Vitrectomy for Ocular Trauma: A Question of Timing?

Dalma-Weiszhausz, José; Quiroz‐Mercado, Hugo; Morales-Cantón, Virgilio; Oliver-Fernandez, K.; Anda-Turati, Maribel De

doi:10.1177/112067219600600421

Cited by 20 publications

(7 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…수상 기전, 13,[15][16][17][18][19][20][21][22] 초진시력, [12][13][14][15][17][18][19][23][24][25][26][27][28] 상대구심성 동공운동장애의 유무, 15,29 수상의 크기와 범위, 15,16,23,24,26,30,31 수정체의 손상, 14,15,19,23 전방출혈, 23 유리체 출혈, 15,17,19,22,23 망막박리, 17,26…”

unclassified

The Statistical Observation of Ocular Injury in the Military

Lee

Jeong

et al. 2013

J Korean Ophthalmol Soc

View full text Add to dashboard Cite

show abstract

unclassified

The Statistical Observation of Ocular Injury in the Military

Lee

Jeong

et al. 2013

J Korean Ophthalmol Soc

View full text Add to dashboard Cite

show abstract

“…Despite progress made in surgical techniques, pharmacological adjuncts, and preventive measurements, the clinical outcome remains unsatisfactory. Especially, The timing of vitrectomy for ocular trauma has remained highly controversial for decades 1–5 . Numerous patients miss the best opportunity to regain their sight or even anatomically lose their eyeballs (phthisis, enucleation, evisceration).…”

Section: Discussionmentioning

confidence: 99%

“…Vitrectomy at the correct timing not only reduces the incidence of tPVR but also significantly improves the efficacy and prognosis. But the timing of vitrectomy has remained highly controversial for decades 1–5 . The main reason for this long-standing controversy is that trauma cases are different from each other, and it is impossible for us to provide a unified surgical timing for various eye injuries.…”

Section: Introductionmentioning

confidence: 99%

The Vitrectomy Timing Individualization System for Ocular Trauma (VTISOT)

Han

Jia

Fan

et al. 2019

Sci Rep

View full text Add to dashboard Cite

Ocular trauma is a major cause of monocular blindness worldwide. Vitrectomy at correct timing can significantly improve the efficacy and prognosis, but the timing of vitrectomy has remained highly controversial for decades. Trauma cases are different from each other, thus, a flexible timing system based on the details of each individual case is recommended. Unfortunately, no such a timing system is available for clinical application up to now. To establish the vitrectomy timing individualization system for ocular trauma (VTISOT), we first identified 6 independent tPVR risk factors (including Zone 3 Injury, Zone 3 retinal Laceration, Massive Vitreous Hemorrhage, Retinal Disorder, Timing of Vitrectomy and Type of Injury) by retrospective study. Then, the tPVR score was established by binary logistic regression analysis. Most importantly and critically, the vitrectomy timing individualization system for ocular trauma was established based on the identified tPVR risk factors and the tPVR score. The following evaluation of the VTISOT showed that the patients consistent with the VTISOT principles exhibited reduced tPVR incidence and better surgical results. In short, the VTISOT principles were established, which may provide a new approach to individualize the timing of vitrectomy and improve the prognosis after trauma.

show abstract

“…57 Ryan and Allen advocated for vitrectomy 4 to 10 days after the original injury and repair on the basis of both their animal model of tractional retinal detachment and their surgical experience with 100 openglobe patients, 41 of whom had retinal detachments. 51,61 ' Prophylaxis Against Retinal Detachment After In the aforementioned rhesus monkey model of tractional retinal detachment, vitrectomy at 1 and 14 days prevented retinal detachment better than vitrectomy at 70 days.…”

Section: ' Timing Of Vitrectomy After Open-globe Injurymentioning

confidence: 99%

Retinal Detachment After Open-globe Injury

Chee¹,

Patel²,

Vavvas³

2013

International Ophthalmology Clinics

View full text Add to dashboard Cite

Open-globe injuries are a major cause of vision loss worldwide, with over 200,000 such injuries occurring each year. 1 Defined as any fullthickness wound of the eye wall, open-globe injuries can result in significant damage to the anterior and posterior segments of the eye and necessitate multiple surgical interventions over the course of years. 2,3 Although visual outcomes with surgical repair of open globes have improved over the past several decades, many severely damaged eyes continue to have poor visual potential. 4 Multiple predictors of visual outcome after open-globe injury have been identified, including the presence of relative afferent pupillary defect, preoperative visual acuity (VA), mechanism of injury, location of rupture site, and retinal detachment. [5][6][7][8][9][10][11][12][13][14][15][16] Many studies have demonstrated that retinal detachment both at the time of initial presentation and in the postoperative course after open-globe repair is associated with poor vision, phthisis, and enucleation. 3,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] This review will examine the pathogenesis, incidence, predictors, repair, possible prophylaxis, and prognosis of retinal detachments after open-globe injuries. ' PathogenesisAny disruption of the normal mechanical and metabolic forces of adhesion between the neurosensory retina and the underlying retinal pigment epithelium will result in a retinal detachment. 26 Open-globe injuries can be categorized into 3 zones by wound location; zone 1 and 2 injuries are more anterior, whereas zone 3 injuries are posterior to the anterior 5 mm of sclera and therefore consist of scleral wounds overlying

show abstract

Vitrectomy for Ocular Trauma: A Question of Timing?

Abstract: Final visual acuity is determined by the type and extent of trauma rather than the timing of surgery.

Cited by 20 publications

References 13 publications

The Statistical Observation of Ocular Injury in the Military

The Statistical Observation of Ocular Injury in the Military

The Vitrectomy Timing Individualization System for Ocular Trauma (VTISOT)

Retinal Detachment After Open-globe Injury

Contact Info

Product

Resources

About