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OUTCOMES OF RETINAL DETACHMENT REPAIR AFTER POSTERIOR OPEN GLOBE INJURY.
- Source :
-
Retina (Philadelphia, Pa.) [Retina] 2016 Apr; Vol. 36 (4), pp. 758-63. - Publication Year :
- 2016
-
Abstract
- Purpose: To report outcomes of retinal detachment (RD) repair following posterior open globe injury.<br />Methods: This retrospective, consecutive case series examined patients who underwent RD repair following Zone II and/or III open globe injury repair between January 1, 2007 and October 31, 2013. Patients with <3 months of follow-up since their last vitreoretinal surgery, and those who underwent pars plana vitrectomy (e.g., for intraocular foreign body) during their initial open globe injury repair were excluded.<br />Results: Of 30 patients who met inclusion criteria, reattachment of the retina was achieved in 25 (83%) during the first vitreoretinal surgical procedure and 5 (17%) were deemed inoperable intraoperatively. Ten patients (30%) developed recurrent RD, and 8 underwent additional surgery. At last follow-up, reattachment was observed in 4 of these 8. The overall rate of final reattachment was 63% (19 patients). The mean number of surgeries for RD was 1.5 (range, 1-3). Fifteen patients (50%) achieved final visual acuity of counting fingers or better. Mean follow-up from the last vitreoretinal surgery was 23 months (range, 3-52).<br />Conclusion: Although RD following posterior open globe injury confers a grave prognosis, successful anatomic reattachment of the retina was achieved in the majority of patients in this series, with half achieving ambulatory vision.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Endotamponade
Eye Foreign Bodies etiology
Eye Foreign Bodies physiopathology
Eye Injuries, Penetrating etiology
Eye Injuries, Penetrating physiopathology
Female
Humans
Male
Middle Aged
Retina physiopathology
Retinal Detachment etiology
Retinal Detachment physiopathology
Retrospective Studies
Scleral Buckling
Silicone Oils administration & dosage
Visual Acuity physiology
Vitrectomy
Vitreoretinal Surgery
Eye Foreign Bodies surgery
Eye Injuries, Penetrating surgery
Retina injuries
Retinal Detachment surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1539-2864
- Volume :
- 36
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Retina (Philadelphia, Pa.)
- Publication Type :
- Academic Journal
- Accession number :
- 26383708
- Full Text :
- https://doi.org/10.1097/IAE.0000000000000772