REVIEW 5 TAHUN KARAKTERISTIK KLINIS PASIEN BENDA ASING INTRAOKULAR DI PMN RS MATA CICENDO
DOI:
https://doi.org/10.11594/ojkmi.v5i1.46Keywords:
Intraocular foreign bodies, IOFB, open globe injury, ocular traumaAbstract
Introduction: Intraocular foreign bodies (IOFBs) are defined as intraocularly retained, unintentional projectiles that require urgent diagnosis and treatment to prevent blindness or globe loss. IOFBs account for 18–41% of open globe injuries, and frequently cause severe visual loss in patients with ocular trauma.The purpose of this study are is to describe the characteristics of open-globe injuries with posterior segment intraocular foreign bodies (IOFB).
Subject and Methods: Retrospective data of all patients with posterior segment IOFBs from 2017 to 2022 was conducted. Data including demographics, mechanism of injury, type of IOFB, method of diagnosis, presenting examination, medical and surgical treatment, visual outcomes, and complications were recorded.
Result: There were 39 patients (eyes) with IOFB, 38 (97,4%) were male, 10 (25,6%) were 46-55 years old. The most common IOFB occurred at workplace 30 patient (85,7%), 29 (74,3%) were insuranced, surgery were performed 1- 4 days in 15 (38,5%. The most Ocular trauma score were 3 (38,5%) and 2 (35,9%) initial VA were light perception – hand movement (25 or 64,1%), final VA with BCVA were > 20/40 (30,8%) patients and 6/60-6/15 (25,6%). The posterior segment IOFB (51,3%, metallic IOFB 25 (61,5%). Cataract 74,3% and Endophthalmitis (20,5%) were found in initial examination patient with IOFB (13 or 37,1%). Late complication in post surgery IOFB patient was glaucoma 14,4%.
Conclusions: The IOFB occurred most commonly in adults, men, at the workplace. The IOFB mostly was metallic, found in the posterior segment. Cataract and endoftalmitis were common in initial finding IOFB patients.
Downloads
References
Guevara-Villarreal, D. A. & Rodríguez-Valdés, P. J. Posterior Segment Intraocular Foreign Body: Extraction Surgical Techniques, Timing, and Indications for Vitrectomy. Hindawi Journal of Opht 2016 ;1-5
Liang, Y., Liang, S., Liu, X., Liu, D. & Duan, J. Intraocular Foreign Bodies: Clinical Characteristics and Factors Affecting Visual Outcome. Hindawi Journal of Opht.2021;1-9
Kuhn, F. & Pieramici, D. J. Ocular Trauma Principles and Practice. Thieme. 2002; 230-258
J.Ryan, S. Surgery for Ocular Trauma: Principles and Techniques of Treatment. in Retina. Elsevier. 2013; 1918-1941
Liu, C. C. H., Tong, J. M. K., Li, P. S. H. & Li, K. K. W. Epidemiology and clinical outcome of intraocular foreign bodies in Hong Kong: a 13- year review. Int. Ophthalmol.2017. 37, 55–61.
Kuhn, F. et al. The ocular trauma score (OTS). Ophthalmology Clinics of North America vol. 2002; 15 163-165
Mukkamala, L. K., Soni, N., Zarbin, M. A., Langer, P. D. & Bhagat, N. Posterior Segment Intraocular Foreign Bodies: A 10-Year Review. in Ophthalmology Retina Elvesier. 2017; vol 1 272–277
Bourne, R. R. A. et al. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: The Right to Sight: An analysis for the Global Burden of Disease Study. Lancet Glob. Heal.2021; 9, e144–e160
Jin, G. et al. Time trends, associations and global burden of intraocular foreign bodies. Br. J. Ophthalmol. (2020) doi:10.1136/bjophthalmol-2020 317063.
Gea, F. & Sovani, I. Karakteristik Klinis Pasien Dengan benda Asing Intraokular di Pusat Mata Nasional Rumah Sakit Mata Cicendo. 2017 p 1-15
Wisnuwardani F & Kartiwa A. No Title. Karakteristik Demogr. Klin. dan Tajam Penglihatan Pasien dengan Benda Asing Intraokular PMN Cicendo (2014) p 1-6
Bourke, L., Bourke, E., Cullinane, A., O’connell, E. & Idrees, Z. Clinical outcomes and epidemiology of intraocular foreign body injuries in Cork University Hospital, Ireland: an 11-year review. doi:10.1007/s11845-020-02443- 9/Published.
