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Prophylactic chorioretinectomy in deadly weapon-related open globe injuries
Yağmur Seda Yeşiltaş1, Ali Hakan Durukan1
1Department of Ophthalmology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara-Türkiye.
Summary
Pars plana vitrectomy with prophylactic chorioretinectomy is effective for deadly weapon-related open globe injuries. This treatment improves vision and globe survival while preventing proliferative vitreoretinopathy.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Retinal Surgery
Background:
- Deadly weapon-related open globe injuries (DWOGIs) represent a severe form of ocular trauma.
- Effective management strategies are crucial for preserving vision and ocular integrity in these patients.
Purpose of the Study:
- To evaluate the anatomical and functional outcomes of pars plana vitrectomy (PPV) combined with prophylactic chorioretinectomy (CR).
- To assess the efficacy of this combined approach in patients with DWOGIs.
Main Methods:
- Retrospective review of medical records for patients with DWOGIs treated with PPV and prophylactic CR.
- Evaluation of demographic data, injury characteristics, visual acuity (BCVA), proliferative vitreoretinopathy (PVR) rates, anatomical success, and globe survival.
- Analysis included data from November 2016 to October 2024.
Main Results:
- 41 eyes from 35 patients with DWOGIs were analyzed.
- Initial BCVA was poor (mean 2.62 logMAR), with 90.2% between light perception and counting fingers.
- At mean follow-up of 32.8 months, final BCVA improved significantly (mean 1.18 logMAR), with 68.3% achieving ≥20/200; PVR rate was 14.6%, anatomical success 85.4%, and globe survival 87.8%.
Conclusions:
- Pars plana vitrectomy (PPV) combined with prophylactic chorioretinectomy (CR) is an effective treatment for deadly weapon-related open globe injuries (DWOGIs).
- This approach leads to significant visual improvement, high anatomical success, and favorable globe survival.
- Prophylactic CR helps prevent proliferative vitreoretinopathy development in severe ocular trauma cases.
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