2Süleyman Demirel Üniversitesi Göz Hastalıkları ABD., Isparta Purpose: To investigate the effect of vitreoretinal surgery after ocular trauma on visual acuity and the factors effecting prognosis.
Materials and Methods: Thirtyfour eyes of 33 patients having vitreoretinal surgery for ocular trauma between March 2000 and June 2004 were included in this study. Records of patients were reviewed for type of insult, prognostic factors, functional and anatomic success.
Results: Closed globe injuries were observed in 15 patients, open globe injuries were observed in 19 patients. Two cases of open globe injuries were rupture, 13 of them were with intraocular foreign body, 4 of them were mixed typies. Close globe injuries were in contusion type. The interval between trauma and vitreoretinal surgery ranged from 24 hours to 2 months. Visual acuity was increased in 23 patients, decreased in 3 patients and did not change in 2 patients after vitreoretinal surgery. The ambulatory vision (2 cfp and upper) was 90% in patients who interfered in first 72 hours and 52% in patients who interfered after 72 hours. In our study functional success was 65% and anatomic success was 82%.
Conclusion: Patients having early vitreoretinal surgery have better functional and anatomic success. Retinal detachment is the most negative prognostic factor.
Keywords : Vitreoretinal surgery, visual prognosis, trauma, retinal detachment