Wahyu, T., Kartasasmita, A. S. & Sovani, I. Clinical Characteristic of Posterior Segmen Trauma.2018. 4, 1–23
Rong, A. J. et al. Multimodal imaging features of intraocular foreign bodies. Seminars in Ophthalmology vol. 2019; 34 518–532
Casini, G., Sartini, F., Loiudice, P., Benini, G. & Menchini, M. Ocular siderosis: a misdiagnosed cause of visual loss due to ferrous intraocular foreign bodies—epidemiology, pathogenesis, clinical signs, imaging and available treatment options. Documenta Ophthalmologica vol.2021; 142 133–152
Rozon, J.-P. et al. Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in Quebec. (2021) doi:10.1155/2021/9990290.
Ucan Gunduz, G., Yalcinbayir, O., Gullulu, Z. Z. & Ozkaya, G. Clinical outcomes of posterior segment intraocular foreign bodies: The volume effect. J. Fr. Ophtalmol. 2021; 44, 658–664 (2021).
Vingopoulos, F. et al. Open Globe Injury with Intraocular Foreign Body HHS Public Access.2021; 5, 288-294
Öztaş, Z. et al. Posterior segment intraocular foreign bodies: the effect of weight and size, early versus late vitrectomy and outcomes. 2015 doi:10.5505/tjtes.2015.03608.
Fujikawa, A. et al. Visual outcomes and prognostic factors in open-globe injuries. doi:10.1186/s12886-018-0804-4.
Pieramici, D. J. et al. A system for classifying mechanical injuries of the eye (globe). Am. J. Ophthalmol.1997; 123, 820–831
Pieramici, D. J., Eong, K.-G. A., Sternberg, P. & Marsh, M. J. The Prognostic Significance of a System for Classifying Mechanical Injuries of the Eye (Globe) in Open-Globe Injuries. J. Trauma Inj. Infect. Crit. Care 54,2003; 750–754.
Bai, H. Q., Yao, L., Meng, X. X., Wang, Y. X. & Wang, D. B. Visual outcome following intraocular foreign bodies: A retrospective review of 5-year clinical experience. Eur. J. Ophthalmol. 2011; 21, 98–103
Ehlers, J. P. et al. Metallic Intraocular Foreign Bodies: Characteristics, Interventions, and Prognostic Factors for Visual Outcome and Globe Survival. Am. J. Ophthalmol. 2008; 146
Woodcock, M. G. L., Scott, R. A. H., Huntbach, J. & Kirkby, G. R. Mass and Shape as Factors in Intraocular Foreign Body Injuries. Ophthalmology.2006; 113, 2262–2269
Ahmed, Y., Schimel, A. M., Pathengay, A., Colyer, M. H. & Flynn, H. W. Endophthalmitis following open-globe injuries. (2012) doi:10.1038/eye.2011.313.
Ramaswamy, R. et al. Using Value Stream Mapping to improve quality of care in low-resource facility settings. Int. J. Qual. Heal. Care.2017; 29, 961–965
Grzybowski, A., Turczynowska, M., Schwartz, S. G., Relhan, N. & Flynn, H. W. The Role of Systemic Antimicrobials in the Treatment of Endophthalmitis: A Review and an International Perspective. Ophthalmology and Therapy.2020 vol. 9 485–498
Du Toit, N., Mustak, S. & Cook, C. Randomised controlled trial of prophylactic antibiotic treatment for the prevention of endophthalmitis after open globe injury at Groote Schuur Hospital. Br. J. Ophthalmol.2017 101, 862–867
Ahmed, S. et al. Intraocular penetration of systemic antibiotics in eyes with penetrating ocular injury. J. Ocul. Pharmacol. Ther.2014; 30, 823–830.
Brockhaus, L., Goldblum, D., Eggenschwiler, L., Zimmerli, S. & Marzolini, C. Revisiting systemic treatment of bacterial endophthalmitis: a review of intravitreal penetration of systemic antibiotics. Clinical Microbiology and Infection vol. 25.2019; 1364–1369
Chaudhry, I. A. et al. Incidence and visual outcome of endophthalmitis associated with intraocular foreign bodies. Graefe’s Arch. Clin. Exp. Ophthalmol. 2008; 246, 181–186
Zhang, Y., Zhang, M., Jiang, C. & Qiu, H. Y. Intraocular foreign bodies in China: Clinical characteristics, prognostic factors, and visual outcomes in 1421 eyes. Am. J. Ophthalmol. 2011;152, 66-73.e1
Parke, D. W., Flynn, H. W. & Fisher, Y. L. Management of intraocular foreign bodies:aclinical flight plan. in Canadian Journal of Ophthalmology. 2013; vol. 48 8–12
Yang, C.-S., Hsieh, M.-H. & Hou, T.-Y. Predictive factors of visual outcome in posterior segment intraocular foreign body. 2019; J. Chinese Med. Assoc. 82, 239–244
Downloads
Submitted
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Oftalmologi: Jurnal Kesehatan Mata Indonesia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.