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Outcomes of delayed vitrectomy in open-globe injuries in young patients

Maria T Sandinha1, William Newman, David Wong

  • 1Vitreoretinal Service, St. Paul's Eye Department, Royal Liverpool University Hospital, Liverpool, UK. teresa_sandinha@robinsonlloyd.com

Retina (Philadelphia, Pa.)
|March 2, 2011
PubMed

Insights

A delayed vitrectomy approach for severe penetrating eye injuries in young patients is safe and effective. This strategy can lead to good visual outcomes, with most patients achieving significant vision improvement.

Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Trauma Care

Background:

  • The optimal timing for vitrectomy in severe penetrating eye injuries, especially in pediatric and young adult populations, is debated.
  • Delayed surgical intervention is a less explored approach for these cases.

Purpose of the Study:

  • To evaluate the outcomes of a delayed posterior vitrectomy approach in young patients (up to 29 years) with severe penetrating eye injuries.
  • To assess the visual prognosis following delayed surgical intervention.

Main Methods:

  • A noncomparative interventional study involving six patients (seven eyes) who underwent posterior vitrectomy.
  • Vitrectomy was performed due to hemophthalmos, with a mean delay of 49 days after posterior vitreous detachment confirmation via ultrasound.

Main Results:

  • A mean follow-up of 22 months was recorded.
  • 85.7% of patients achieved a visual acuity of 6/12 or better, with 57.1% reaching 6/6.
  • One patient developed retinal detachment; two required secondary lens implants.

Conclusions:

  • A delayed surgical approach for penetrating eye injuries in young patients is a viable option.
  • This strategy is compatible with favorable visual prognoses in this demographic.
Abstract

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