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  5. FP0442 : Small-gauge PPV in chisel-hammer injury associated retained intraocular foreign bodies (CHI-IOFB)

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Chief Author: Dr.Ramanuj Samanta

Presenting Author: Dr.MANSI PANDEY

Co Author(s): Dr.Ramanuj Samanta, Prof. Dr. Ajai Agrawal, Dr.Sreeram J

Abstract

Study design: Retrospective case series over 5-years.

Purpose: To evaluate anatomical & visual outcome of small-gauge PPV in CHI-IOFB.

Methods: All patients underwent 23/25-gauge PPV ± lensectomy/ cataract surgery ± internal tamponade. IOFB was removed through limbal/scleral route with an intraocular forceps/magnet/combination. Patient with <3 months follow-up was excluded.

Results: Overall, 27 patients (mean age 28.9 years, 99% male) underwent PPV. At presentation, 8 had retinal detachment (RD), 4 had endophthalmitis, and 2 had siderosis. Median time of PPV after injury was 9 days (range 1 day-3 years). IOFB was removed in all except in 3 patients due to deep-seated location beyond optic nerve head, and scleral coats. Primary and final anatomical attachment rate with PPV was 85.2%, and 88.9% respectively. Mean BCVA(logMAR) improved significantly from pre-operative 2.4 to post-operatively 1.2 (p<0.001).

Conclusion: Small-gauge PPV lead to excellent outcome in CHI-IOFB cases.