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. 2023 Aug 31;9(1):52.
doi: 10.1186/s40942-023-00492-7.

Long-term functional and structural outcomes after large chorioretinectomy for ruptured globe following blunt trauma

Marco Mura  1   2   3 , Danilo Iannetta  4 , Marco Pellegrini  5 , Leonore A Engelbrecht  6 , Laura Sarti  5 , Francesco Parmeggiani  5 , Abdulrahman Badawi  6 , Hassan Dhibi  6 , Sulaiman Al Sulaiman  6
Affiliations

Long-term functional and structural outcomes after large chorioretinectomy for ruptured globe following blunt trauma

Marco Mura et al. Int J Retina Vitreous. .

Abstract

Background: The purpose of this study was to present a modified surgical technique involving pars plana vitrectomy with large chorioretinectomy for eyes with rupture of the globe due to severe ocular blunt trauma.

Methods: This retrospective study included consecutive patients with rupture of the globe due to blunt trauma who were treated at the King Khaled Eye Specialist Hospital (Riyadh, Saudi Arabia). All patients underwent 25-gauge pars plana vitrectomy with large chorioretinectomies involving all the tissue around the posterior scleral wounds. Outcome measures included best-corrected visual acuity (BCVA), anatomical success and globe survival, rates of complications.

Results: 15 eyes of 15 patients were included. Mean BCVA was 2.88 ± 0.13 logMAR at presentation, and significantly improved to 0.83 ± 0.28 logMAR (P < 0.001), with 10 patients (67%) achieving a final BCVA ≥ 20/200. Anatomical success and globe survival were achieved in 11 (73%) and 15 (100%) of eyes, respectively. Postoperative complications included retinal detachment in 6 eyes (40%), epiretinal membrane in 6 (40%), hypotony in 4 (26%), PVR in 2 (13%).

Conclusions: Pars plana vitrectomy with large chorioretinectomy is an effective treatment for globe rupture following severe blunt trauma, yielding good visual outcomes and anatomical success rates.

Keywords: Chorioretinectomy; Globe rupture; Ocular trauma; Vitrectomy.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Posterior segment photographs of two representative patients who underwent pars plana vitrectomy with large chorioretinectomy for rupture of the globe due to blunt trauma. A, 12 months after surgery, the retina is attached and a large supero-temporal defect corresponding to the large chorioretinectomy is visible. BCVA was 0.6. B, 12 months after surgery, the retina is attached and a large infero-temporal defect corresponding to the large chorioretinectomy is visible, with an area of proliferative vitreoretinopathy at the edge of the chorioretinectomy (white arrow). BCVA was 0.2
See this image and copyright information in PMC

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References

    1. Ahmadieh H, Soheilian M, Sajjadi H, Azarmina M, Abrishami M. Vitrectomy in ocular trauma. Factors influencing final visual outcome. Retina. 1993;13:107–13. doi: 10.1097/00006982-199313020-00003. - DOI - PubMed
    1. Punnonen E, Laatikainen L. Long-term follow-up and the role of vitrectomy in the treatment of perforating eye injuries without intraocular foreign bodies. Acta Ophthalmol. 1989;67:625–32. doi: 10.1111/j.1755-3768.1989.tb04394.x. - DOI - PubMed
    1. Pellegrini M, Roda M, Di Geronimo N, Lupardi E, Giannaccare G, Schiavi C. Changing trends of ocular trauma in the time of COVID-19 pandemic. Eye (Lond) 2020;34(7):1248–50. doi: 10.1038/s41433-020-0933-x. - DOI - PMC - PubMed
    1. Pieramici DJ, Sternberg PJ, Aaberg S, et al. A system for classifying mechanical injuries of the eye (globe) Am J Ophthalmol. 1997;123(6):820–31. doi: 10.1016/S0002-9394(14)71132-8. - DOI - PubMed
    1. Cardillo JA, Stout JT, LaBree L, et al. Post-traumatic proliferative vitreoretinopathy: the epidemiologic profile, onset, risk factors, and visual outcome. Ophthalmology. 1997;104(7):1166–73. doi: 10.1016/S0161-6420(97)30167-5. - DOI - PubMed