gms | German Medical Science

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

Management of severe ocular rupture with endophthalmitis with a modified vitrectomy technique using a standard phacoemulsification machine and an external light source

Meeting Abstract

  • Adjoa Frimpong-Boateng - Kiel/Germany
  • S. Fiadoyor - Akosombo/Ghana
  • F. Mensah-Tetteh - Akosombo/Ghana
  • B. Nölle - Kiel/Germany
  • J. Roider - Kiel/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. DocISOTRG2008V078

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Frimpong-Boateng et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: To report the short-term follow-up results of a severe ocular rupture with endopththalmitis which was managed with a modified vitrectomy technique.

Methods: A 41 year old, male Ghanaian sustained blunt ocular rupture on his left eye, from an exploded carbonated drink bottle. The left eye presented a 4mm scleral tear inferiorly. Further findings were a hypopyon, traumatic cataract, and total choroidal detachment. Visual acuity at presentation was counting fingers. The scleral laceration was repaired using 7-0- vicryl suture under an operating microscope. A posterior chamber maintainer was inserted through a slit scleral incision at the one’oclock position and connected to a 500 ml infusion bottle. The anterior vitrectomy probe of a Phacoemulsification machine was inserted through a slit incision at the 10 o’clock position. Using a head-mounted opthalmoscope and a sterlie 20 D condensor lens, vitrectomy was performed. Postoperative Follow up time is 3 months.

Results: One week post -operatively, best corrected visual acuity was 2/6. The anterior segment was quiet with traumatic cataract, the retina completely attached with bright red reflexes and without choroidal detachment. The vitreous was clear. Intra ocular pressure (IOP) was 12 mmHg. Visual acuity and the lens opacity remained stable after 3 months.

Conclusion: Vitrectomy machines are not yet available in many developing countries like Ghana. Some eye centres have quit good phaco machines with standard anterior vitrectomy ports and assessories. The authors describe a simple, yet very effective method to apply the phaco machine to selected cases requiring basic vitrectomy.