Use of Temporary Keratoprosthesis in the Management of Severe Ocular Trauma with Retinal Detachment and Proliferative Vitreoretinopathy1

2015 ◽  
pp. 86-89 ◽  
Author(s):  
W. Houdijn Beekhuis ◽  
Relja Zivojnovic
Keyword(s):  
Retinal Detachment ◽  
Ocular Trauma ◽  
Temporary Keratoprosthesis

Limitation of computed tomography scan in ocular trauma in diagnosing posterior globe rupture and retinal detachment

Trauma ◽  
2016 ◽  
Vol 20 (1) ◽  
pp. 72-76
Author(s):  
AR Munirah ◽  
MK Safinaz ◽  
ZMZ Aida ◽  
A Malisa ◽  
MI Hazlita
Keyword(s):  
Computed Tomography ◽  
Retinal Detachment ◽  
Ocular Trauma ◽  
Silicone Oil ◽  
Primary Repair ◽  
Computed Tomography Scan ◽  
Penetrating Eye Injury ◽  
Globe Rupture ◽  
Open Globe ◽  
Tomography Scan

Ocular trauma with penetrating eye injury or globe rupture is an ophthalmic emergency. Immediate but gentle ocular assessment is mandatory to diagnose the extent of the injury. Imaging modalities are valuable in aiding diagnosis and management in open globe injury due to the difficulty of full eye assessment in the presence of multiple head and facial injuries. This report presents a case of an elderly man with ocular trauma of the left only seeing eye where computed tomography scan showed anterior globe rupture and the possibility of posterior globe rupture due to discontinuity of the posterior sclera. Primary repair and exploration of the left eye revealed no posterior globe rupture. Post-operative B-scan revealed a total retinal detachment with intact posterior globe. Vision of the left eye after pars planar vitrectomy and tamponade of the retina detachment with heavy silicone oil improved to 1/60. Computed tomography scan in ocular trauma has limitations especially in diagnosing retinal detachment and posterior globe rupture.

scholarly journals Optic Nerve Avulsion and Retinal Detachment After Penetrating Ocular Trauma: Case Report

2018 ◽  
pp. 89-91 ◽  
Author(s):  
Mehmet Fatih Kağan Değirmenci ◽  
Nilüfer Yalçındağ ◽  
Hüban Atilla
Keyword(s):  
Case Report ◽  
Optic Nerve ◽  
Retinal Detachment ◽  
Ocular Trauma ◽  
Trauma Case ◽  
Penetrating Ocular Trauma

scholarly journals Comparison of endoscopic-assisted and temporary keratoprosthesis-assisted vitrectomy in combat ocular trauma: experience at a tertiary eye center in Turkey

2018 ◽  
Vol 46 (7) ◽  
pp. 2708-2716 ◽  
Author(s):  
Onder Ayyildiz ◽  
Ali Hakan Durukan
Keyword(s):  
Medical Records ◽  
Ocular Trauma ◽  
Vitreoretinal Surgery ◽  
Common Type ◽  
Improvised Explosive Devices ◽  
Surgical Time ◽  
Temporary Keratoprosthesis ◽  
Improvised Explosive ◽  
Explosive Devices ◽  
Type Of Injury

Objective This study was performed to compare the functional and anatomical results of endoscopic-assisted and temporary keratoprosthesis (TKP)-assisted vitrectomy in patients with combat ocular trauma (COT). Methods The medical records of 14 severely injured eyes of 12 patients who underwent endoscopy or TKP implantation in combination with vitreoretinal surgery from 2007 to 2015 were retrospectively evaluated. The patients’ ocular history and functional and anatomic anterior and posterior segment results were analyzed. Results Eight eyes (57%) underwent TKP-assisted vitrectomy and six eyes (43%) underwent endoscopic vitrectomy. The most common cause of COT was detonation of improvised explosive devices (72%), and the most common type of injury was an intraocular foreign body (50%). The median time from trauma to surgery and the median surgical time were significantly shorter in the endoscopy than TKP group. The postoperative functional and anatomical results were not significantly different between the two groups. Conclusions TKP-assisted vitrectomy should be performed in eyes requiring extensive bimanual surgery. In such cases, a corneal graft must be preserved for the TKP at the end of the surgery. Endoscopy shortens the surgical time and can reduce the complication rate.

