Nashed, Ahmed and Saikia, Parykshit and Herrmann, Wolfgang A. and Gabel, Veit-Peter and Helbig, Horst and Hillenkamp, Jost (2011) The Outcome of Early Surgical Repair With Vitrectomy and Silicone Oil in Open-Globe Injuries With Retinal Detachment. AMERICAN JOURNAL OF OPHTHALMOLOGY, 151 (3). pp. 522-528. ISSN 0002-9394, 1879-1891
Full text not available from this repository. (Request a copy)Abstract
PURPOSE: To determine the functional and anatomic outcome of early surgical repair with vitrectomy and silicone oil in open-globe injuries with retinal detachment (RD). DESIGN: Retrospective consecutive interventional case series. METHODS: All patients with open-globe injuries with RD treated between 1997 and 2007 underwent primary repair including vitrectomy with silicone oil within 8 hours after presentation. For data analysis, patients were divided into 3 groups according to the BETT classification: Group 1, intraocular foreign body; Group 2, penetrating injury; Group 3, globe rupture. Outcome measures were final reading visual acuity (0.4 logMAR or better), final ambulatory visual acuity (1.6 logMAR or better), endophthalmitis, and postoperative proliferative vitreoretinopathy (PVR). RESULTS: Eighty-eight patients were included (Group 1, n = 13; Group 2, n = 36; Group 3, n = 39). Mean follow-up was 22 months (standard deviation [SD] = 23, range 6-107 months). Eight percent of patients retained reading vision without significant difference between the 3 groups. Fewer patients in Group 3 than in Group 1 or 2 retained ambulatory visual acuity (Group 1, 62%; Group 2, 64%; Group 3, 33%, P = .024). Endophthalmitis occurred in 3.4% of eyes (1 eye in each group). PVR grade B-C, type 1-3 developed in 44% of patients without significant difference between the 3 groups. Re-RD occurred in 38% of eyes. CONCLUSIONS: Few patients achieved reading vision while 50% of patients retained ambulatory visual acuity. Final visual outcome is related to the severity of the injury. The frequency of postoperative endophthalmitis is low. Postoperative development of advanced PVR is avoided in most patients. (Am J Ophthalmol 2011; 151:522-528. (C) 2011 by Elsevier Inc. All rights reserved.)
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PENETRATING EYE INJURIES; INTRAOCULAR FOREIGN-BODY; PARS-PLANA VITRECTOMY; PROLIFERATIVE VITREORETINOPATHY; POSTERIOR SEGMENT; OCULAR TRAUMA; CORE VITRECTOMIES; RHESUS-MONKEY; RISK-FACTORS; ENDOPHTHALMITIS; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Augenheilkunde |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 25 Jun 2020 11:55 |
| Last Modified: | 25 Jun 2020 11:55 |
| URI: | https://pred.uni-regensburg.de/id/eprint/21208 |
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