risk factors for endophthalmitis and retinal detachment with retained intraocular foreign bodies眼内炎和视网膜脱离的风险因素保留眼内异物.pdf

Hindawi Publishing Corporation Journal of Ophthalmology Volume 2012, Article ID 758526, 6 pages doi:10.1155/2012/758526 Clinical Study Risk Factors for Endophthalmitis and Retinal Detachment with Retained Intraocular Foreign Bodies D. Wilkin Parke III, Avinash Pathengay, Harry W. Flynn Jr., Thomas Albini, and Stephen G. Schwartz Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL 33136, USA Correspondence should be addressed to Harry W. Flynn Jr., hflynn@ Received 6 January 2012; Accepted 29 February 2012 Academic Editor: Christopher Leffler Copyright © 2012 D. Wilkin Parke III et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. To analyze risk factors for endophthalmitis and retinal detachment (RD) in patients with retained intraocular foreign bodies (IOFBs). Design. A retrospective, interventional, consecutive case series. Participants. All patients treated at Bascom Palmer Eye Institute for traumatic IOFBs between 1999 and 2008. Methods. Analysis of visual outcome, mechanism of injury, management, and postoperative course. Results. 108 eyes with IOFBs were identified. Endophthalmitis occurred in 7 eyes (6.4%) at presentation, and risk was higher with vegetable matter exposure (P = 0.003). All eyes with posterior segment IOFBs received intravitreal antibiotics and there were no cases of endophthalmitis after initial management. RD was identified in 6 of 108 eyes (5.5%) at presentation. Risk factors were entry more than 5 mm behind the limbus (P 0.001) and posterior segment IOFB (P = 0.028). Postoperati