scholarly journals Sonographic features of patients with ocular trauma at the University of Benin Teaching Hospital, Benin-City

2018 ◽  
Vol 4 (2) ◽  
pp. 174-181
Author(s):  
Sally N. Ozougwu ◽  
Ademola A. Adeyekun ◽  
Juliet N. Ese-Onakehwor ◽  
Elo E. Efe-Aluta
Keyword(s):  
Retinal Detachment ◽  
Teaching Hospital ◽  
Foreign Bodies ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Imaging Modality ◽  
Penetrating Trauma ◽  
Vitreous Haemorrhage ◽  
Posterior Chamber ◽  
The University

Background: The human eye is vulnerable to various external injuries. This is in spite of the seemingly adequate protection offered by the bony orbit. Ultrasound, as a non-invasive and safe imaging modality, is very useful in evaluating the orbit as the globe provides a perfect acoustic window. There is a need for an update on the sonographic patterns of ocular trauma in Nigeria. Objective: To sonographically assess the features of ocular trauma at the University of Benin Teaching Hospital. Methods: Eighty patients with ocular injuries were studied over an 8-month period. After detailed history taking, using a closed eye technique, each patient was scanned with a 5-12MHz linear array probe of a SONOACE X4 Machine. Results: The 18-35 years age group was most affected and the right eye was more frequently involved. The most common sources of injury were intraocular foreign bodies (26; 32.5%), assault (20; 25%) and road traffic accidents (18; 22.50%). Mechanical injuries were more common, comprising 44 (56.4%) cases of blunt trauma and 34 (43.6%) cases of penetrating trauma. The most common sonographic findings included vitreous haemorrhage, intraocular foreign bodies and retinal detachment. Conclusion: Posterior chamber findings (vitreous haemorrhage and retinal detachment) were more frequent than anterior chamber findings in ocular trauma.

scholarly journals PROLIFERATIVE VITREORETINOPATHY

2006 ◽  
Vol 13 (01) ◽  
pp. 42-46
Author(s):  
SYED ABID HASSAN NAQVI ◽  
SOHAIL SHEHZAD ◽  
OMAR ZAFAR
Keyword(s):  
Retinal Detachment ◽  
Proliferative Vitreoretinopathy ◽  
Rhegmatogenous Retinal Detachment ◽  
Ocular Trauma ◽  
Silicone Oil ◽  
Military Hospital ◽  
Globe Rupture ◽  
Department Of Ophthalmology ◽  
Anatomical Success ◽  
Blunt Ocular Trauma

Objective: The objective of study to assess the success of pars planavitrectomy with use of silicone Oil for internal tamponade in traumatic rhegmatogenous R D with severe PVR. Setting& Period: This study was carried out in department of Ophthalmology Military Hospital Rawalpindi. Material &Methods: Fifteen cases with severe proliferative vitreoretinopathy (PVR Grade C, according to up dated retina SocietyClassification of 1991) was included in study. All the patients had traumatic rhegmatogenous retinal detachment withhistory of blunt ocular trauma, without globe rupture, outcome of the treatment was assessed by post operativeanatomical and physiological success. Results: Anatomical success was encouraging in-spite of advance disease andtechnically difficult and complicated intra-ocular maneuvers.

scholarly journals Reliability of the ocular trauma score for the predictability of traumatic and post-traumatic retinal detachment after open globe injury

