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 Vol 7: Vitrectomy in double-perforation gunshot injury.


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This article is from Clinical Ophthalmology Auckland, N.Z., volume 7.AbstractObjective: This study sought to evaluate the result of pars plana vitrectomy in patients with gunshot wounds involving double perforation. Methods: This was a retrospective, noncomparative, interventional case series. Results: Eighteen patients 18 eyes with double-perforation gunshot injuries were treated from February 2010 to March 2012. The group included 16 men 88% and two women 11%; the mean age was 24 15–33 years. In each case, vitrectomy was scheduled 1–6 weeks after repair of the entrance site. Associated retinal detachments were observed in two eyes 11%, retinal incarceration was observed surrounding the exit site in three eyes 16%, and retention of an intraocular foreign body was observed in two cases. After a follow-up period of 8 ± 2 months, two eyes 11% had achieved visual acuity VA of 0.5, nine eyes 50% had achieved VA between 0.5 and 0.1, and seven eyes 38% had achieved VA between 0.1 and hand movement. The main reasons for functional failure VA 0.1 to hand movement were macular dragging due to fibrosis at the exit site near the macula in seven cases 38%, submacular hemorrhage in four cases 22%, and epimacular fibrosis in five cases 27%. All cases developed postoperative exotropia. One case 5% developed postoperative hemorrhage. No cases exhibited signs of postoperative redetachment. Conclusion: The outcome of pars plana vitrectomy in cases with double perforations is variable. Factors including the surgeon’s skill level, the time to surgery, and the efficacy of the intraocular tamponade affect the postoperative outcome.



Autor: Mohamed, Ahmed Abd El Alim

Fuente: https://archive.org/







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