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Tomasz Stryjewski, Cindy Ung, Dean Eliott; Vitreoretinal surgery after open globe injury. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5509.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the indications and outcomes for vitrectomy after open globe injury.
Single vitreoretinal surgeon case series at a tertiary referral center with a high volume Ocular Trauma Department.
Over a 5 year period, 54 eyes in 54 patients underwent vitrectomy after sustaining an open globe injury. 65% of these patients at the time of presentation after open globe injury had light perception or worse vision. The indications for undergoing vitrectomy, on average 15 days after injury, included retinal detachment (32%), media opacity (26%), vitreous traction without retinal detachment (13%), retinal incarceration (13%), vitreous traction with retinal detachment (9%), intraocular foreign body (6%), and endophthalmitis (2%). No eyes were found to be inoperable. Although 35% of patients redetached due to PVR postoperatively, more than 65% of patients achieved a final visual acuity better than 20/200 at last follow up.
Ambulatory vision can be achieved for a majority of patients who undergo vitreoretinal surgery after open globe trauma.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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