Surgical Management and Outcome of Open Globe Injuries with Posterior Segment Complications: A 10-Year Review

被引:8
作者
Xia, Tian [1 ]
Bauza, Alain [1 ]
Soni, Nishant G. [1 ]
Zarbin, Marco A. [1 ]
Langer, Paul D. [1 ]
Bhagat, Neelakshi [1 ]
机构
[1] Rutgers New Jersey Med Sch, Inst Ophthalmol & Visual Sci, Newark, NJ USA
关键词
Endophthalmitis; intraocular foreign body; open globe; pars plana vitrectomy; posterior segment complications; retinal detachment; SILICONE OIL REMOVAL; OCULAR TRAUMA; RETINAL-DETACHMENT; RISK-FACTORS; PROGNOSTIC-FACTORS; POPULATION; CLASSIFICATION; VITRECTOMY; SURVIVAL;
D O I
10.1080/08820538.2016.1242634
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To describe the characteristics, management, and outcomes of open globe injured (OGI) eyes that underwent pars plana vitrectomy (PPV) for posterior segment complications. Methods: Retrospective chart review of cases that underwent PPV for posterior segment complications associated with OGI between 2003-2012 at University Hospital, Newark, NJ. Results: 120 eyes were identified and classified as follows: "early retinal detachment (RD)" (within 30 days of OGI), 64 (53%) eyes;"delayed RD" (30 days after OGI), 30 (25%) eyes; and "no RD," 26 (22%) eyes. Injuries included penetrating (39 (33%) eyes), rupture (60 (50%) eyes), and penetrating wounds with retained intraocular foreign body (21 (17%) eyes). Injuries in Zones I, II, and III were seen in 40 (35%) eyes), 38 (34%) eyes, and 35 (31%) eyes, respectively, with statistically different ocular trauma scores (p<0.01) associated with each zone of injury. Mean presenting and final logMAR VA were 2.20 +/- 0.63 and 1.87 +/- 0.60, respectively (p<0.01), with a mean follow-up of 3.2 years. Final overall anatomic success after surgeries was 98% for early RD and 95% for delayed RD. Conclusion: Despite a high anatomic success rate, the overall functional success rate for eyes with posterior segment trauma that undergo PPV is poor and comparable to other studies.
引用
收藏
页码:351 / 356
页数:6
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