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Visual and Anatomic Outcomes in Perforating Ocular Injuries.
Levi N Kanu1, Yi Jiang1, Alvaro Fernandez-Vega Gonzalez1
1Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, USA.
Journal of Vitreoretinal Diseases
|November 20, 2019
Summary
This study on perforating ocular injuries found successful anatomic outcomes in all patients. Visual results varied, with missile injuries having a worse prognosis than non-missile cases.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Retinal Surgery
Background:
- Perforating ocular injuries are severe trauma with variable prognoses.
- Management requires prompt surgical intervention to preserve ocular integrity.
Purpose of the Study:
- To report the presentation, management, and outcomes of patients with perforating ocular injuries.
- To evaluate the effectiveness of pars plana vitrectomy in managing these injuries.
Main Methods:
- Retrospective review of 6 patients with perforating ocular injuries treated between 2009 and 2017.
- Surgical intervention by a single vitreoretinal surgeon.
- Pars plana vitrectomy with endolaser for wound management.
Main Results:
- All 6 patients achieved full anatomic attachment post-surgery.
- Visual acuity outcomes ranged widely (20/25 to counting fingers).
- Missile injuries correlated with poorer visual outcomes; non-missile macula-involving cases had favorable results.
Conclusions:
- Successful anatomic outcomes are achievable in perforating ocular injuries.
- Visual prognosis is variable, influenced by injury type (missile vs. non-missile).
- Favorable results can be obtained in select cases despite generally guarded prognoses.
