Mohammad Idris, Muhammad Alam, Muhammad Zubair Masud, Hasan Yaqoob, Bilal Khan.
Clinical & Morphological Characteristics of IOFB Presented to a Tertiary Care Centre of Khyber Pakhtunkhwa.
Ophthalmol Update Jan ;13(4):258-61.

Objective: To determine the clinical and morphological characteristics of IOFB in penetrating ocular injury presented to a tertiary care centre of Khyber Pakhtunkhwa for management. Study design: prospective, interventional case Series. Place and duration: At Department of Ophthalmology, Govt Lady Reading Hospital, Peshawar from 1st July 2011 to 31st Jan 2013. Methodology: 37 cases with intraocular foreign body from outdoor department were admitted for management. Patients were examined after detailed history and important findings noted. Results: The study sample comprised of 37 cases. Male were in majority (70.2%). Mean age was 33+/- 12 years. 23 (62.1%) patients have small foreign body ranging from 1mm or less. 22 (59.5%) Intraocular foreign bodies were elongated in shape. 19 (51.3%) were found on retinal surface. 15 (40.5%) foreign bodies were found to be metallic. Perception of light to no perception of light vision was noted in 20(54.05) cases. Counting finger or better vision was noted in 17 (46) cases. BBI and late presentation was the common reason for poor visual outcome. Conclusion: IOFB is a common and important clinical problem. Small, elongated FBs were common although any sort of FB can enter the eye. FBs like wood and stone were strongly associated with endophthalmitis. Visual prognosis was poor in majority of the eyes, delayed presentation and Bomb Blast Injuries (BBI) were the top reasons.

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