Chorioretinectomy for perforating eye injuries.

Area of Science:

• Ophthalmology
• Retinal Surgery
• Traumatic Eye Injury

Background:

• Severe ocular injuries from intraocular foreign bodies pose significant challenges to vision preservation.
• Penetration of the choroid or globe necessitates advanced surgical interventions.

Purpose of the Study:

• To evaluate the outcomes of chorioretinectomy in patients with severe ocular injuries caused by intraocular foreign bodies.
• To assess the efficacy of this surgical approach in improving visual acuity and globe survival.

Main Methods:

• Retrospective, non-comparative interventional case series of 13 patients with severe intraocular foreign body injuries.
• All patients underwent 20-gauge three-port pars plana vitrectomy (PPV) with chorioretinectomy.
• Outcomes assessed included best-corrected visual acuity (BCVA), globe survival, retinal detachment, and proliferative vitreoretinopathy.

Main Results:

• 100% globe survival rate (13/13 eyes) and 84.6% retinal attachment rate (11/13 eyes) were observed.
• Final BCVA ≥20/200 was achieved in 30.76% (4/13) of patients.
• Proliferative vitreoretinopathy occurred in 15.3% (2/13) of cases.

Conclusions:

• Chorioretinectomy is a viable surgical option for severe ocular injuries involving intraocular foreign bodies.
• The procedure demonstrated potential in reducing proliferative vitreoretinopathy and tractional retinal detachment.
• Improved final BCVA and increased globe survival rates were noted post-surgery.