Late onset of rhegmatogenous retinal detachments after successful posterior segment intraocular foreign body removal
Background/aim: A lack of data exists concerning the development of late postoperative, non-proliferative vitreoretinopathy (PVR), rhegmatogenous retinal detachments (RRDs) after successful posterior segment intraocular foreign body (PSIOFB) removal. The authors present a series of PSIOFB cases over...
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Published in | British journal of ophthalmology Vol. 89; no. 3; pp. 327 - 331 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
BMA House, Tavistock Square, London, WC1H 9JR
BMJ Publishing Group Ltd
01.03.2005
BMJ BMJ Publishing Group LTD Copyright 2005 British Journal of Ophthalmology |
Subjects | |
Online Access | Get full text |
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Summary: | Background/aim: A lack of data exists concerning the development of late postoperative, non-proliferative vitreoretinopathy (PVR), rhegmatogenous retinal detachments (RRDs) after successful posterior segment intraocular foreign body (PSIOFB) removal. The authors present a series of PSIOFB cases over several years with posterior hyaloid separation resulting in RRD in two patients, 4 and 8 months after initial injury and vitrectomy. This report aims to increase awareness concerning the possibility of late RRDs complicating PSIOFB injuries and to emphasise careful long term observation. Methods: Medical records of consecutive cases referred for presumed PSIOFB injury during a 4 year period were retrospectively reviewed. All eyes referred for presumed PSIOFB injuries were included. Results: 11 patients were included in the series. Two patients had eyes so badly injured by large PSIOFBs that primary globe closure was followed within days by enucleation. Nine patients underwent pars plana vitrectomy for PSIOFB removal. Two patients experienced late RRDs that were managed with excellent long term visual outcomes. Conclusions: Late RRD may occur following successful removal of PSIOFBs, even several months after initial management. These RRDs may be successfully managed with a variety of methods, depending upon the extent and location of the detachment and causative break as well as surgeon comfort and preference. |
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Bibliography: | ark:/67375/NVC-Q2X4RK5S-2 local:0890327 PMID:15722314 istex:E5E842CCD579E96DB8487086906DE50B3FB3C8DF Correspondence to: David J Weissgold MD Associate Professor of Ophthalmology, University of Vermont College of Medicine/Fletcher Allen Health Care, 1 South Prospect Street, Burlington, VT 05401, USA; david.weissgold@vtmednet.org href:bjophthalmol-89-327.pdf ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Correspondence to: David J Weissgold MD Associate Professor of Ophthalmology, University of Vermont College of Medicine/Fletcher Allen Health Care, 1 South Prospect Street, Burlington, VT 05401, USA; david.weissgold@vtmednet.org |
ISSN: | 0007-1161 1468-2079 |
DOI: | 10.1136/bjo.2004.045211 |