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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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The outcome of primary repair with early vitrectomy in posterior segment ocular trauma

Meeting Abstract

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  • Jost Hillenkamp - Kiel/Germany
  • A. Nashed - Regensburg/Germany
  • P. Saikia - Regensburg/Germany
  • V.P. Gabel - Regensburg/Germany
  • H. Helbig - Regensburg/Germany

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. DocISOTRG2008V037

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/rg2008/08rg037.shtml

Published: June 18, 2008

© 2008 Hillenkamp et al.
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Outline

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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.