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Updated: Jan 19, 2026

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Visual Outcomes after Primary Vitrectomy in Open Globe Trauma.

Sara Margarita Pérez-Pérez1, Gabriela Escobar Zuluaga2, Valentina Cárdenas Arias2

  • 1Unidad de Oftalmología, Hospital Universitario San Ignacio, Bogotá, Colombia, saraperez@javeriana.edu.co.

Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
|January 17, 2026
PubMed
Summary
This summary is machine-generated.

Early vitrectomy within four days significantly improves visual outcomes for severe open ocular trauma patients, especially those with Ocular Trauma Score 2. This timely intervention enhances both functional and anatomical results without increasing complications.

Keywords:
Birmingham Eye Trauma TerminologyOcular Trauma ScoreOcular traumaPrimary vitrectomy

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Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Open ocular trauma presents significant visual morbidity.
  • Timely surgical intervention is crucial for optimizing outcomes in severe eye injuries.

Purpose of the Study:

  • To evaluate the effect of early vitrectomy on visual outcomes one month post-surgery in open ocular trauma.
  • To compare early (within 4 days) versus delayed (after 4 days) surgical timing.

Main Methods:

  • Historical cohort study of 180 eyes undergoing primary vitrectomy (2017-2023).
  • Utilized Birmingham Eye Trauma Terminology and Ocular Trauma Score (OTS) for injury grading.
  • Visual acuity measured using logMAR scale; analyzed with linear mixed-effects models.

Main Results:

  • Early vitrectomy (within 4 days) showed significantly better visual outcomes for OTS 2 injuries (p=0.003).
  • No significant difference in complications based on surgical timing.
  • Surgical procedures varied by OTS, including pars plana vitrectomy (PPV) and phacoemulsification (PHACO).

Conclusions:

  • Early vitrectomy appears to improve functional and anatomical outcomes in severe open ocular trauma.
  • Optimal timing for vitrectomy is within four days of injury, particularly for OTS 2 cases.
  • Prompt surgical intervention is key for better visual recovery in traumatic eye injuries.