Late onset of rhegmatogenous retinal detachments after successful posterior segment intraocular foreign body removal.
OBJECTIVE
A lack of data exists concerning the development of late postoperative, non-proliferative vitreoretinopathy (PVR), rhegmatogenous retinal detachments (RRDs) after successful posterior segment intraocular foreign body (PSIOFB) removal. The authors present a series of PSIOFB cases over several years with posterior hyaloid separation resulting in RRD in two patients, 4 and 8 months after initial injury and vitrectomy. This report aims to increase awareness concerning the possibility of late RRDs complicating PSIOFB injuries and to emphasise careful long term observation.


METHODS
Medical records of consecutive cases referred for presumed PSIOFB injury during a 4 year period were retrospectively reviewed. All eyes referred for presumed PSIOFB injuries were included.


RESULTS
11 patients were included in the series. Two patients had eyes so badly injured by large PSIOFBs that primary globe closure was followed within days by enucleation. Nine patients underwent pars plana vitrectomy for PSIOFB removal. Two patients experienced late RRDs that were managed with excellent long term visual outcomes.


CONCLUSIONS
Late RRD may occur following successful removal of PSIOFBs, even several months after initial management. These RRDs may be successfully managed with a variety of methods, depending upon the extent and location of the detachment and causative break as well as surgeon comfort and preference.
Weissgold
D J
DJ
Department of Ophthalmology, University of Vermont College of Medicine, Burlington, VT 05401, USA. david.weissgold@vtmednet.org
Kaushal
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D005129:Eye Foreign Bodies / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy; D012160:Retina; D012163:Retinal Detachment / Q000209:etiology* / Q000628:therapy; D012189:Retrospective Studies; D013997:Time Factors; D014822:Vitreous Body
Eur J Ophthalmol. 2000 Oct-Dec;10(4):304-11
11192838
Ophthalmology. 1991 Mar;98(3):391-4
2023761
Eur J Ophthalmol. 1996 Jul-Sep;6(3):322-6
8908441
Ophthalmology. 2000 May;107(5):823-8
10811069
Arch Ophthalmol. 1999 Jun;117(6):744-51
10369584
Eur J Ophthalmol. 1995 Apr-Jun;5(2):113-8
7549439
Ophthalmology. 1982 Apr;89(4):369-73
7099555
Am J Ophthalmol. 2002 Feb;133(2):226-9
11812426
Can J Ophthalmol. 1999 Feb;34(1):23-9
10088059
Int Ophthalmol. 1989 Sep;13(5):321-5
2625380
Br J Ophthalmol. 1972 Jun;56(6):462-8
5069185
Arch Ophthalmol. 2001 Oct;119(10):1475-9
11594947
Br J Ophthalmol. 1998 Jul;82(7):801-6
9924376
Int Ophthalmol. 1988;12(2):113-7
3229900
Int Ophthalmol. 1998;22(6):369-75
10937853
Aust N Z J Ophthalmol. 1998 Aug;26(3):241-6
9717757