Chorioretinectomy for perforating eye injuries

Özdek, Şengül; Hasanreisoğlu, Murat; Yüksel, Erdem

doi:10.1038/eye.2013.18

Cited by 27 publications

(28 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The chorioretinectomy procedure allows ‘healthy' retina and choroid tissue to remain apart from the source of proliferative elements at the perforation site. As in the series of Ozdek et al [37], the rate of PVR in this study was dramatically reduced when this procedure could be accomplished. Only 1 of 8 eyes with a complete chorioretinectomy developed PVR.…”

Section: Discussionsupporting

confidence: 65%

Outcome of Vitrectomy and Chorioretinectomy in Perforating Eye Injuries

et al. 2015

View full text Add to dashboard Cite

Purpose: To evaluate the anatomical and functional results of patients who underwent pars plana vitrectomy for perforating eye injuries as well as to analyze the benefit of the chorioretinectomy procedure. Methods: Retrospective and descriptive study of 24 eyes of 22 patients with perforating eye injuries operated on at the Centro Hospitalar do Porto between January 2006 and December 2012. Results: An early vitrectomy was accomplished in 67% of the eyes and a delayed vitrectomy in 33% of the eyes. A concomitant chorioretinectomy was carried out in 78%. Final proliferative vitreoretinopathy (PVR) was found in 11%. The anatomical success was 83%. At the final follow-up, 78% had best-corrected visual acuity equal to or superior to 5/200. Of the eyes that underwent early vitrectomy, 58% regained a visual acuity of 40/200 or better, versus 17% of the cases that underwent delayed vitrectomy. Conclusion: Early vitrectomy with prophylactic chorioretinectomy seems to be an effective approach to prevent PVR and improve the visual outcome and globe survival in perforating injuries.

show abstract

Section: Discussionsupporting

confidence: 65%

Outcome of Vitrectomy and Chorioretinectomy in Perforating Eye Injuries

et al. 2015

View full text Add to dashboard Cite

show abstract

“…As in previously published studies concerning PCR (Ozdek et al, 2013, Ferreira et al, 2015, the rate of PVR development was low in our series, seen in 16% of the injured eyes (as opposed to the expected >60% reported in the literature) and requiring multiple reoperations. However, in no eye did the PVR originate from the treatment (PCR) site, but from elsewhere in the vitreous cavity.…”

Section: Yesmentioning

confidence: 46%

“…Ozdek et al (2013) and Ferreira et al (2015) have confirmed the benefit of this proactive surgical technique performed during the "acute" (the primary surgery) or "subacute" (within the first 100 hr) stage; in this article we present our own results from early PCR to prevent PVR in the severely injured eye.…”

Section: Introductionmentioning

confidence: 76%

Prophylactic chorioretinectomy for eye injuries with high proliferative‐vitreoretinopathy risk

Kuhn

Schrader

2017

Clinical Anatomy

View full text Add to dashboard Cite

With its incidence exceeding 60%, proliferative vitreoretinopathy (PVR) remains the most important pathology responsible for loss of vision, even the eyeball, after certain types of severe trauma. In this article, we present results obtained using our novel surgical technique, prophylactic chorioretinectomy (PCR), to prevent the development of PVR. Data on severely injured eyes at high risk for PVR [rupture, posterior laceration, deep-impact intraocular foreign body (IOFB) trauma, perforating injury] were collected prospectively. All eyes underwent vitrectomy (PPV) by PCR within 100 hr of the trauma. Eyes were excluded if they presented with endophthalmitis or if the reconstructive surgery was performed outside this time frame. Forty eyes of 40 consecutive patients were analyzed; full follow-up information was obtained for all of them. The injury was rupture in 27%, penetrating in 15%, (deep-impact) IOFB in 35%, and perforating in 23%. PPV-PCR was performed during primary (wound closure) surgery in 59% of cases. All eyes had at least minimal vitreous hemorrhage, and none had a true posterior vitreous detachment. At the time of PPV, 30% of the eyes had a retinal detachment. Sixteen percent developed PVR, but none from the site of the PCR procedure. In 20%, silicone oil remained in the eye at the last follow-up. The visual acuity improved in 93% of eyes and worsened in none; the improvement was mostly due to surgical clearing of the media opacity. In this subgroup of eyes with severe open-globe trauma, over 60% are expected to develop PVR. PPV/PCR performed within 100 hr reduced the PVR risk significantly, so currently it remains the best option for the surgeon. Clin.

show abstract

“…PVR rates were 62% (8 out of 13 eyes) in the chorioretinectomy group and 74% (14 out of 19 eyes) in the nonchorioretinectomy group. In the study by Ozdek et al [9], the PVR rate was 2 out of 13 patients (15.3%) when the procedure could be accomplished. In 2015, Ferreira et al [10] reported a PVR rate of only 7% in the subgroup of patients with a perforating globe injury that underwent a prophylactic chorioretinectomy.…”

Section: Discussionmentioning

confidence: 99%

“…The first published results using this new technique showed a PVR reduction from > 60 to < 10% [7]. Subsequently, other series also reported better visual outcomes and smaller PVR rates with this procedure [8][9][10]. The purpose of this study was to analyze the results achieved following vitrectomy and chorioretinectomy in eyes with perforating and deepimpact IOFB injuries.…”

Section: Introductionmentioning

confidence: 99%

Prophylactic Chorioretinectomy in Open Ocular Trauma: A Series of 36 Eyes

Monteiro¹,

Meireles²

2018

Ophthalmologica

View full text Add to dashboard Cite

Purpose: The aim of this paper was to report the outcomes of prophylactic chorioretinectomy in open-globe injuries where a foreign body penetrated the choroid or perforated the globe. Methods: We conducted a retrospective, consecutive, noncomparative, and descriptive study of patients registered in the ocular trauma database between January 2006 and December 2014, who underwent vitrectomy with chorioretinectomy. Results: Thirty-six patients (33 male, 3 female) with a mean age of 40 years and a median of follow-up of 13 months were included. Twenty-one cases had penetrating globe injuries with an intraocular foreign body and 15 cases had perforating globe injuries. A concomitant chorioretinectomy was performed in all eyes, although it was only partial in 8 eyes. At the end of follow-up, proliferative vitreoretinopathy (PVR) rates were 6.5%, anatomical success was 80.6%, and the globe survival rate was 96.8%. Conclusion: Prophylactic chorioretinectomy is a surgical procedure that may decrease posttraumatic PVR, thus improving final visual acuity and increasing globe survival rates.

show abstract

Chorioretinectomy for perforating eye injuries

Cited by 27 publications

References 20 publications

Outcome of Vitrectomy and Chorioretinectomy in Perforating Eye Injuries

Outcome of Vitrectomy and Chorioretinectomy in Perforating Eye Injuries

Prophylactic chorioretinectomy for eye injuries with high proliferative‐vitreoretinopathy risk

Prophylactic Chorioretinectomy in Open Ocular Trauma: A Series of 36 Eyes

Contact Info

Product

Resources

About