Vitreoretinal surgery for shotgun eye injuries: outcomes and complications

Khoueir, Ziad; Cherfan, George; Assi, Alexandre

doi:10.1038/eye.2015.46

Cited by 9 publications

(11 citation statements)

References 27 publications

(30 reference statements)

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“…There have been several reports on penetrating eye injuries due to pellet guns. 5 , 7 , 8 , 9 , 10 , 11 , 12 , 13 To our knowledge, there is no similar report from Iran.…”

Section: Discussionmentioning

confidence: 88%

“… 2 , 3 , 4 Based on the United States Eye Injury Registry Database, ball bearing (BB) guns and pellet guns are the most frequent gun injuries in the emergency setting, accounting for nearly 6% of all ocular injuries. 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

“…Although BB gun-related injuries have been reported in numerous reports there is a relatively limited number of studies related to pellet gun injuries. 5 , 7 , 8 , 9 , 10 , 11 , 12 , 13 Earlier reports have indicated the severity of this type of trauma and advocated for improving public awareness and encouraging prophylactic measures to reduce their danger. 5 , 9 , 14 …”

Section: Introductionmentioning

confidence: 99%

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Pellet gun injury as a source of ocular trauma; a retrospective review of one hundred and eleven cases

Tabatabaei

Soleimani

Rajabi

et al. 2018

Journal of Current Ophthalmology

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PurposeTo report the demographic data, treatment methods, and outcomes among patients with pellet gun eye injuries.MethodsThis study was a retrospective review of all pellet gun eye injuries coming to Farabi Eye Hospital, a referral ocular trauma center in Iran, from February 2009 to November 2013. Patients' demographics, type of injury, choice of management, complications, and post-treatment visual acuity were recorded.ResultsOne hundred eleven patients with a mean age of 25.7 ± 15.6 years entered the study. The most common age group was younger adults (16–45 years old) (61.3%). The mean uncorrected visual acuity after treatment was 2.05 (20/2240) ±1.5 logMAR. The most prevalent ocular zone was zone III (38.7%), and an intraocular foreign body was present in 97 patients (87.4%). Lid laceration and periocular tissue damage were present in 27 patients (24.3%). Lensectomy and vitrectomy were the most common treatment (31.5%). In most patients (87.4%), the injury was non-deliberate, and the most common time of hospitalization was the same day (45.0%). The only statistically significant indicator of post-treatment visual acuity was ocular trauma score (OTS) at admission (P < 0.001). At the end of follow-up, enucleation was performed for 20 patients (18%), and thirty-six patients (32%) had no light perception (NLP) in vision.ConclusionPellet gun injuries were more common among young male patients, and the only statistically significant indicator of post-treatment visual acuity was OTS at admission.

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“…There have been several reports on penetrating eye injuries due to pellet guns. 5 , 7 , 8 , 9 , 10 , 11 , 12 , 13 To our knowledge, there is no similar report from Iran.…”

Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pellet gun injury as a source of ocular trauma; a retrospective review of one hundred and eleven cases

Tabatabaei

Soleimani

Rajabi

et al. 2018

Journal of Current Ophthalmology

View full text Add to dashboard Cite

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“…До развития и широкого распространения технологии закрытой витрэктомии внутриглазные ИТ удаляли, в основном, путем склеротомии и использования магнита [10]. В 55-60 % случаев удавалось добиться относительно высокой остроты зрения после операции [11]. Недостатком этого хирургического метода является крайне высокий риск отслойки сетчатки в послеоперационном периоде вследствие развития пролиферативных процессов в стекловидном теле и образования преретинальных фиброзных тяжей.…”

Section: Discussionunclassified

“…Согласно принципам современной витреоретинальной хирургии, главной целью многоэтапных хирургических вмешательств при тяжелых проникающих ранениях является достижение максимального анатомического эффекта, то есть восстановление структурной целостности глазного яблока и удаление внутриглазного инородного тела [9][10][11]. Особенно это касается реактивных ИТ, состоящих из металла или дерева, в то время как ИТ из стекла и пластика являются практическими ареактивными и не вызывают вторичных дистрофических изменений глазного яблока в позднем, послеоперационном периоде [12][13][14][15].…”

Section: Introductionunclassified

Clinical Analyses of Efficiency of Multicomponental, Vitreoretinal Surgery of Eye Trauma

