gms | German Medical Science

21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem
8. Symposium der International Society of Ocular Trauma

Deutsche Gesellschaft für Retinologie
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

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Pars Plana Vitrectomy: Outcomes at a National Reference Ocular Trauma Center

Meeting Abstract

Suche in Medline nach

  • Andrés Díaz - Santiago/Chile
  • S. García - Santiago/Chile
  • H. Muñoz - Santiago/Chile
  • J. Guajardo - Santiago/Chile
  • R. Agurto - Santiago/Chile
  • A. Lutz - Santiago/Chile
  • J. Claramunt - Santiago/Chile
  • C. Park - Santiago/Chile
  • P. Castillo - Santiago/Chile
  • R. Stevenson - Santiago/Chile
  • J. Mayora - Santiago/Chile
  • M. López - Santiago/Chile
  • J. Sahr - Santiago/Chile
  • M. Mota - Santiago/Chile
  • F. Andrighetti - Santiago/Chile

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V027

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/rg2008/08rg027.shtml

Veröffentlicht: 18. Juni 2008

© 2008 Díaz et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.

Gliederung

Text

Objectives: To describe clinical characteristics, including visual and anatomic outcomes, of patients that required pars plana vitrectomy following primary closure, admitted in a national reference ocular trauma center.

Materials & Methods: We performed a retrospective analysis of clinical records of patients admitted to the Ocular Trauma Unit (OTU) that required a pars plana vitrectomy to solve vitreous-retinal complications of open and closed ocular trauma, from January 2005 to May 2007. Information extracted included: demography, clinical characteristics, use of encircling scleral buckle, BETT and OTS classification, indication and timing of vitrectomy.

Results: We obtained complete records of 311 patients, average age 36.6 yo, with 7:1 men:women ratio. 40% were closed ocular trauma. In total group 34% of patients submitted to vitrectomy improved their visual acuity (VA), 51% maintained and 15% decreased VA after surgery. Closed ocular trauma had better visual outcome than open trauma. Encircling scleral buckle was used in 19% of patients. 29% of total group had post-op complications including: re-detachment (most frequent), epiretinal membranes, glaucoma, keratopathy, etc. 45% of complicated patients required second o more vitrectomies.

Conclusions: Our results are similar to previous reports, and demonstrate that it is possible to reach good VA results even in complex ocular trauma. Post-op vitrectomy VA results are better in closed ocular trauma. The use of encircling scleral buckle does not influence VA outcome despite had been used in more severe cases.