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MINI REVIEW article
Front. Ophthalmol.
Sec. Retina
Volume 4 - 2024 |
doi: 10.3389/fopht.2024.1422466
Advances in the Management of Intraocular Foreign Bodies
Provisionally accepted- 1 University of Nebraska Medical Center, Omaha, United States
- 2 Department of Ophthalmology, Walter Reed National Military Medical Center, Bethesda, United States
- 3 Department of Pathology and Microbiology, College of Medicine, University of Nebraska Medical Center, Omaha, United States
- 4 National Strategic Research Institute, University of Nebraska Medical Center, Omaha, Nebraska, United States
- 5 Global Center for Health Security, University of Nebraska Medical Center, Omaha, United States
Intraocular foreign bodies (IOFBs) remain a severe complication of ocular trauma commonly encountered worldwide. This literature review aimed to discuss current practice patterns, areas of controversy, and advances in the management of IOFBs. Injuries involving IOFBs carry significant ocular morbidity and management can be extremely challenging. A systematic approach to preoperative evaluation and IOFB surgical management is detailed in this article and should be applied in each case. The location and composition of an IOFB have important implications on surgical approach and timing, especially in cases of toxic metals and vegetable matter. The advantages, disadvantages, and previous literature regarding immediate versus delayed foreign body removal are presented. Surgical approaches are described, with an emphasis on posterior chamber IOFB management and removal via pars plana vitrectomy. Final visual acuity is variable, but approaches have been used to prognosticate outcomes including the Ocular Trauma Score. By synthesizing current IOFB literature, the goal is to provide practitioners with guidance that will maximize the chances of surgical success and patient outcomes.
Keywords: Intraocular foreign body, ocular trauma, Vitrectomy, Open globe injury, Endophthalmitis
Received: 24 Apr 2024; Accepted: 09 Aug 2024.
Copyright: © 2024 Ohlhausen, Menke, Begley, Kim, Debiec, Conrady, Yeh and Justin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Bryant A. Menke, University of Nebraska Medical Center, Omaha, United States
Jack Begley, University of Nebraska Medical Center, Omaha, United States
Sean Kim, University of Nebraska Medical Center, Omaha, United States
Matthew R. Debiec, Department of Ophthalmology, Walter Reed National Military Medical Center, Bethesda, United States
Steven Yeh, University of Nebraska Medical Center, Omaha, United States
Grant A. Justin, Department of Ophthalmology, Walter Reed National Military Medical Center, Bethesda, United States
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