title: Late onset of rhegmatogenous retinal detachments after successful posterior segment intraocular foreign body removal.
abstract: 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.
authors.affiliation: Department of Ophthalmology, University of Vermont College of Medicine, Burlington, VT 05401, USA. david.weissgold@vtmednet.org
authors.forename: D J
authors.initials: DJ
authors.lastname: Weissgold
authors.forename: P
authors.initials: P
authors.lastname: Kaushal
mesh_terms: 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
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