Abstract:Ocular trauma may either be closed globe or open globe. Open globe injuries are full-thickness defects of the eyewall and are often differentiated by the mechanisms of injury from which they are caused: sharp or blunt trauma. They are ocular emergencies and can lead to substantial visual morbidity. Without timely intervention, damage is irreversible and leads to permanent vision loss. The goals of evaluation are to identify the mechanism of injury, characterize the extent of injury, and gather relevant history… Show more
“…Intraocular pressure is one of the important factors to maintain the homeostasis of the eye. Severe ocular trauma may result in damage to the iris and the ciliary body or loss of ocular contents due to a ruptured globe, affecting intraocular pressure [17] . In our research, we found the intraocular pressure of 91.8% of patients remained in the normal range after the operation.…”
Objectives: Explore the feasibility and safety of using foldable capsular vitreous body (FCVB) in managing severe ocular trauma and silicone oil-dependent eyes.
Methodology: This is a retrospective study that analyzed 61 ocular trauma patients (61 eyes) that were presented to the Department of Eye Emergency, Hebei Eye Hospital from May 1, 2018, to May 31, 2019, which included 51 male patients (51 eyes) and 10 female patients (10 eyes) with an average age of (44.98 ±14.60) years old. The oldest patient was 75 years old and the youngest was 8 years old. These cases represented 51 eyes with severe eyeball rupture and 10 eyes with severe, complicated ocular trauma, which became silicone oil-dependent after the operation. These patients received FCVB implants and their visual acuity, intraocular pressure, and the changes on their eye axis, cornea, retina, and the state of FCVB were recorded after the operation.
Results: The operations were successful for all patients and the implants were in the correct positions upon the completion of the operation. All 61 patients cleared a follow-up window of 1-6 months with no reports of significant changes in their visual acuity. Among the patients, 91.8% reported normal intraocular pressure, the retinal reattachment rate reached 100%, and the eyeball atrophy control rate reached 100%. There was no report of rupture of the FCVB allergies to silicone, intraocular infection, intraocular hemorrhage, silicone oil emulsification, or sympathetic ophthalmia.
Conclusions: Foldable capsular vitreous bodies (FCVBs) designed to mimic natural vitreous bodies are suitable as long-term ocular implants that can provide sustained support for the retina without the need for any special postoperative postures. Their barrier function may effectively prolong the retention time of the filling medium and prevent various complications caused by direct contact of the eye tissues with the filling medium.
“…Intraocular pressure is one of the important factors to maintain the homeostasis of the eye. Severe ocular trauma may result in damage to the iris and the ciliary body or loss of ocular contents due to a ruptured globe, affecting intraocular pressure [17] . In our research, we found the intraocular pressure of 91.8% of patients remained in the normal range after the operation.…”
Objectives: Explore the feasibility and safety of using foldable capsular vitreous body (FCVB) in managing severe ocular trauma and silicone oil-dependent eyes.
Methodology: This is a retrospective study that analyzed 61 ocular trauma patients (61 eyes) that were presented to the Department of Eye Emergency, Hebei Eye Hospital from May 1, 2018, to May 31, 2019, which included 51 male patients (51 eyes) and 10 female patients (10 eyes) with an average age of (44.98 ±14.60) years old. The oldest patient was 75 years old and the youngest was 8 years old. These cases represented 51 eyes with severe eyeball rupture and 10 eyes with severe, complicated ocular trauma, which became silicone oil-dependent after the operation. These patients received FCVB implants and their visual acuity, intraocular pressure, and the changes on their eye axis, cornea, retina, and the state of FCVB were recorded after the operation.
Results: The operations were successful for all patients and the implants were in the correct positions upon the completion of the operation. All 61 patients cleared a follow-up window of 1-6 months with no reports of significant changes in their visual acuity. Among the patients, 91.8% reported normal intraocular pressure, the retinal reattachment rate reached 100%, and the eyeball atrophy control rate reached 100%. There was no report of rupture of the FCVB allergies to silicone, intraocular infection, intraocular hemorrhage, silicone oil emulsification, or sympathetic ophthalmia.
Conclusions: Foldable capsular vitreous bodies (FCVBs) designed to mimic natural vitreous bodies are suitable as long-term ocular implants that can provide sustained support for the retina without the need for any special postoperative postures. Their barrier function may effectively prolong the retention time of the filling medium and prevent various complications caused by direct contact of the eye tissues with the filling medium.
“…40,42 Given these drawbacks of cyanoacrylate glue, it should be reserved for cases when suturing fails to create a watertight wound, which is often encountered with stellate corneal wounds that have poor tissue apposition. 3,43 When applied, care should be taken to only apply glue to the laceration edges, and once polymerization is complete, a Seidel test should be performed to confirm adequate sealing. Finally, a soft BCL is applied in all cases of cyanoacrylate glue use to avoid irritation and decrease the chance of glue dislodgment.…”
Section: Alternative Methods Of Globe Closure: Contact Lenses and Ocu...mentioning
confidence: 99%
“…Absorbable Vicryl sutures are sometimes used instead of Nylon in patients where suture removal without sedation is difficult, such as in children or individuals with intellectual disabilities. 3 Conjunctiva is most often closed with absorbable 8-0 Vicryl sutures. While in general, we do not advise repairing wounds that extend past the muscle insertions, for the rare open globe injuries that require removing and/or reattaching extraocular muscles, 6-0 Vicryl on a spatulated needle is most often used for muscle imbrication and reattachment.…”
Section: Suturesmentioning
confidence: 99%
“…While in general, we do not advise repairing wounds that extend past the muscle insertions, for the rare open globe injuries that require removing and/or reattaching extraocular muscles, 6-0 Vicryl on a spatulated needle is most often used for muscle imbrication and reattachment. Although a detailed review of open globe repair is beyond the scope of this review and can be found elsewhere, 3,4 the following general suturing principles apply. 10-0 sutures should be used for cornea, 9-0 sutures should be used for limbus, and 8-0 sutures should be used for sclera.…”
Section: Suturesmentioning
confidence: 99%
“…Although each case is different, approximation of the limbus is the first step for cases involving zone 1, as this helps to restore normal anatomy and position the 2 sides of the corneal wound in correct alignment, especially when there is significant disorganization from the injury. 3 After the limbus is aligned, close Zone 1, followed by Zone 3. Zone 1 wounds should be sequentially bisected with interrupted sutures, and suturing in the central visual axis should be avoided if possible.…”
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