Abstract
Purpose :
To evaluate the characteristics of traumatic ruptured globes resulting in an intraocular foreign body.
Methods :
Retrospective chart review between 2015-2023 of all traumatic ruptured globes resulting in an intraocular foreign body from a single tertiary care center was performed.
Results :
A total of 134 eyes were identified during the study period. 124 eyes sustained penetrating trauma (93%) while 10 sustained blunt trauma (7%). The vast majority of intraocular foreign bodies were metal (88%), followed by non-magnetic foreign bodies (4%), glass (2%), and wood (1%). Four percent of intraocular foreign bodies were uncharacterized. The mean presenting LogMAR visual acuity was 1.28 with mean initial ocular trauma score of 84 and mean raw score sum of 77. The average time from presentation to surgical repair was 13.5 hours with mean final LogMAR visual acuity of 0.83. Most eyes sustained trauma to zone 1 (75%), followed by zone 2 (21%) then zone 3 (4%). Sixty-five eyes (48%) experienced lens-related complications such as traumatic cataract or dislocation/expulsion of IOL. There were 45 retinal detachments (34%) at presentation. There were 16 cases of endophthalmitis (12%), 7 of which were culture-negative. The most common causes of endophthalmitis were gram-positive organisms including staphylococci and bacilli, followed by gram-negative organisms such as pseudomonas. A single case of fungal endophthalmitis due to fusarium was identified.
Conclusions :
A significant proportion of traumatic ruptured globes resulting in an intraocular foreign body experienced high rates of lens-related complications, retinal detachments, and endophthalmitis.
This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.