Abstract

PEREZ GARCIA, Diley; GUERRA GARCIA, Roberto Alejandro; RUA MARTINEZ, Raúl  and  LLERENA RODRIGUEZ, Jorge Alberto. Intraocular foreign bodies in the posterior segment. Rev Cubana Oftalmol [online]. 2012, vol.25, suppl.2, pp. 561-572. ISSN 0864-2176.

Intraocular foreign bodies are a major cause for severe visual loss. By technical definition, it consists of a form of penetrating ocular trauma, characterized by the persistence of the traumatic agent inside the eye, and is considered an ophthalmic emergency, since it may cause blindness even if good diagnosis and treatment are followed. This review was made to submit a management algorithm that can maximize the anatomical and functional outcomes after this type of injury. The management of these patients requires taking into account the mechanism of eye injury, the nature, the location and the size of the foreign body; the knowledge of the physicians and the available necessary equipment for surgery, and the postoperative care conditions. There are controversies regarding the intraocular foreign bodies extraction timing, nevertheless, management should be personalized based on the particular conditions of a case. In the event of endophthalmitis, the prophylaxis with systemic antibiotics is recommended in addition of the use of intravitreal antibiotics for high risk patients. One should early diagnose or promptly detect complications such as retinal detachment, endophthalmitis and vitreous and retinal proliferation that have been linked to poor visual prognosis.

Keywords : ocular trauma; intraocular foreign body.

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