Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients
Purpose. To evaluate functional and anatomical results of pars plana vitrectomy (PPV) in the retinal detachment (RD) followed by severe eye trauma. Methods. Retrospective analysis of medical records of forty-one consecutive patients treated with 23-gauge PPV due to traumatic RD. Age, gender, timing...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2017/5084319 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832565014437822464 |
|---|---|
| author | Katarzyna Nowomiejska Tomasz Choragiewicz Dorota Borowicz Agnieszka Brzozowska Joanna Moneta-Wielgos Ryszard Maciejewski Anselm G. Jünemann Robert Rejdak |
| author_facet | Katarzyna Nowomiejska Tomasz Choragiewicz Dorota Borowicz Agnieszka Brzozowska Joanna Moneta-Wielgos Ryszard Maciejewski Anselm G. Jünemann Robert Rejdak |
| author_sort | Katarzyna Nowomiejska |
| collection | DOAJ |
| description | Purpose. To evaluate functional and anatomical results of pars plana vitrectomy (PPV) in the retinal detachment (RD) followed by severe eye trauma. Methods. Retrospective analysis of medical records of forty-one consecutive patients treated with 23-gauge PPV due to traumatic RD. Age, gender, timing of PPV, visual acuity, and presence of intraocular foreign body (IOFB) and proliferative vitreoretinopathy (PVR) were included in the analysis. Results. Mean age of patients was 47 years; the majority of patients were men (88%). Closed globe injury was present in 21 eyes and open globe injury in 20 eyes (IOFB in 13 eyes, penetration injury in 4 eyes, and eye rupture in 3 eyes). Mean follow-up period was 14 months; mean timing of PPV was 67 days. Twenty-seven (66%) eyes had a functional success; 32 eyes (78%) had anatomical success. As a tamponade silicone oil was used in 33 cases and SF6 gas in 8 cases. Conclusions. Severe eye injuries are potentially devastating for vision, but vitreoretinal surgery can improve anatomical and functional outcomes. Among analysed pre- and intra- and postoperative factors, absence of PVR, postoperative retinal attachment, and silicone oil as a tamponade were related to significantly improved visual acuity. |
| format | Article |
| id | doaj-art-3dc502ebc05f4f58b04bfa77f74f7c5c |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-3dc502ebc05f4f58b04bfa77f74f7c5c2025-02-03T01:09:36ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/50843195084319Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult PatientsKatarzyna Nowomiejska0Tomasz Choragiewicz1Dorota Borowicz2Agnieszka Brzozowska3Joanna Moneta-Wielgos4Ryszard Maciejewski5Anselm G. Jünemann6Robert Rejdak7Department of General Ophthalmology, Medical University of Lublin, Lublin, PolandDepartment of General Ophthalmology, Medical University of Lublin, Lublin, PolandDepartment of General Ophthalmology, Medical University of Lublin, Lublin, PolandDepartment of Mathematics and Medical Biostatistics, Medical University of Lublin, Lublin, PolandDepartment of General Ophthalmology, Medical University of Lublin, Lublin, PolandHuman Anatomy Department, Medical University of Lublin, Lublin, PolandDepartment of Ophthalmology, University of Rostock, Rostock, GermanyDepartment of General Ophthalmology, Medical University of Lublin, Lublin, PolandPurpose. To evaluate functional and anatomical results of pars plana vitrectomy (PPV) in the retinal detachment (RD) followed by severe eye trauma. Methods. Retrospective analysis of medical records of forty-one consecutive patients treated with 23-gauge PPV due to traumatic RD. Age, gender, timing of PPV, visual acuity, and presence of intraocular foreign body (IOFB) and proliferative vitreoretinopathy (PVR) were included in the analysis. Results. Mean age of patients was 47 years; the majority of patients were men (88%). Closed globe injury was present in 21 eyes and open globe injury in 20 eyes (IOFB in 13 eyes, penetration injury in 4 eyes, and eye rupture in 3 eyes). Mean follow-up period was 14 months; mean timing of PPV was 67 days. Twenty-seven (66%) eyes had a functional success; 32 eyes (78%) had anatomical success. As a tamponade silicone oil was used in 33 cases and SF6 gas in 8 cases. Conclusions. Severe eye injuries are potentially devastating for vision, but vitreoretinal surgery can improve anatomical and functional outcomes. Among analysed pre- and intra- and postoperative factors, absence of PVR, postoperative retinal attachment, and silicone oil as a tamponade were related to significantly improved visual acuity.http://dx.doi.org/10.1155/2017/5084319 |
| spellingShingle | Katarzyna Nowomiejska Tomasz Choragiewicz Dorota Borowicz Agnieszka Brzozowska Joanna Moneta-Wielgos Ryszard Maciejewski Anselm G. Jünemann Robert Rejdak Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients Journal of Ophthalmology |
| title | Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients |
| title_full | Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients |
| title_fullStr | Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients |
| title_full_unstemmed | Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients |
| title_short | Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients |
| title_sort | surgical management of traumatic retinal detachment with primary vitrectomy in adult patients |
| url | http://dx.doi.org/10.1155/2017/5084319 |
| work_keys_str_mv | AT katarzynanowomiejska surgicalmanagementoftraumaticretinaldetachmentwithprimaryvitrectomyinadultpatients AT tomaszchoragiewicz surgicalmanagementoftraumaticretinaldetachmentwithprimaryvitrectomyinadultpatients AT dorotaborowicz surgicalmanagementoftraumaticretinaldetachmentwithprimaryvitrectomyinadultpatients AT agnieszkabrzozowska surgicalmanagementoftraumaticretinaldetachmentwithprimaryvitrectomyinadultpatients AT joannamonetawielgos surgicalmanagementoftraumaticretinaldetachmentwithprimaryvitrectomyinadultpatients AT ryszardmaciejewski surgicalmanagementoftraumaticretinaldetachmentwithprimaryvitrectomyinadultpatients AT anselmgjunemann surgicalmanagementoftraumaticretinaldetachmentwithprimaryvitrectomyinadultpatients AT robertrejdak surgicalmanagementoftraumaticretinaldetachmentwithprimaryvitrectomyinadultpatients |