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Ultrasonography of vitreal foreign bodies in eyes obtained at autopsy.

A- and B-scan ultrasonography was done on phakic human eyes obtained at autopsy. Various foreign bodies had been placed separately in the vitreous. The results suggest that both object shape and composition are of major importance in determining specific ultrasonographic patterns.

Eye Foreign Bodies↗

[Indications for transvitreal removal of foreign bodies from posterior eye segments].

Results of treatment of 40 patients (43 eyes) with foreign bodies in the posterior segment of the eye are discussed. Special attention is paid to correct assessment of the risk and efficacy of removal of a fragment in each case. Only 67.5% of patients presented with obvious indications for removal of a foreign body through the vitreous. Fragments were removed in 83.3% of these patients. Complications occurred in 6.6%. The main causes of failure of sparing removal of a foreign body from the posterior segment of the eye were detachment of the retina and hemophthalmia.

Adolescent↗

Management of magnetic intravitreal foreign bodies in 71 eyes.

BACKGROUND AND OBJECTIVE: To evaluate the management of a series of eyes with magnetic intravitreal foreign bodies. PATIENTS AND METHODS: This retrospective review examined consecutive cases of ocular injury associated with intraocular foreign bodies; 71 eyes included had a single metallic intraocular foreign body (< 5 mm) located in the vitreous cavity removed by external magnet or intraocular forceps. Variables included preoperative and postoperative visual acuity, retinal break formation, retinal detachment, presence of an afferent pupillary defect, intraocular pressure, entrance site, foreign body size, method of extraction, and time between occurrence and surgical extraction. RESULTS: Factors predictive of good visual outcome (visual acuity > 20/200) were: shortest interval between trauma and foreign body extraction, preoperative visual acuity of 20/200 or better, and absence of afferent pupillary defect. CONCLUSIONS: In this nonrandomized study, good visual results could be obtained in eyes undergoing prompt foreign body removal, especially those with good preoperative visual acuity and no afferent pupillary defect.

Adolescent↗