Rita Ehrlich1, Philip Polkinghorne. 1. Department of Ophthalmology, University of Auckland, Auckland, New Zealand. ritaehrlich@gmail.com
Abstract
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.
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.