Clinical charactheristics, prognostic factors and outcome of 23-gauge pars plana vitrectomy in traumatic globe injuries with posterior segment complications

Abstract

INTRODUCTION: We report the clinical characteristics, prognostic factors and surgical outcomes of 23-gauge pars plana vitrectomy in eyes with traumatic posterior segment complications in a tertiary referral eye hospital in Turkey. METHODS: Patients who underwent 23-gauge pars plana vitrectomy for surgical management of traumatic posterior segment complications were retrospectively reviewed. Patients who had at least 1 year of follow-up were included in the study. Ages and genders of the patients, trauma type, and trauma location (indoors vs. outdoors), presence of intraocular foreign body, time from trauma to 23-gauge pars plana vitrectomy, surgical procedure, follow-up time, associated ocular pathologies, presenting and final visual acuities, and postoperative complications were analyzed. RESULTS: Seventy-five eyes of 75 patients were examined. Sixty-nine (92%) of the patients were male. Thirty (40%) patients had closed trauma and 45 (60%) had open globe trauma. Twenty-eight (37%) patients possessed an intraocular foreign body. Postoperative visual acuity was 5/200 or better in 31 (43%) patients and 20/40 or better in 23 (32%) eyes. Functional success was more common among patients with introcular foreign body. Low visual acuity (≤5/200) and choroidal detachment at presentation were associated with less functional success. Anatomical success rate was 75% in patients with retinal detachment. DISCUSSION AND CONCLUSION: Visual loss after ocular trauma is multifactorial, and an individualized approach is needed. Presenting visual acuity is a significant predictor of functional outcomes. Patients with an IOFB have a better prognosis.

Keywords

• ocular trauma
• open globe
• close globe
• intraocular foreign body
• epidemiology
• turkey