Алиев

Абдулаев

et al. 2019

Oftalʹmologiâ

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Eye trauma is one of the leading causes of blindness and low vision in young working age people. It gives this particular group of diseases a special social significance. The absence of a universal surgical treating tactic is explained by the variety of traumatic agents and the various types of injuries. Penetrating wounds with the introduction of a foreign body, accompanied by detachment of the retina, vascular membrane, hemorrhagic and infectious complications are the most difficult in the clinical plan.Material and methods: 103 with penetrating eye injuries were operated during the period from 2015 to 2017. 29 of them were involving the introduction of foreign bodies, which were removed at different times: 18 eyes (62 %) — at 7–10 days, 8 eyes 27.5 %) — 14–28 days after injury and 3 eyes (10.3 %) — more than 1 month. In all cases, subtotal vitrectomy 25G (68.9 %) was performed, in some cases, 23-hedge vitrectomy was preferred (31 %) due to pronounced fibro-proliferative changes in the vitreous body. In the case of a foreign body impacted into the shells with dimensions greater than 4 mm, the real cavity was tamped with PFOS.Results. The adherence of the detached retina was achieved in 14 cases, adherence of the choroid — 4 cases. Uveitis was observed in 5 cases, ophthalmic hypertension in 12 patients in the early postoperative period. Hypertension was compensated by using the antihypertensive regimen. 5 patients at the time of hospitalization had a Vis = 0, the operation was of a diaphragm-preserving nature, since a foreign body that was not removed was the cause of the development of subatrophy of the eyeball in 16 % of cases. The remaining patients had stable, positive dynamics of visual functions in the postoperative period.Conclusion: Surgery tactics for extensive eye injuries are individual, and the amount of intervention depends largely on the parameters of the traumatic agent, so planned surgery is preferable to emergency because it allows for detailed preoperative examination and to get valuable information about the condition of the eye. The exceptions are injuries with symptoms of acute endophthalmitis. Multi-unit operations provide optimal conditions for the preservation of the eye as an organ and contribute to the restoration of visual functions.

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Orbitale Schussverletzungen

et al. 2020

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Zusammenfassung Hintergrund Schussverletzungen kommen im Bereich der Ophthalmologie glücklicherweise selten vor. Die Behandlung eines betroffenen Patienten ist sowohl ophthalmologisch als auch emotional eine besondere Herausforderung. Methodik Wir berichten über 7 konsekutive Fälle von Patienten mit einer orbitalen Schussverletzung, die über einen Zeitraum von 11 Jahren in einem Universitätsklinikum vorstellig wurden. Ausgewertet wurden der Schadenshergang mit beteiligter Waffe, die Schussart, das Verletzungsmuster, die kraniale Bildgebung, die Therapie und der Verlauf. Ergebnisse Insgesamt konnten 7 Fälle von Schussverletzungen durch Waffen im Zeitraum von 2007 bis 2018 dokumentiert und ausgewertet werden. Alle 7 Patienten waren männlich. Das Alter betrug im Mittel 44 ± 27,5 Jahre. Fünfmal kam es durch einen Suizidversuch zu den Verletzungen, zweimal durch einen Unfall. Bis auf eine Schussverletzung mit einer Armbrust wurden Feuerwaffen verwendet. Viermal kam es dabei zu einem Steckschuss, zweimal zu einem Durchschuss und einmal zu einem Prellschuss. Der Endvisus lag bei den betroffenen Augen einmal bei einer einseitigen und ein weiteres Mal bei einer beidseitigen Amaurose, bei einem Patienten bei 1/35 MTV und bei 4 Patienten zwischen 0,2 und 0,7. Kein Patient ist an den unmittelbaren Folgen der Schussverletzung gestorben. Diskussion Schussverletzungen sind in Deutschland selten und haben meist einen suizidalen Hintergrund. Das Verletzungsmuster im Bereich der okulären Strukturen ist sehr variabel. Ein Rekonstruktionsversuch lohnt sich prinzipiell immer. Bei der Versorgung der Patienten ist eine interdisziplinäre Zusammenarbeit von Ophthalmologen und Neuro- und MKG- bzw. HNO-Chirurgen sowie Psychiatern notwendig.

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Vitreoretinal surgery for shotgun eye injuries: outcomes and complications

Cited by 9 publications

References 27 publications

Pellet gun injury as a source of ocular trauma; a retrospective review of one hundred and eleven cases

Pellet gun injury as a source of ocular trauma; a retrospective review of one hundred and eleven cases

Clinical Analyses of Efficiency of Multicomponental, Vitreoretinal Surgery of Eye Trauma

Orbitale Schussverletzungen

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