ABSTRACT
Objective: To determine surgical outcome and residual co-morbidities after surgical intervention in eyes having Open Globe Injury [OGI] with retained Intra Ocular Foreign Body [IOFB]
Methodology: A prospective interventional case series was carried out at the department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences [KIOMS], Hayatabad Medical Complex [HMC], Peshawar from 1st September 2012 to 30th November 2013. Patients who were followed post-op-eratively for at least 90 days were included. Eyes having open globe injury [OGI] and intraocular foreign body [IOFB] who had surgical intervention were included in our study. Visual outcome was determined comparing final best corrected visual acuity [BCVA] with initial BCVA. Co-morbidities were noted at final follow up. For data analysis, Snellen's VA was converted to log MAR VA. Data was analyzed by SPSS version 16
Results: Total of 35 patients were included in our study. Male were 94.3% compared to 5.3% females. Mean age was 32.42 years. Bomb blast injury was cause of eye trauma in 60% cases while 40% were doing hammer and chisel work at the time of trauma. IOFB was impacted in anterior segment in 20% cases while it was impacted in posterior segment in 80% cases. IOFB removal was achieved in 33[94.28%] cases; silicone oil was used as temponade in 48.57% cases. Primary repair was required in 40% cases while rest 21[60%] eyes had self sealed wound. Primary surgical intervention in the form of Pars Plana Vitrectomy, IOFB removal with the use of intraocular magnet or forceps was carried out in 71% cases. Mean BCVA log MAR improved from initial BCVA of 2.20 to 1.20. Common comorbidities at final visit were corneal scars, macular scars and cataract
Conclusion: Bomb blast injuries are most common cause of OGI with IOFB in our region. Significant visual improvement occurs in most of the cases after skilled vitreo-retinal surgical interventions. Common ocular co-morbidities are corneal scar, macular scar and cataract