Evaluation of the Effectiveness of Delayed Extraction of The Intraocular Foreign Body in Open Globe Trauma |Biomedgrid

Background: According to the modern concept of ocular traumatism, great importance is attached to the choice of atraumatic tactics for the removal of intraocular foreign bodies (IFB), especially when they are localized in the structures of the posterior segment of the eye. Purpose: The aim of the study was to study the feasibility, safety, and clinical efficacy of delayed removal of IFB in open trauma of the eyeball with damage to the posterior segment. Material and methods: The clinical material is based on the results of surgical treatment of 42 patients (42 eyes) with an open globe trauma during the introduction of IFB into the structures of the posterior segment. Results: The results of the conducted studies proved the feasibility and safety of the method of delayed removal of IFB by transvitreal access no later than 24hours after the initial surgical repair (ISR). In all eyes IFB was successfully extracted (100%), its removal was atraumatic, intraoperative complications were not observed in any case. Conclusion: The presented method of delayed removal of IFB by transvitreal access using 23G technology no later than 24hours after the ISR allows atraumatic removal of IFB, reducing the incidence of intraoperative and postoperative complications, as well as improving the clinical and functional outcomes of penetrating wounds with the achievement of a stable anatomical effect.