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21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

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Indications for the encircling buckle (EB) procedure in severe open-globe eye injury (OGI)

Meeting Abstract

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  • Ernest Boiko - St. Petersburg/Russia
  • M. Shishkin - St. Petersburg/Russia
  • V. Dolgih - St. Petersburg/Russia

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. DocISOTRG2008V024

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/rg2008/08rg024.shtml

Published: June 18, 2008

© 2008 Boiko et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Purpose: To define indications for the EB in severe OGI.

Methods: A prospective randomized study was conducted on 138 clinical cases with OGI. All of injured had 5 and more mm wound, involving ciliary body and vitreous loss with vitreous hemorrhage. In 75 of cases EB was applied in primary surgical management of OGI and in 63 EB was not applied. Signs of APVR, retinal detachments (RD) and their recurrences rates just as repeating of surgery (posterior vitrectomy etc) numbers were assessed in 1 year post-op period.

Results: APVR signs have developed in 38, 1% cases in group with EB and in 84, 4% cases without EB (p<0,001). In 3 – 12 months period retinal detachment development and APVR recurrence rates have occurred in 37, 3% in group with EB in comparison with 53,9% in group without EB (p<0,01). Repeated surgeries counting on one patient required 1,9 times less than in group without EB (22,8% and 44,4% correspondently). Retinal detachment recurrence rate in group with EB have appeared in 23,1% in comparison with 35,0% of cases in group without EB (p<0,01).

Conclusion: EB application is strongly recommended in primary or deferred surgical care of OGI with high-risk of APVR development and retinal detachment (corneoscleral or scleral wound > 5 mm with ciliary body involvement, with marked vitreous loss and vitreous hemorrhage).