intraocular foreign body, PPV for IOFBGhoraba HHLeila MZaky AGElgouhary SMEllakwa AFMansour HOHeikal MADove Medical Pressarticleintraocular foreign bodyocular gunshot injurypenetrating ocular traumaiofb-associated endophthalmitisppv for iofbOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1897-1904 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	intraocular foreign body ocular gunshot injury penetrating ocular trauma iofb-associated endophthalmitis ppv for iofb Ophthalmology RE1-994
spellingShingle	intraocular foreign body ocular gunshot injury penetrating ocular trauma iofb-associated endophthalmitis ppv for iofb Ophthalmology RE1-994 Ghoraba HH Leila M Zaky AG Elgouhary SM Ellakwa AF Mansour HO Heikal MA Long-Term Outcome of Pars Plana Vitrectomy for Retained Posterior Segment Intraocular Foreign Body Secondary to Gunshot Injury
description	Hammouda Hamdy Ghoraba,1,2 Mahmoud Leila,3 Adel Galal Zaky,4 Sameh Mohamed Elgouhary,4 Amin Faisal Ellakwa,4 Hosam Othman Mansour,5 Mohamed Amin Heikal2,6,7 1Faculty of Medicine, Tanta University, Tanta, Egypt; 2Magrabi Eye Hospital, Tanta, Egypt; 3Retina Department, Research Institute of Ophthalmology, Giza, Egypt; 4Ophthalmology Department, Faculty of Medicine, Menoufia University, Shebin ElKom, Menoufia, Egypt; 5Ophthalmology Department, Faculty of Medicine, Al Azhar University - Damietta Branch, New Damietta, Egypt; 6Ophthalmology Department, Faculty of Medicine, Benha University, Benha, Egypt; 7Vitreoretinal Department, Magrabi Eye Hospital, Eastern province, Khober, KSACorrespondence: Mahmoud Leila 146 Street 3, 2nd Floor, Flat#8, Hadabet Al-Ahram, Giza, 12572, EgyptTel +201286644025Email mahmoudleila@yahoo.comPurpose: To report the long-term outcome of pars plana vitrectomy (PPV) for management of retained posterior segment intraocular foreign body (IOFB) secondary to gunshot injury.Methods: This is a retrospective interventional case series including consecutive patients who had PPV for retained posterior segment IOFB secondary to gunshot injury. Main outcome measures were final best-corrected visual acuity (BCVA), long-term globe survival and detection of complications. Spearman correlation analyzed relationships between numerical data. Kruskal–Wallis test compared differences in initial BCVA and final BCVA across variables. Categorical variables were tested using Chi square or Fisher’s exact test. P value is significant at 0.05.Results: The study included 103 eyes of 103 patients. Mean baseline BCVA was 0.01 decimal unit (2 logMAR). Mean duration from primary repair to PPV was 3 weeks. Mean duration of post-operative follow-up was 60 months. Mean final BCVA was 0.04 decimal unit (1.3 logMAR), p 0.001. Post-operatively, BCVA improved in 58.2% of patients. Nineteen patients (18%) gained ≥ 2 lines of vision, and 15 patients (14.5%) achieved final BCVA of 0.4 decimal unit (logMAR 0.4). All complications were related to the original injury. These included macular scar (19%), macular pucker (6%), recurrent retinal detachment (4%), subretinal fibrosis (3%), consecutive optic atrophy (3%), and PVR (3%). Phthisis bulbi or sympathetic ophthalmia did not develop in any case.Conclusion: PPV for removal of IOFB caused by gunshot injury yielded long-term favorable functional outcome with excellent globe survival. Poor initial BCVA, location of IOFB in the posterior pole, associated lens injury and retinal detachment are significant adverse prognostic factors for final BCVA but not for globe survival.Keywords: Intraocular foreign body; IOFB, ocular gunshot injury, penetrating ocular trauma, IOFB-associated endophthalmitis, pars plana vitrectomy for intraocular foreign body, PPV for IOFB
format	article
author	Ghoraba HH Leila M Zaky AG Elgouhary SM Ellakwa AF Mansour HO Heikal MA
author_facet	Ghoraba HH Leila M Zaky AG Elgouhary SM Ellakwa AF Mansour HO Heikal MA
author_sort	Ghoraba HH
title	Long-Term Outcome of Pars Plana Vitrectomy for Retained Posterior Segment Intraocular Foreign Body Secondary to Gunshot Injury
title_short	Long-Term Outcome of Pars Plana Vitrectomy for Retained Posterior Segment Intraocular Foreign Body Secondary to Gunshot Injury
title_full	Long-Term Outcome of Pars Plana Vitrectomy for Retained Posterior Segment Intraocular Foreign Body Secondary to Gunshot Injury
title_fullStr	Long-Term Outcome of Pars Plana Vitrectomy for Retained Posterior Segment Intraocular Foreign Body Secondary to Gunshot Injury
title_full_unstemmed	Long-Term Outcome of Pars Plana Vitrectomy for Retained Posterior Segment Intraocular Foreign Body Secondary to Gunshot Injury
title_sort	long-term outcome of pars plana vitrectomy for retained posterior segment intraocular foreign body secondary to gunshot injury
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/1e02b9513d0a411b82eb074916588ca8
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Long-Term Outcome of Pars Plana Vitrectomy for Retained Posterior Segment Intraocular Foreign Body Secondary to Gunshot Injury

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