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Roshun Sangani, Marco A Zarbin, Neelakshi Bhagat; Characteristics of traumatic retinal detachments after open globe injury. Invest. Ophthalmol. Vis. Sci. 2021;62(8):3684.
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© ARVO (1962-2015); The Authors (2016-present)
Retinal detachments (RD) related to open globe injuries (OGIs) have poor visual and anatomic prognosis. This study attempts to determine the characteristics of open globes at-risk of recurrent RDs.
We retrospectively analyzed all cases of traumatic RDRs after OGI performed at a single tertiary care center over a 3-year duration. The eyes with recurrent RDs were labeled group 1 and the remaining eyes that underwent successful primary RD repair were labeled group 2. Variables recorded included age, gender, duration between OGI and primary RDR, duration between primary RDR and additional RDR, zone of injury, use of silicone oil, presence of choroidal detachment (CD), and presence of intraocular foreign body (IOFB).
Of the 19 cases of traumatic RDR identified, 6 (32%) had recurrent RD and underwent further surgical repairs. The average follow-up duration of the study was 12 months. The average time between initial OGI and RDR in cases with and without recurrent RD (group 1 and 2) was 18 days and 8 days respectively. Furthermore, the average time of initial RDR and recurrent RDR repair (group 2) was 84 days. The average age of both groups was 41 years old. Males comprised 100% of group 1, and 92% of group 2. Moreover, the zones of OGI (Z1, Z2, Z3) was (33%, 50%, 17%) and 61%, 8%, 31% in Groups 1 and 2 respectively. Also, presence of proliferative vitreoretinopathy (PVR) was noted in 100% of eyes in group 1 and 38.5% of eyes in group 2. Silicone oil was used for tamponade in 100% of group 1 eyes and 70% of group 2 eyes. Half (50%) of the patients in group 1 had CDs, compared to 13% of patients in group 2. The presence of an IOFB was noted to be 50% and 46% of cases in groups 1 and 2 respectively.
Recurrent RDs were seen in 32% of OGIs in this study. Two-thirds of these eyes had Zone 2 or 3 injuries, and 50% cases had CDs with PVR diagnosed in all subjects. Interestingly both groups had a high incidence of IOFBs.
This is a 2021 ARVO Annual Meeting abstract.
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