| The Result of Consecutive Vitrectomy in Penetrating Ocular Injury. |
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Chulsin Moon, Joung Koo Lee, Joon Hong Sohn, Young Hee Yoon |
1Department of Ophthalmology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
2Department of Ophthalmology, Capital Army Hospital, Seoul, Korea. |
| 천공성 안외상 후의 이차 유리체절제술 결과 |
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문철신(Chul Sin Moon),이정구(Joung Koo Lee),손준홍(Joon Hong Sohn),윤영희(Young Hee Yoon) |
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| Abstract |
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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. |
| Key Words:
Pars plana vitrectomy;Primary repair;Proliferative vitreoretinopathy;Traumatic ruptured globe |
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