Outcome of vitrectomy and chorioretinectomy in perforating eye injuries.

Abstract

PURPOSE:

To evaluate the anatomical and functional results of patients who underwent pars plana vitrectomy for perforating eye injuries as well as to analyze the benefit of the chorioretinectomy procedure.

METHODS:

Retrospective and descriptive study of 24 eyes of 22 patients with perforating eye injuries operated on at the Centro Hospitalar do Porto between January 2006 and December 2012.

RESULTS:

An early vitrectomy was accomplished in 67% of the eyes and a delayed vitrectomy in 33% of the eyes. A concomitant chorioretinectomy was carried out in 78%. Final proliferative vitreoretinopathy (PVR) was found in 11%. The anatomical success was 83%. At the final follow-up, 78% had best-corrected visual acuity equal to or superior to 5/200. Of the eyes that underwent early vitrectomy, 58% regained a visual acuity of 40/200 or better, versus 17% of the cases that underwent delayed vitrectomy.

CONCLUSION:

Early vitrectomy with prophylactic chorioretinectomy seems to be an effective approach to prevent PVR and improve the visual outcome and globe survival in perforating injuries.

• Authors: Natália Ferreira, Sílvia Monteiro, Angelina Meireles, Ferenc Kuhn
• Journal: Ophthalmic research (Ophthalmic Res) Vol. 53 Issue 4 Pg. 200-6 ( 2015) ISSN: 1423-0259 [Electronic] Switzerland
• PMID: 25896147 (Publication Type: Journal Article)
• Copyright: © 2015 S. Karger AG, Basel.

Topics

• Adolescent
• Adult
• Aged
• Child
• Choroid (surgery)
• Eye Injuries, Penetrating (surgery)
• Female
• Humans
• Male
• Middle Aged
• Retina (surgery)
• Retrospective Studies
• Visual Acuity
• Vitrectomy (methods)
• Vitreoretinopathy, Proliferative (prevention & control)
• Young Adult