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

Prophylaxis of proliferative vitreoretinopathy by early vitrectomy in severe ocular trauma: preliminary results of a multicenter prospective study

Meeting Abstract

Suche in Medline nach

  • Wolfgang F. Schrader - Würzburg/Germany
  • D. Pröll - Würzburg/Germany
  • L. Mann - Birmingham/USA
  • F. Kuhn - Birmingham/USA

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. DocISOTRG2008V039b

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Veröffentlicht: 18. Juni 2008

© 2008 Schrader et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Background: In spite of the progress in vitreoretinal surgery, the anatomical and functional results of severe ocular injuries involving the posterior segment are still discouraging. Perforating injuries and ruptures, that extend posterior to the muscle insertions, have the worst outcome. At the time of secondary intervention between day 7 and 14 post trauma it is not unlikely that severe PVR already occurred. The authors present the preliminary results of an ongoing prospective international trial on severe ocular ruptures and perforating injuries (with entrance and exit wounds, with at least one wound behind the insertion of the rectus muscles), with the posterior segment reconstruction performed already within 100 hours following the trauma.

Method: 6 centers contributed to the preliminary results of the ongoing multicenter prospective trial “Proactive Management of Eyes with Perforating/Rupture/IOFB Injuries".

Results: Among the cases, that were contributed for the study, anatomic and functional results seem to be better with this new approach than with the conventional technique. More than 50% of the cases reached a visual acuity of 0.1 or better, none became completely blind (NLP), or developed a phthisis or had to be enucleated.

Conclusion: Based on a new approach to act rather than to react on alterations secondary to severe posterior segment trauma the functional results of these injuries may be further improved. The prospective multicenter multinational study conducted by the World Eye Injury Register will be continued.