RESUMO
BACKGROUND AND OBJECTIVE: This study aimed to identify the prognostic factors regarding the visual and anatomic outcomes of eyes with posterior segment intraocular foreign body (PS-IOFB). PATIENTS AND METHODS: The medical records of 95 patients who underwent pars plana vitrectomy and PS-IOFB removal between 2004 and 2021 were retrospectively reviewed. Data on anatomical and visual outcomes, as well as preoperative, intraoperative, and postoperative variables were statistically analyzed. RESULTS: The mean age of the patients was 31.9 ± 12.3 years. The mean follow-up time was 21.9 ± 28.3 months. The median time interval from trauma to IOFB removal was 9 days. In univariate analysis, there was a positive correlation between initial visual acuity (VA) and final VA (P < 0.001). A higher ocular trauma score (OTS) was significantly associated with both anatomical and functional success (P < 0.001). Linear regression analysis showed that OTS was not superior to initial VA in predicting final VA (r = 0.625 vs r = -0.601). Anatomic and functional outcomes were not affected by the injury site, nature of PS-IOFB, or timing of PS-IOFB removal (P > 0.05 for all). Subretinal IOFB location, the need for silicone oil tamponade, and endophthalmitis (P = 0.005, P < 0.001, P = 0.044, respectively) were risk factors for poor visual outcome. CONCLUSIONS: The initial VA, the extent of the initial ocular damage, and the presence of endophthalmitis are important prognostic factors for functional success. [Ophthalmic Surg Lasers Imaging Retina 2024;55:434-442.].
Assuntos
Corpos Estranhos no Olho , Ferimentos Oculares Penetrantes , Segmento Posterior do Olho , Centros de Atenção Terciária , Acuidade Visual , Vitrectomia , Humanos , Corpos Estranhos no Olho/cirurgia , Corpos Estranhos no Olho/diagnóstico , Corpos Estranhos no Olho/fisiopatologia , Masculino , Feminino , Estudos Retrospectivos , Acuidade Visual/fisiologia , Vitrectomia/métodos , Adulto , Pessoa de Meia-Idade , Segmento Posterior do Olho/lesões , Segmento Posterior do Olho/cirurgia , Ferimentos Oculares Penetrantes/cirurgia , Ferimentos Oculares Penetrantes/diagnóstico , Ferimentos Oculares Penetrantes/fisiopatologia , Adulto Jovem , Adolescente , Seguimentos , Resultado do Tratamento , CriançaRESUMO
Resumo O objetivo deste artigo foi reunir estudos que reportam resultados disponíveis na literatura científica, considerando a previsibilidade, segurança, eficácia, e estabilidade das lentes intraoculares fácicas de câmara posterior. E relatar as complicações documentadas para estas lentes. A revisão criteriosa dos estudos publicados na literatura ate o momento revelam resultado satisfatórios quanto à eficácia, elevada previsibilidade, estabilidade e segurança do implante de lente intraocular de câmara posterior, para correção das miopia, hipermetropia e astigmatismo.
Abstract The objective of this article was to gather studies that report results available in the scientific literature, considering the predictability, safety, efficacy, and stability of posterior chamber phakic intraocular lenses. And report the documented complications for these lenses.