[Intra-ocular foreign bodies. Microsurgical technics of extraction and prevention of retinal detachment: apropos of 30 cases].
Surgery was performed in 30 cases to extract foreign bodies located in the posterior segment of the eye, between october 1st, 1985 to november 15th, 1986 in the Hotel-Dieu of Paris Department of Ophthalmology. In 20 cases, the foreign bodies were lead-shot fragments resulting from assaults in 17 cases, from hunting accidents in 3 cases. In 10 cases they were other metallic bodies, resulting from working or pottering accidents. We present the anatomical lesions and the surgical techniques employed, in particular vitrectomy in conjunction with foreign body extraction using the diamond coated jaws forceps. Anatomical results are 83.3% flat retinas. 60% of the patients achieved visual acuity between 0.1 and 1.0. The following points are discussed: true opportunity to perform retinopexy around the retinal tears; problems created by the foreign bodies embedded into the eyeball; operative timing, taking into consideration both the haemorrhagic conditions, i.e. hyphema, choroïdals, massive intra-vitreal bleeding, and the prevention of tractionnal retinal detachment.
Service d'Ophtalmologie, Hôtel-Dieu, Paris.
C
C
Boscher-Southall
P
P
Konqui
N
N
Manderieux
Y
Y
Pouliquen
D000293:Adolescent; D000328:Adult; D002648:Child; D004630:Emergencies; D005129:Eye Foreign Bodies / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D012163:Retinal Detachment / Q000517:prevention & control*; D014821:Vitrectomy / Q000379:methods
Corps étrangers intra-oculaires. Techniques micro-chirurgicales d'extraction et prévention du décollement de rétine: à propos de 30 cas.