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Belfair N., Klemperer I., Weinstein O., Finkelman Y., Rosnthal G., Levy J., Lifshitz T.

THE INCIDENCE, MANAGEMENT AND OUTCOME of PENETRATING EYE INJURIES with INTRA OCULAR FOREIGN BODIES. Belfair N., Klemperer I., Weinstein O., Finkelman Y., Rosnthal G., Levy J., Lifshitz T. Soroka Medical Center Ben Gurion University Beer Sheva, Israel. Background.

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Belfair N., Klemperer I., Weinstein O., Finkelman Y., Rosnthal G., Levy J., Lifshitz T.

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  1. THE INCIDENCE, MANAGEMENT AND OUTCOME of PENETRATING EYE INJURIES with INTRA OCULAR FOREIGN BODIES Belfair N., Klemperer I., Weinstein O., Finkelman Y., Rosnthal G., Levy J., Lifshitz T. Soroka Medical Center Ben Gurion University Beer Sheva, Israel

  2. Background • Major cause of severe visual loss • Common with young males • Variable prognosis and prognostic factors • Modern techniques • Anatomical • Functional Rehabilitation

  3. Patients • 44 eyes (43 patients) • 41 male, 2 female • Average ages 25 years (2-48) • Right eye 25 (57%) • Left eye 17 (43%) • Both eyes 1

  4. Data at admission • F.B. location: 33/43 (77%) 13/43 (39%) 18/43 (54%) • Age > 18 years (3-46) • V/A > 20/40 • V/A > 20/200

  5. Data at Admission A/ch 10 23% Vitreous 13 30% 33% Retina 14 32% Cb 1 2% 67% Sub Retina 2 5% Lens 4 9% Location of F.B.

  6. Data at Admission 34 30 21 17 15 7 6 Initial damage

  7. Data at Admission Procedures (1st Operation)

  8. Results 15 months (1-84) 1.47 (1-3) 3/44 (07%) 20/42 (48%) 29/42 (69%) • Follow-up time • Surgeries • Endphthalmitis • Final V/A  20/40 • Final V/A  20/200

  9. Average V/A endophthalmitis endophthalmitis V/A > 20/40 V/A > 20/40 V/A > 20/200 V/A > 20/200 Results Admission Final

  10. V/A>20/60 Results Follow-up time 15 months (1-84)

  11. Number of surgeries 2 1 FB in P/CH FB in A/CH+Lens

  12. Average number of surgeries P/CH 2 1 A/CH 1.47

  13. Results V/A at admission and end of F.U. 6/6 V/A FINAL V/A 12 6/6 NLP ADMISSION V/A

  14. Discussion • Presenting V/A • Mechanism of injury • Vitreous hemorrhage • Greven et. Al. Ophthal 3/2000 prognostic factors

  15. Final anatomical functional outcome Discussion • Location of F.B. • Extent of initial damage • Time between trauma and removal of the FB • Pavlovic et. Al.; Aust N Z J ophthalmol aug 1998

  16. Discussion • Prevention • Vitrectomy • Modern microscopy • Endolaser • Endodiathrmy • Rehabilitation • Favorable outcome

  17. Conclusions Many prognostic factors Many prognostic factors No reliable prognostic factor No reliable prognostic factor

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