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Giant Intraocular Foreign Body

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Management on Complicated Ocular Trauma

Part of the book series: Ocular Trauma ((OCTRA))

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IOFBs are an important cause of blindness and visual morbidity especially in the working age group. Metallic foreign bodies are the most common. Ocular imaging lays an important role while evaluating a case of IOFB. The imaging modalities commonly used are B-scan ultrasonography (USG), X-ray, and computed tomography. Three port pars plana vitrectomy (PPV) with removal of IOFB through limbal or scleral incision is the most common approach. Silicone oil tamponade is used in cases with retinal detachment, proliferative vitreoretinopathy, or endophthalmitis.

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  1. Loporchio D, Mukkamala L, Gorukanti K, Zarbin M, Langer P, Bhagat N. Intraocular foreign bodies: a review. Surv Ophthalmol. 2016;61:582–96.

    Article  Google Scholar 

  2. Nicoara SD, Irimescu I, Calinici T, Cristian C. Intraocular foreign bodies extracted by pars plana vitrectomy: clinical characteristics, management, outcomes and prognostic factors. BMC Ophthalmol. 2015;15:151.

    Article  Google Scholar 

  3. Pandey AN. Ocular foreign bodies: a review. J Clin Exp Ophthalmol. 2017;8:2.

    Article  Google Scholar 

  4. Pinto A, Brunese L, Daniele S, et al. Role of computed tomography in the assessment of intraorbital foreign bodies. Semin Ultrasound CT MR. 2012;33:392–39.

    Article  Google Scholar 

  5. Sakamoto H, Sakamoto M, Hata Y, et al. Aqueous and vitreous penetration of levofloxacin after topical and/or oral administration. Eur J Ophthalmol. 2007;17(3):372–6.

    Article  CAS  Google Scholar 

  6. Colyer MH, Weber ED, Weichel ED, et al. Delayed intraocular foreign body removal without endophthalmitis during Operations Iraqi Freedom and Enduring Freedom. Ophthalmology. 2007;114(8):1439–47.

    Article  Google Scholar 

  7. Azad RV, Kumar N, Sharma YR, Vohra R. Role of prophylactic scleral buckling in the management of retained intraocular foreign bodies. Clin Experiment Ophthalmol. 2004;32(1):58–61.

    Article  Google Scholar 

  8. Soheilian M, Rafati N, Mohebbi MR, et al. Prophylaxis of acute posttraumatic bacterial endophthalmitis: a multicenter, randomized clinical trial of intraocular antibiotic injection, report 2. Arch Ophthalmol. 2007;125:460–5.

    Article  CAS  Google Scholar 

  9. El-Asrar AM, Al-Amro SA, Khan NM, Kangave D. Retinal detachment after posterior segment intraocular foreign body injuries. Int Ophthalmol. 1998;22(6):369–75.

    Article  CAS  Google Scholar 

  10. Makley TA, Azar A. Sympathetic ophthalmia: a long-term follow-up. Arch Ophthalmol. 1978;96:257–62.

    Article  Google Scholar 

  11. Marak GE. Recent advances in sympathetic ophthalmia. Surv Ophthalmol. 1979;24:141–56.

    Article  Google Scholar 

  12. Arevalo JF, Garcia RA, Al-Dhibi HA, Sanchez JG, Suarez-Tata L. Update on sympathetic ophthalmia. Middle East Afr J Ophthalmol. 2012;19(1):13–21.

    Article  PubMed  PubMed Central  Google Scholar 

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Natarajan, S., Jain, A., Makhija, S. (2022). Giant Intraocular Foreign Body. In: Yan, H. (eds) Management on Complicated Ocular Trauma. Ocular Trauma. Springer, Singapore.

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-5339-1

  • Online ISBN: 978-981-16-5340-7

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