Clinical outcomes and epidemiology of intraocular foreign body injuries in Cork University Hospital, Ireland: an 11-year
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ORIGINAL ARTICLE
Clinical outcomes and epidemiology of intraocular foreign body injuries in Cork University Hospital, Ireland: an 11-year review Liam Bourke 1
&
Eimear Bourke 2 & Anthony Cullinane 1 & Eamonn O’Connell 1 & Zubair Idrees 1
Received: 20 August 2020 / Accepted: 18 November 2020 # Royal Academy of Medicine in Ireland 2020
Abstract Background/aims To describe the epidemiology, outcomes, and prognostic factors of intraocular foreign body (IOFB) injuries at a tertiary ophthalmic referral centre in Cork University Hospital, Ireland. Methods A retrospective review of 23 eyes with IOFB that presented to Cork University Hospital (CUH) from January 2009 to December 2019 was performed. The mechanism and characteristics of IOFB injury were all noted. This data was collated and analysed to ascertain the epidemiology of IOFB injury in CUH and to describe the prognostic factors affecting visual outcome following IOFB injury. Results There was a 100% male prevalence. The mean age was 37.4 years. The majority of IOFBs were metal in nature and were acquired by hammering, often while working and frequently in the absence of personal protective equipment (PPE). The route of entry for the IOFB was via the cornea in 70% of cases. Fifty-two percent of cases were clinically detectable and 43% of cases were only identifiable on CT (computed tomography) imaging. Eighty-seven percent of cases underwent surgery on the same day as presentation. There was no incidence (0%) of endophthalmitis. Seventeen percent of cases developed post-operative retinal detachment (RD). The mean pre-operative VA was 0.79 LogMAR (6/38 Snellen equivalent—SE) compared to a mean VA of 0.58 LogMAR (6/24 SE) following surgery. Conclusions This review provides important epidemiological data for IOFB injuries in Ireland. It also adds some useful information to the literature in relation to prognostic factors and lens status post IOFB injury. Keywords Endophthalmitis . Epidemiology . Intraocular foreign body (IOFB) . Personal protective equipment (PPE) . Retinal detachment . Trauma
Introduction Intraocular foreign bodies (IOFBs) are a major cause of visual morbidity in the working population [1]. While the problem is more significant in the developing world, IOFBs still have a considerable incidence in the developed world [2]. The epidemiology of IOFBs has been well studied in many countries including China and the UK; however, there has been no significant research on the epidemiology of IOFB injury in Ireland to date. This study aims to (1) provide important
* Liam Bourke [email protected] 1
Ophthalmology Department, Cork University Hospital, Wilton, Cork T12DC4A, Ireland
2
Royal College of Surgeons Ireland, Dublin, Ireland
epidemiological data on the occurrence of IOFB injury in a tertiary centre in Cork, Ireland; (2) identify potential prognostic factors that may have impacted visual outcome; and (3) analyse visual outcomes following surgical intervention. It is hoped that this insight might guide future management, as well as prevention a
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