title: 23 gauge pars plana vitrectomy for the removal of retained intraocular foreign bodies.
abstract: BACKGROUND
  To evaluate the morpho-functional outcomes and safety of transconjuctival 23-gauge pars plana vitrectomy(PPV) for removal of intraocular foreign bodies (IOFBs).
  
  
  METHODS
  A retrospective study of 36 consecutive cases (mean age; 34,2 ± 10,9 years (between 15 and 60), 27 M,9 F) of 23-G PPV for the removal of IOFBs during the period of April 2009 and December 2011 and followed 9,4 ± 6,4(2-27) months were conducted. Visual outcomes, slit lamp biomicroscopy, intraocular pressure (IOP), and posterior segment visualization by indirect ophthalmoscopy, A-B mode ultrasonography, and computed orbital tomography were performed for all cases. Main outcomes including anatomic and visual outcomes, and both intraoperative and postoperative complications were recorded.
  
  
  RESULTS
  Of the 36 cases available for the study, the IOFBs (size range, 3 to 12 mm) could be removed in all eyes. Mean preoperative LogMAR BCVA was 1.44 ± 138 (range, 1.00 to 0.00) and mean postoperative LogMAR BCVA at final visit was 0,78 ± 0,98 (range, 1.00 to 0.00). (P = 0,007) Anatomic success was obtained in 97.2 % of eyes. 16 patients needed primary wound repair due to the leakage in insertion sites before the PPV, however remaining 20 cases were not. Fibrin reaction was seen in 8 (22.2 %) patients in early postoperative period, intraocular pressure elevation was detected in 12 (33.3 %) patients in which the silicone oil was used as an intravitreal tamponade, one patient with silicone oil tamponade developed band keratopathy and phthisis bulbi.
  
  
  CONCLUSIONS
  23-Gauge PPV is a feasible, effective approach in the surgical management of the patients with posterior segment intraocular foreign bodies.
authors.affiliation: Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey. drkemal68@gmail.com.
authors.forename: Kemal
authors.initials: K
authors.lastname: Yuksel
authors.affiliation: Department of Ophthalmology, Gaziosmanpaşa Taksim Training and Research Hospital, Istanbul, Turkey. h.ugurcelik@gmail.com.|, Merkezefendi Mah. Mevlana Cad. Sedeftepe Evleri. Blok:96 No:26, Zeytinburnu, Istanbul, Turkey. h.ugurcelik@gmail.com.
authors.forename: Ugur
authors.initials: U
authors.lastname: Celik
authors.affiliation: Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey. alagozcengiz@gmail.com.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Alagoz
authors.affiliation: Department of Ophthalmology, Diyarbakir Ergani Government Hospital, Diyarbakir, Turkey. hsyndndr@gmail.com.
authors.forename: Huseyin
authors.initials: H
authors.lastname: Dundar
authors.affiliation: Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey. drkemal68@gmail.com.
authors.forename: Burcu
authors.initials: B
authors.lastname: Celik
authors.affiliation: Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey. ahmettaylan19@gmail.com.
authors.forename: Ahmet Taylan
authors.initials: AT
authors.lastname: Yazıcı
mesh_terms: D000293:Adolescent; D000328:Adult; D058450:Endotamponade; D005129:Eye Foreign Bodies / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D015807:Eye Injuries, Penetrating / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D064847:Multimodal Imaging; D009887:Ophthalmoscopy; D018918:Phacoemulsification; D011183:Postoperative Complications; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy