Long-term results of 360A° scleral buckling and vitrectomy with silicone oil tamponade for management of gunshot-perforating ocular injury

Ghoraba, Hammouda Hamdy; Ellakwa, Amin Faisal; Ghali, Ali A; Fattah, H M Abdel

doi:10.1038/eye.2012.150

Cited by 9 publications

(7 citation statements)

References 12 publications

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“…The standard approach to treating perforating injuries is primary repair to restore the structural integrity of the globe at the earliest opportunity [ 2 ]. Previous reports showed the benefit of vitreoretinal surgery in such cases in preventing phthisis bulbi and achieving some visual result [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…The end result at 4 months was tractional total retinal detachment and fibrous cyclitic, epiretinal, and subretinal membranes [ 6 ]. If not operated on it ends by phthisis bulbi [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Previous reports showed that vitreoretinal surgery in perforating injury prevents phthisis bulbi and achieves some functional result [ 7 ]. There is controversy to do vitreoretinal surgery early days or weeks after repair of the primary injury [ 14 ] or to use encircling scleral band or no [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Timing of Pars Plana Vitrectomy in Management of Gunshot Perforating Eye Injury: Observational Study

Ghoraba

Heikal

Mansour

et al. 2016

Journal of Ophthalmology

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The aim of this study is to report the difference in either anatomical or functional outcome of vitreoretinal intervention in cases of gunshot perforating eye injury if done 2–4 weeks or after the 4th week after the original trauma. Patients were treated with pars plana vitrectomy and silicon oil. Surgeries were performed in the period from February 2011 until the end of December 2014. 253 eyes of 237 patients were reviewed. 46 eyes were excluded. 207 eyes of 197 patients were analyzed. The included eyes were classified based on the timing of vitrectomy in relation to the initial trauma into two groups: 149 eyes (the first group) operated on between the 3rd and the 4th week and 58 eyes (the second group) operated on after the 4th week after the trauma. Following one surgical intervention, in the first group, attached retina was achieved in 93.28% of patients. In the second group, attached retina was achieved in 96.55% of patients. All RD cases could be attached by a second surgery. Visual acuity improved in 81.21% of patients, did not change in 15.43% of patients, and declined in 3.35% of patients. In the second group, visual acuity improved in 81.03% of patients, did not change in 12.06% of patients, and worsened in 6.89% of patients. There was no statistically significant difference between the two groups in either anatomical or functional results. We recommend interfering before the 5th week after the trauma as retinal detachment is encountered more in cases operated on after the 4th week. The visual outcome depends on the site of entry and exit (the route of gunshot).

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Section: Discussionmentioning

confidence: 99%

“…The end result at 4 months was tractional total retinal detachment and fibrous cyclitic, epiretinal, and subretinal membranes [ 6 ]. If not operated on it ends by phthisis bulbi [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Timing of Pars Plana Vitrectomy in Management of Gunshot Perforating Eye Injury: Observational Study

Ghoraba

Heikal

Mansour

et al. 2016

Journal of Ophthalmology

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“…10 The placement of an encircling SB has been advocated on the basis that complete removal of the vitreous base was usually difficult, and the remaining tissue may For intraoperative findings, comparison was made for each item separately as some cases had many findings. contract, leading to retinal detachment or breaks.…”

Section: Discussionmentioning

confidence: 99%

“…8 However many controversies remain, which include the timing of surgical intervention, the use of encircling buckles, and the type of internal tamponade. 8 Some authors [9][10][11] reported the use of a 360°scleral band (SB) in combination with pars plana vitrectomy (PPV) in perforating eye injury. This study aims to determine the effect of an abundant use of the 360°e piscleral band on either the anatomical or the functional results in cases of perforating eye injury due to gunshot.…”

mentioning

confidence: 99%

Comparison Between Pars Plana Vitrectomy With Versus Without a 360° Episcleral Band in the Management of Gunshot Perforating Eye Injury

Ghoraba

Mansour

Heikal

et al. 2016

Retina

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Current Concepts and Management of Severely Traumatized Tissues in the Inner Coatings (the Posterior Segment: the Ciliary Body, the Choroid, and the Retina) of the Globe: Mechanical Injuries, Perforating Injury

Özdek

Hasanreisoğlu

2016

Current Concepts and Management of Eye Injuries

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Long-term results of 360A° scleral buckling and vitrectomy with silicone oil tamponade for management of gunshot-perforating ocular injury

Cited by 9 publications

References 12 publications

Timing of Pars Plana Vitrectomy in Management of Gunshot Perforating Eye Injury: Observational Study

Timing of Pars Plana Vitrectomy in Management of Gunshot Perforating Eye Injury: Observational Study

Comparison Between Pars Plana Vitrectomy With Versus Without a 360° Episcleral Band in the Management of Gunshot Perforating Eye Injury

Current Concepts and Management of Severely Traumatized Tissues in the Inner Coatings (the Posterior Segment: the Ciliary Body, the Choroid, and the Retina) of the Globe: Mechanical Injuries, Perforating Injury

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