Outcomes Following Pars Plana Vitrectomy for Severe Ocular Trauma
Abstract Purpose: To investigate outcomes and presenting characteristics for subjects undergoing pars plana vitrectomy for ocular trauma. Methods: Retrospective study of 113 patients who underwent pars plana vitrectomy for severe ocular trauma at [name deleted to maintain the integrity of the review...
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Knowledge E
2021-07-01
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Series: | Journal of Ophthalmic & Vision Research |
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Online Access: | https://doi.org/10.18502/jovr.v16i3.9449 |
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author | Natalia K. Bober Neruban Kumaran Tom H. Williamson |
author_facet | Natalia K. Bober Neruban Kumaran Tom H. Williamson |
author_sort | Natalia K. Bober |
collection | DOAJ |
description | Abstract Purpose: To investigate outcomes and presenting characteristics for subjects undergoing pars plana vitrectomy for ocular trauma. Methods: Retrospective study of 113 patients who underwent pars plana vitrectomy for severe ocular trauma at [name deleted to maintain the integrity of the review process] between 1999 and 2018. Data were collected on age, gender, initial and final visual acuity (LogMAR), mode of injury, type of injury, number of surgeries performed, follow-up duration, type of tamponade, presence of phthisis, and retinal detachment. The Birmingham Eye Trauma Terminology System (BETTS) was employed. Results: We identified assault and contusion injuries to be the most common mode and type of ocular injury in our cohort. Furthermore, through follow-up we noted a varied number of operations required by patients presenting with ocular trauma and a statistically significant improvement in visual acuity from 1.73 ( ± 0.86) LogMAR to 1.17 ( ± 1.03; p < 0.01) LogMAR. A statistically significant difference in final visual acuity was also noted between BETTS classified type of injury groups (p < 0.01). Notably, only 7.3% and 8.2% of patients developed phthisis or a persisting retinal detachment, respectively, during follow-up. Conclusion: Our study demonstrates that ocular trauma requiring pars plana vitrectomy can require a varied number of operations with a guarded visual prognosis. However, a small percentage will proceed to develop phthisis following intervention. |
format | Article |
id | doaj-art-0d16fd7fafae4e3e8e1602a36987030a |
institution | Kabale University |
issn | 2008-2010 2008-322X |
language | English |
publishDate | 2021-07-01 |
publisher | Knowledge E |
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series | Journal of Ophthalmic & Vision Research |
spelling | doaj-art-0d16fd7fafae4e3e8e1602a36987030a2025-01-13T10:02:34ZengKnowledge EJournal of Ophthalmic & Vision Research2008-20102008-322X2021-07-0116340841410.18502/jovr.v16i3.9449jovr.v16i3.9449Outcomes Following Pars Plana Vitrectomy for Severe Ocular TraumaNatalia K. Bober0Neruban Kumaran1Tom H. Williamson2 St Thomas’ Hospital, London, UK St Thomas’ Hospital, London, UK St Thomas’ Hospital, London, UKAbstract Purpose: To investigate outcomes and presenting characteristics for subjects undergoing pars plana vitrectomy for ocular trauma. Methods: Retrospective study of 113 patients who underwent pars plana vitrectomy for severe ocular trauma at [name deleted to maintain the integrity of the review process] between 1999 and 2018. Data were collected on age, gender, initial and final visual acuity (LogMAR), mode of injury, type of injury, number of surgeries performed, follow-up duration, type of tamponade, presence of phthisis, and retinal detachment. The Birmingham Eye Trauma Terminology System (BETTS) was employed. Results: We identified assault and contusion injuries to be the most common mode and type of ocular injury in our cohort. Furthermore, through follow-up we noted a varied number of operations required by patients presenting with ocular trauma and a statistically significant improvement in visual acuity from 1.73 ( ± 0.86) LogMAR to 1.17 ( ± 1.03; p < 0.01) LogMAR. A statistically significant difference in final visual acuity was also noted between BETTS classified type of injury groups (p < 0.01). Notably, only 7.3% and 8.2% of patients developed phthisis or a persisting retinal detachment, respectively, during follow-up. Conclusion: Our study demonstrates that ocular trauma requiring pars plana vitrectomy can require a varied number of operations with a guarded visual prognosis. However, a small percentage will proceed to develop phthisis following intervention.https://doi.org/10.18502/jovr.v16i3.9449ocular traumavisual outcomevitrectomy |
spellingShingle | Natalia K. Bober Neruban Kumaran Tom H. Williamson Outcomes Following Pars Plana Vitrectomy for Severe Ocular Trauma Journal of Ophthalmic & Vision Research ocular trauma visual outcome vitrectomy |
title | Outcomes Following Pars Plana Vitrectomy for Severe Ocular Trauma |
title_full | Outcomes Following Pars Plana Vitrectomy for Severe Ocular Trauma |
title_fullStr | Outcomes Following Pars Plana Vitrectomy for Severe Ocular Trauma |
title_full_unstemmed | Outcomes Following Pars Plana Vitrectomy for Severe Ocular Trauma |
title_short | Outcomes Following Pars Plana Vitrectomy for Severe Ocular Trauma |
title_sort | outcomes following pars plana vitrectomy for severe ocular trauma |
topic | ocular trauma visual outcome vitrectomy |
url | https://doi.org/10.18502/jovr.v16i3.9449 |
work_keys_str_mv | AT nataliakbober outcomesfollowingparsplanavitrectomyforsevereoculartrauma AT nerubankumaran outcomesfollowingparsplanavitrectomyforsevereoculartrauma AT tomhwilliamson outcomesfollowingparsplanavitrectomyforsevereoculartrauma |