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¹Beyoğlu Göz Eğitim ve Araştırma, 4. Göz Kliniği, İstanbul, Uz. Dr.
²Beyoğlu Göz Eğitim ve Araştırma, 4. Göz Kliniği, İstanbul, Prof. Dr. Purpose: Patients with intraocular foreign bodies (IOFBs) who underwent pars plana vitrectomy (PPV) combined with phacoemulsification (combined surgery) were retrospectively reviewed. The aim was to assess the safety and effectiveness of combined surgery.
Materials and Methods: The study included 15 eyes from 15 patients with posterior IOFBs. In all cases, after phacoemulsification, extraction of the IOFBs with standard triport 20 gauge vitrectomy was performed. Information such as the size and type of the IOFB, and the location of its entrance was recorded. The patients’ age, time of admission to the hospital, time of operation, preoperative and postoperative vision, and respective complications were also determined. The mean follow-up duration was 19.5±6.9 months (3-26 months).
Results: Surgery was performed in 8 patients in the first 48 hours, whereas the 7 remaining patients were operated on within 7-14 days. The early postoperative complications were fibrinous reaction in the anterior chamber in three patients (20%), hyphema in one patient (6.7%), and elevated intraocular pressure (IOP) in one patient (6.7%). In the late postoperative period, pupillary irregularity was detected in two patients (13.3%), posterior capsular opacification in two (13.3%), IOL decentralization in one (6.7%), retinal detachment in two (13.3%), and elevated IOP in one (6.7%). In the final examination, the mean Logmar Best Corrected Visual Acuity (BCVA) was 0.751±0.84, significantly higher than that of the preoperative baseline value of 2.245±1.00 (p<0.0001, paired sample t-test).
Conclusion: PPV combined with phacoemulsification is a safe and effective treatment in selected cases of IOFB. Keywords : Intraocular foreign body, pars plana vitrectomy, phacoemulsification