The Result of Consecutive Vitrectomy in Penetrating Ocular Injury.
- Author:
Chulsin MOON
1
;
Joung Koo LEE
;
Joon Hong SOHN
;
Young Hee YOON
Author Information
1. Department of Ophthalmology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Pars plana vitrectomy;
Primary repair;
Proliferative vitreoretinopathy;
Traumatic ruptured globe
- MeSH:
Humans;
Male;
Prognosis;
Retrospective Studies;
Vitrectomy*;
Vitreoretinopathy, Proliferative
- From:Journal of the Korean Ophthalmological Society
1996;37(11):1937-1945
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We studied retrospectively the results of consecutive vitrectomy following traumatic ruptured globe repair in 31 patients, who had been followed six months or longer postoperatively. Twenty-seven patients (87%) were male and 21 (68%) were between the second and fourth decades. Functional success was achieved in 13 patients(42%) and anatomic success in 14 patients(45%). Nine patients vitrectomized within two weeks after primary repair had 100% success rate, and seven patients operated between two weeks and one month had 96% success rate, but 15 patients vitrectomized after one month had 80% success rate. Five among eight eyes which underwent other operations prior to vitrectomy showed success, in contrast to 96% (22 eyes) success among 23 eyes which underwent planned vitrectomy without any other intervening surgical procedure. Better previtrectomy conditions including simple vitreoretinal incarceration or proliferative vitreoretinopathy of Grade B or milder achieved success in 96%, but poor conditions including prephthisical status and proliferative vitreoretinopathy of Grade C or more severe in 67% In conclusion, the overall success rate of consecutive vitrectomy in repaired ruptured globe was 87%. Prephthisical condition and severe proliferative vitreoretinopathy showed poor prognosis. We emphasize the necessity of well-planned vitreous surgery and the importance of its adequate timing in the management of penetrating injury.
