Retinal detachment after intraocular foreign bodies removal with vitrectomy.

To report the incidence of retinal detachment after intraocular foreign bodies removal with vitrectomy,and to analyze the relative reasons.Methods A retrospective analysis of 20 consecutive patients (20 eyes) who underwent pars plana vitrectomy for the treatment of intraocular foreign bodies removal was conducted.The standardized three port vitrectomy was used in all injured eyes.Results Four (20%) of 20 eyes had retinal detachment.Visual acuity increased in 14 eyes (70%),stabilized in 3 eyes (15%),and deteriorated in 3 eyes (15%).Conclusion The possible reasons of retinal detachment after intraocular foreign bodies removal with vitrectomy included:(1) the remnant vitreous traction formation;(2) not proper photocoagulation around the retinal hole;(3) tiny retinal hole not found during the surgery;(4) no preoperative photocoagulation on the surface of retina around the foreign body;and (5) the peripheral retinal tear induced by large foreign body removal.