학술논문
T-shaped pars plana scleral incision to remove large intraocular foreign body.
Document Type
Academic Journal
Author
Toro MD; Eye Clinic, Public Health Department, University of Naples Federico II, Naples, Italy.; Department of General and Pediatric Ophthalmology, Medical University of Lublin, Lublin, Poland.; Nowomiejska K; Department of General and Pediatric Ophthalmology, Medical University of Lublin, Lublin, Poland.; Concilio M; Department of Medicine and Health Sciences 'V. Tiberio', University of Molise, Campobasso, Italy.; Motta L; Department of Ophthalmology, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford, United Kingdom.; Rekas KM; Students' Scientific Association at the Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, Lublin, Poland.; Costagliola C; Eye Clinic, Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Naples, Italy.; Avitabile T; Department of Ophthalmology, University of Catania, Catania, Italy.; Castellino N; Department of Ophthalmology, University of Catania, Catania, Italy.; Caputo G; Department of Pediatric Ophthalmology, Rothschild Foundation Hospital, Paris-Cedex, France.; Choragiewicz T; Department of General and Pediatric Ophthalmology, Medical University of Lublin, Lublin, Poland.; Rejdak R; Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, Lublin, Poland.
Source
Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 101648047 Publication Model: eCollection Cited Medium: Print ISSN: 2296-858X (Print) Linking ISSN: 2296858X NLM ISO Abbreviation: Front Med (Lausanne) Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2296-858X
Abstract
Aim: To investigate the efficacy and safety profile of T-shaped pars plana scleral incision technique in removing large intraocular foreign bodies, during 23-gauge pars plana vitrectomy.
Methods: Retrospective interventional case series that included patients diagnosed with a large intraocular foreign body (IOFB). Possible postoperative complications were recorded 24 h, 1 month, 3 and 6 months postoperatively.
Results: Thirty eyes of 30 patients (48 ± 5 years old) were enrolled. All IOFBs were successfully removed: mean diameters of 7.8 ± 2.0 mm and 2.6 ± 0.3 mm. Silicone oil and sulfur hexafluoride were used in 27 and 3 eyes, respectively. Lensectomy was performed in 27 eyes. Intraocular lens was implanted at first attempt in 12 eyes; during a second operation in 12 eyes and 6 eyes remained aphakic. At any follow-up, no signs of postoperative complications were observed. Secondary retinal detachment occurred in 12 eyes. Mean preoperative corrected distance visual acuity was 0.04, on the Snellen scale; it increased to 0.07, at last follow-up. Mean intraocular pressure was 17.97 mmHg. All eyes were preserved.
Conclusion: T-shaped scleral incision could be an effective, safe and easy-to-perform standard procedure to remove large IOFBs during pars plana vitrectomy, without increasing the risk of surgical complications and additional damage to the ocular tissues.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.
(Copyright © 2024 Toro, Nowomiejska, Concilio, Motta, Rekas, Costagliola, Avitabile, Castellino, Caputo, Choragiewicz and Rejdak.)
Methods: Retrospective interventional case series that included patients diagnosed with a large intraocular foreign body (IOFB). Possible postoperative complications were recorded 24 h, 1 month, 3 and 6 months postoperatively.
Results: Thirty eyes of 30 patients (48 ± 5 years old) were enrolled. All IOFBs were successfully removed: mean diameters of 7.8 ± 2.0 mm and 2.6 ± 0.3 mm. Silicone oil and sulfur hexafluoride were used in 27 and 3 eyes, respectively. Lensectomy was performed in 27 eyes. Intraocular lens was implanted at first attempt in 12 eyes; during a second operation in 12 eyes and 6 eyes remained aphakic. At any follow-up, no signs of postoperative complications were observed. Secondary retinal detachment occurred in 12 eyes. Mean preoperative corrected distance visual acuity was 0.04, on the Snellen scale; it increased to 0.07, at last follow-up. Mean intraocular pressure was 17.97 mmHg. All eyes were preserved.
Conclusion: T-shaped scleral incision could be an effective, safe and easy-to-perform standard procedure to remove large IOFBs during pars plana vitrectomy, without increasing the risk of surgical complications and additional damage to the ocular tissues.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.
(Copyright © 2024 Toro, Nowomiejska, Concilio, Motta, Rekas, Costagliola, Avitabile, Castellino, Caputo, Choragiewicz and Rejdak.)