Evaluation of Vitrectomy in Penetrating Ocular Trauma

Juan, Eugene de

doi:10.1001/archopht.1984.01040030938018

Cited by 54 publications

(2 citation statements)

References 8 publications

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“…According to several reports (Ahmadieh et al 1993;De Juan et al 1984); clinical management of IOFB injuries using PPV may salvage the most severely injured eyes. Experimental studies have confirmed the effectiveness of PPV in the treatment of posterior segment trauma (Clearly & Ryan 1981;Gregor & Ryan 1983a, 1983b, especially the prevention of traction RD.…”

Section: Discussionmentioning

confidence: 99%

Intraocular foreign bodies. Factors influencing final visual outcome

Chiquet

Zech

Denis

et al. 1999

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To identify the prognostic factors of poor visual outcome (visual acuityAE6/240) in eyes with intraocular foreign bodies. Methods: The records of 95 consecutive patients were retrospectively reviewed for 6 years (1990-1995). All eyes underwent a primary surgical repair and foreign-body removal (electromagnet or vitrectomy). The mean follow-up period was 25 months (6-72 months). Single analysis and multiple logistic stepwise regression analysis were performed to determine predictors of poor vision. Results: Thirty patients (31.6%) showed 6/240 or worse vision at the end of their follow-up period. Three significant predictive factors had independent and combined effects on post-operative visual outcome: a corneo-scleral entry wound (odds ratio (OR)Ω14.5, pΩ0.001), largest diameter of IOFB (ORΩ1.21, pΩ 0.01) and the presence of secondary retinal detachment (ORΩ9.48, pΩ0.0002). Post-operative complications included traumatic cataracts (51%), retinal detachments (28%) and phthisis bulbi (8%).Conclusion: Using multivariate analysis, corneo-scleral entry wound, largest diameter of foreign body and secondary retinal detachment were found to be predictors of poor visual outcome after intraocular foreign body removal. Our results suggest that patients with high-risk intraocular foreign body trauma should be candidates for pars plana vitrectomy rather than electromagnet procedure.

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Section: Discussionmentioning

confidence: 99%

Intraocular foreign bodies. Factors influencing final visual outcome

Chiquet

Zech

Denis

et al. 1999

Acta Ophthalmologica Scandinavica

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“…Despite the encouraging results of vitrectomy in penetrating eye injuries, the indication and optimum timing for surgery remain controversial (Hutton et al 1976;Benson & Machemer 1976;Faulborn et al 1977;Ryan & Allan 1979;Coleman 1982). In a recent series of penetrating ocular trauma, no statistical advantage of vitrectomy was found, but beneficial trends were demonstrated both in double perforating injuries and in other severe injuries in which the initial visual acuity was less than 5/200 (deJuan et al 1984).…”

Section: Discussionmentioning

confidence: 99%

Vitrectomy in double perforating eye injuries

Vatne

Syrdalen

1985

Acta Ophthalmologica

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The results of 41 consecutive cases of double perforating eye injuries, operated with vitrectomy between December 1975 and December 1982, are reported. Fourteen eyes (34%) obtained a visual acuity of 5/10 or better, and 23 eyes (56%) obtained 5/200 or better. Twenty-eight (68%) developed retinal detachment, and 12 of these were attached by surgery. In this series the pre-operative visual function and the type of injury had a significant effect on the final result. No beneficial effect from early (within 14 days) vitrectomy could be shown.

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