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Retina Arter Tıkanıklıkları ve Tedavisi...
Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
Central Retinal Artery Occlusion As the Cause of Unilateral Concentric Narrowing of Visual Field and Presence of Cilioretinal Artery...
Bilateral Optic Disc Drusen
Vascular Endothelial Growth Factor and Anti VEGF Agents...
Central Retinal Artery Occlusion As the Cause of Unilateral Concentric Narrowing of Visual Field and Presence of Cilioretinal Artery...
Retina Arter Tıkanıklıkları ve Tedavisi...
Morning Glory Syndrome Associated with Retinochoroidal Coloboma...
Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
Bilateral Optic Disc Drusen
PureSee Kesintisiz Yüksek Kalitede Görüş
Retina-Vitreous 2004 , Vol 12 , Num 3
Turkish Abstract Abstract Article PDF Similar Articles
Vitreoretinal Surgery for Retinal Detachment Secondary to Open Globe Injuries
Ateş YANYALI1, Erkan ÇELİK1, Fetih HOROZOĞLU1, Yeşim ERÇALIK1, Ahmet F. NOHUTÇU1
Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, 1. Göz Kliniği, İstanbul. Purpose: To evaluate the anatomic and visual outcomes of vitreoretinal surgery in the treatment of retinal detachment secondary to open globe injury.

Materials and Methods: In this retrospective study, we evaluated 19 patients (15 men, 4 women) who had retinal detachments secondary to 14 penetrating and 5 perforating trauma. Pars plana vitrectomy, retinal reattachment by perfluorocarbon liquids and internal tamponades were performed in all cases. Additionaly, epiretinal membrane removal in 17 eyes, retinectomy in 6 eyes, intravitreal lens aspiration for dislocated lenses in 4 eyes and lensectomy in 2 eyes were performed. Main outcome measures were, anatomical and functional results and surgical complications.

Results: Mean age of the patients was 32 years (6-75 years) and mean follow-up time was 7.4 months (3-24 months). Preoperative visual acuity was counting fingers at 1 meter or worse in all cases. Total retinal reattachment in 16 eyes (84.2%), macular reattachment with peripheral recurrent detachment in 2 eyes (10.5%) and total recurrent retinal redetachment with severe proliferative vitreoretinopathy in 1 eye (5.26%) were observed after primary and secondary procedures. Postoperative visual acuity was 1/10 or better in 6 eyes (31.6%) and 1/10 or worse in 13 eyes (68.4%). Retinal redetachment in 7 eyes, development of epiretinal membrane in 5 eyes, cataract formation in 4 eyes, silicone oil emulsification in 1 eye and corneal decompansation due to silicone oil in 1 eye were observed as postoperative complications.

Conclusion: Anatomical success can be achieved by vitreoretinal surgery in most cases with retinal detachment secondary to open globe injury; however, visual prognosis remains limited. Keywords : Open globe injury, retinal detachment, pars plana vitrectomy.

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