J Korean Ophthalmol Soc.  1999 Oct;40(10):2845-2851.

The Surgical Results of Intra retinal Foreign Body by Pars Plana Vitrectomy

• Choi HJ
• Lim ST
• Seo MS
• Park YG

Abstract

We evaluated retrospectively 24 eyes of 24 patients who had undergone pars plana vitrectomy for removal of intraretinal foreign body [IRFB] at Chonnam University Hospital from January 1994 to January 1998. The majority of patients were adults male [91.7%]. Fifteen eyes had metallic foreign bodies and the other 9 eyes nonmetallic. Associated preoperative findings were traumatic cataract [83.3%], vitreous hemorrhage [41.7%], and retinal detachment [33.3%]. Pars plana vitrectomy was performed in all eyes. These foreign bodies were removed by foreign body forceps or magnet after cutting away the fibrous membrane surrounding foreign body. Twenty-three eyes [95.8%] had undergone pars plana lensectomy, and posterior chamber intraocular lens implantation to sulcus. Endophotocoagulation, cryopexy, gas tamponade, and/or scleral bucking procedure were utilized depending upon the retina status. Good visual acuity was obtained when IRFB was less than 2 mmin size, when located in peripheral retina or when intraocular inflammatory reaction was less severe preoperatively. Combining pars plana vitrectomy and posterior chamber intraocular lens implantation allowed rapid visual rehabilitation.

Keyword

Intraretinal foreign body[IRFB]; Pars plana vitrectomy; Surgical results

MeSH Terms

Adult
Cataract
Foreign Bodies*
Humans
Jeollanam-do
Lens Implantation, Intraocular
Male
Membranes
Rehabilitation
Retina
Retinal Detachment
Retinaldehyde*
Retrospective Studies
Surgical Instruments
Visual Acuity
Vitrectomy*
Vitreous Hemorrhage
Retinaldehyde