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...

Full description

Saved in:
Bibliographic Details
Main Authors: Natalia K. Bober, Neruban Kumaran, Tom H. Williamson
Format: Article
Language:English
Published: Knowledge E 2021-07-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:https://doi.org/10.18502/jovr.v16i3.9449
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841543515885010944
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
record_format Article
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