Artikel
The outcome of primary repair with early vitrectomy in posterior segment ocular trauma
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Veröffentlicht: | 18. Juni 2008 |
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Purpose: To evaluate the outcome of primary repair with early vitrectomy in posterior segment ocular trauma.
Methods: Retrospective review of all patients with posterior segment ocular trauma treated at the Eye Hospital of the University of Regensburg between 1997 and 2007. All patients were operated within 8 h after the injury. According to the BETT-system patients were divided into 3 groups: group 1: intraocular foreign body, group 2: penetrating injury, group 3: globe rupture. Main outcome measures included number of patients with final ambulatory visual acuity (≥ -1.6 log MAR), number of patients with final reading visual acuity (≥ -0.4 logMAR), enucleation, postoperative endophthalmitis.
Results: A total of 104 patients were included (group 1 n=20, group 2 n=43, group 3 n=41). Mean follow-up was 22+/-23 months. 70% of patients in group 1, 58% in group 2, and 32% in group 3 had final ambulatory visual acuity. 25% of patients in group 1, 14% in group 2, and 5% in group 3 retained reading vision. 2.9% of eyes were enucleated (one eye in each group). Postoperative endophthalmitis occurred in 2.9% of eyes (one eye in each group).
Conclusion: The final outcome of posterior segment ocular trauma largely depends on the severity of the injury. Compared to primary repair combined with delayed vitrectomy as reported in the literature primary repair including early vitrectomy leads to similar final functional results, however, the number of required enucleations and the frequency of postoperative endophthalmitis are significantly reduced.