Surgical treatment of open globe trauma complicated with the presence of an intraocular foreign body.

Background: Open globe injuries complicated with the presence of an intraocular foreign body constitute a vision threatening condition.
Purpose: To present the results of pars plana vitrectomy in patients with intraocular foreign body.
Material and Methods: Medical records of 22 patients were analyzed. Retrospective analysis of data included visual acuity, age, gender and type of injury.
Results: All patients were men and the mean age was 37 years. All injuries occurred while working with a hammer. All patients were treated with pars plana vitrectomy combined with intraocular foreign body removal and internal limiting membrane peeling. The visual acuities improved in 9 cases (41%), in 13 cases (59%) the deterioration of visual acuity was observed, no eye was enucleated. In 14 eyes pars plana vitrectomy was combined with lens removal, in 14 eyes silicone oil was used as a tamponade.
Conclusions: Surgical intervention with pars plana vitrectomy combined with intraocular foreign body removal and cataract extraction may preserve severely traumatized eyes and maintain or even improve vision. ocular trauma, vitrectomy, intraocular foreign body.