Commentary

Bhende, Muna; Roy, Subham Sinha

doi:10.4103/ijo.ijo_1966_20

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…Detecting and removing cilia early is very important for patients with ocular trauma. Endoscopy facilitates diagnosis and treatment of anterior segment diseases related to ciliary body, angle of anterior chamber, posterior iris epithelium, intraocular lens (IOL) position, and capsular support, which are difficult to access and visualize with conventional microscopy [ 4 ]. However, no studies have reported the value of ocular endoscopy in the detection and removal of cilia in patients with open ocular trauma.…”

Section: Introductionmentioning

confidence: 99%

Value of Ocular Endoscopy in Extraction of Intraocular Foreign Bodies of Cilia in Patients with Open Ocular Trauma

Zha

Wang

et al. 2021

Med Sci Monit

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Background The aim of this study was to analyze the value of ocular endoscopy in detecting and extracting intraocular cilia in patients with ocular trauma. Material/Methods We retrospectively analyzed data on identification and extraction of 46 intraocular cilia in 16 eyes with open-globe injury during endoscope-assisted vitrectomy. Results A total of the 16 patients with open-globe injury were operated on from September 2002 to June 2019. The cornea in 14 eyes was cloudy. Two eyes had endophthalmitis and 13 eyes had retinal detachment. A total of 46 cilia were extracted through direct observation under the ocular endoscope during vitrectomy 1 to 68 weeks after injury. The number of cilia per eye varied from 1 to 10. Most of the cilia were located in or near the wound. Postoperative IOP was normal in 14 patients. The follow-up after surgery showed hypotony in only 2 eyes (7.2 and 5.8 mmHg, respectively). Compared with preoperative intraocular pressure, there was a statistically significant difference. The postoperative visual acuity improved in 12 eyes and remained unchanged in 3 eyes. The vision after surgery was significantly improved compared with that before surgery ( P =0.006). The intraocular pressure increased significantly after operation ( P <0.001). And no glaucoma or retinal detachment or endophthalmitis was found. No eyes needed additional vitreous surgery. Conclusions Ocular endoscopy allows surgeons to detect intraocular cilia that were no undetected by CT or B-ultrasound preoperatively in time and to extract them effectively. It improves performance of vitrectomy in the presence of a cloudy cornea and also prevents exogenous endophthalmitis. The vision of patients with ocular trauma was improved.

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Section: Introductionmentioning

confidence: 99%