Superficial corneal foreign bodies: about a series of 230 cases
First Author: I.Er-Rachiq MOROCCO
Co Author(s): A. Mchachi L. Benhmidoune C. Abderrahim R. Rayad M. Elbelhadji
Foreign bodies (CE) from the anterior segment (SA) represent a frequent reason for consultation in ophthalmology. Their prognosis is generally good outside of multiple projectiles such as during explosions. The aim of our work is to analyze the risk factors and demographic characteristics of patients who have undergone a foreign body from the anterior segment.
Adult ophthalmology service, hospital August 20, 1953, Casablanca Faculty of Medicine and Pharmacy of Casablanca Hassan II Casablanca University Morocco
This is a prospective, descriptive study of 230 patients who are presented to the ophthalmology emergency department for an ocular foreign body from the anterior segment with a follow-up period of 6 months. We report the epidemiological, clinical and prognostic characteristics presented by these patients.
We have collected 230 cases of ocular foreign bodies from the anterior segment. 84.3% was male. 45% of the cases were between 30 and 44 years old. 68.6% of foreign bodies occurred during work. ES related to DIY and gardening activity represented 15.7% of cases. 57% had a history of ocular CE. Protective glasses were available in the workplace in 58% of patients, 76% of these patients were not wearing protective glasses at the time of the accident. 41.2% of patients consulted after 24 hours of the trauma. 76.4% of the ocular foreign bodies were of metallic origin, 72.5% of which were made of steel or iron. 30% of patients attempted to remove the foreign body themselves, 34% of which were by coin. 90% of the ECs were located on the cornea, 13.7% of which were in the central area, 6% of the corneal ECs were transfixants and 20% were intramellar. 8% of the EC were located in the anterior chamber. 4% of patients underwent post-traumatic cataract surgery The rate of ocular infection such as corneal abscess and endophthalmitis was significantly high in the EC of non-metallic AS (p <0 , 04) and the rate of corneal scar opacity was significantly higher in the EC of metallic origin (p <0.02).
Accidents at work represent a high risk factor for foreign bodies, mainly of metallic origin, hence the interest in strengthening protective measures, mainly protective glasses.