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

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“Pole to Pole” surgery in trauma case with min invasive systems and dancer philosophy

Meeting Abstract

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  • Cesare Forlini - Ravenna/Italy
  • P. Rossini - Ravenna/Italy
  • A. Aversano - Ravenna/Italy
  • M. Forlini - Modena/Italy

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. DocISOTRG2008V079

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/rg2008/08rg080.shtml

Published: June 18, 2008

© 2008 Forlini 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 evalute and present the surgical strategy of “pole to pole” reconstruction in trauma cases.

Methods: We present several examples of corneal leucoma, IOL implant, iris damages and vitreoretinal diseases in previous trauma cases treated with a “pole to pole” surgical reconstruction. In these cases a combined 25 gauge anterior infusion, a temporary keratoprosthesis, and 23 gauge pars plana vitrectomy iris surgery and IOL implant are used.

Results: An high percent of these cases are treated to obtain an anatomical recovery, while the functional will be very poor. Using mini-invasive 25/23 gauge systems help to move into the closed spaces of traumatized eyes, to reduce the post-operative inflammation and to obtain a quicker recovery.

Conclusions: In case of eye injuries where it is necessary to develop a global strategy, according to a strategically planned approach, it is important that the surgeon is able to manage the entire procedure according to a bidirectional and not monodirectional model, that is “dancing” inside the eye, moving from the anterior to the posterior segment. The mini-invasive surgery helps the surgeron in this field as much as possible the case to treat is severe.