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Small-gauge vitrectomy in traumatic retinal detachment
Rita Ehrlich1, Philip Polkinghorne
1Department of Ophthalmology, University of Auckland, Auckland, New Zealand. ritaehrlich@gmail.com
Purpose:
To report the outcome of retinal detachment surgery following trauma treated with small-gauge vitrectomy.
Design:
Retrospective chart review.
Participants:
Adult patients presenting with a retinal detachment following severe trauma between 2007 and 2009 that underwent vitreoretinal surgery with either 25- or 23-gauge vitrectomy.
Methods:
Data collected included; age, sex, eye, time interval between injury and diagnosis of retinal detachment, anatomical and functional success, complications, and length of follow up.
Main Outcome Measures:
Anatomical and functional outcome.
Results:
Nineteen consecutive adult patients with traumatic retinal detachment were included. The mean age was 51.4 ± 19.3 years; 68.5% were male. Thirteen patients (68.4%) presented with visual acuity of hand movement or worse including six patients with light perception only. Five eyes achieved 6/60 vision or better, and three eyes had visual acuity of 6/12 or better. During the period of follow up six eyes experienced a recurrent retinal detachment.
Conclusion:
Traumatic retinal detachment can be successful managed with small-gauge vitrectomy.
