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

Pole to pole surgery on an eye with posttraumatic phthisis

Meeting Abstract

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  • Ferenc 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. DocISOTRG2008V080

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

Published: June 18, 2008

© 2008 Kuhn.
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.



Purpose: To demonstrate the possibility and efficacy of comprehensive reconstruction long after trauma in an eye that has become phthisical due to extensive anterior and posterior segment scarring. The presenting visual acuity was bare light perception.

Material and Methods: Combined anterior and posterior segment reconstruction.

Results: Surgery included the following steps: iris diaphragm /pupil reconstruction; ciliary body debulking, including removal of the previously retained posterior capsule; cyclodialysis suturing; vitrectomy with removal of subretinal proliferations; endolaser cerclage; and silicone oil implantation.

Conclusions: Modern vitreoretinal surgery allows reconstruction of eyes that may have seen “lost’ only a few years ago. In this eye, the phthisis process has stopped and has not recurred even after silicone oil removal, and the visual acuity reached 20/30 two years postoperatively.