2021 ◽  
Vol 14 (10) ◽  
pp. 1589-1594
Author(s):  
Simon Dulz ◽  
◽  
Toam Katz ◽  
Robert Kromer ◽  
Eileen Bigdon ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Ocular Trauma ◽  
Vitreous Hemorrhage ◽  
Open Globe Injury ◽  
Ocular Trauma Score ◽  
Open Globe ◽  
Significant Difference ◽  
Post Traumatic ◽  
Trauma Score

AIM: To elucidate the question of whether the ocular trauma score (OTS) and the zones of injury could be used as a predictive model of traumatic and post traumatic retinal detachment (RD) in patients with open globe injury (OGI). METHODS: A retrospective observational chart analysis of OGI patients was performed. The collected variables consisted of age, date, gender, time of injury, time until repair, mechanism of injury, zone of injury, injury associated vitreous hemorrhage, trauma associated RD, post traumatic RD, aphakia at injury, periocular trauma and OTS in cases of OGI. RESULTS: Totally 102 patients with traumatic OGI with a minimum of 12mo follow-up and a median age at of 48.6y (range: 3-104y) were identified. Final best corrected visual acuity (BCVA) was independent from the time of repair, yet a statistically significant difference was present between the final BCVA and the zone of injury. Severe trauma presenting with an OTS score I (P<0.0001) or II (P<0.0001) revealed a significantly worse BCVA at last follow up when compared to the cohort with an OTS score >III. OGI associated RD was observed in 36/102 patients (35.3%), whereas post traumatic RD (defined as RD following 14d after OGI) occurred in 37 patients (36.3%). OGI associated RD did not correlate with the OTS and the zone of injury (P=0.193), yet post traumatic RD correlated significantly with zone III injuries (P=0.013). CONCLUSION: The study shows a significant association between lower OTS score and zone III injury with lower final BCVA and a higher number of surgeries, but only zone III could be significantly associated with a higher rate of RD.

Posterior Segment Pathologies in Patients with Ocular Trauma Using B-Scan Ultrasonography

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Fatima Sidra Tanweer ◽  
Afia Matloob Rana ◽  
Waseem Akhter
Keyword(s):  
Retinal Detachment ◽  
Foreign Bodies ◽  
Ocular Trauma ◽  
Vitreous Hemorrhage ◽  
Posterior Segment ◽  
Categorical Variables ◽  
Ocular Injury ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Female Ratio

Purpose:  To determine the frequency of posterior segment pathologies caused by ocular trauma using B scan USG. Study Design:  Descriptive, cross-sectional study. Place and Duration of Study:  Holy family hospital, Rawalpindi, from September 2015 to March 2016. Methods:  One hundred patients of ocular trauma, 12 to 45 years of age were included in the study. Patients who had any posterior segment pathology prior to the ocular trauma were excluded. B scan was performed in all patients. The data was collected and analyzed using SPSS version 17. For all the categorical variables like gender, type and site of ocular injury, the side of eye involved, type of posterior segment pathology as detected on B Scan, frequencies and percentages were calculated. For the continuous variables like age and time since injury, mean and standard deviation were calculated. Results:  Mean age was30.43 ± 9.58 years. Majority of the patients (35.0%) were between 26 to 35 years of age. Out of these 100 patients, 73 were males and 27 were females with male to female ratio of 2.7:1. Vitreous hemorrhage was the most common and ocular pathology (38 patients). Retinal detachment was seen in 21 patients. Intra-ocular foreign bodies were seen in 12 patients. Conclusion:  Vitreous hemorrhage was the most common posterior segment pathology in ocular trauma followed by retinal detachment and intra-ocular foreign bodies. Key Words:  Trauma, B-scan, Vitreous hemorrhage, Retinal detachment.

PERFLUORO-OCTANE INTERNAL TAMPONADE WHEN USING A TEMPORARY KERATOPROSTHESIS DURING RETINAL DETACHMENT REPAIR

Retina ◽  
2003 ◽  
Vol 23 (1) ◽  
pp. 106-110 ◽  
Author(s):  
ROBERT K. HUTCHINS ◽  
ADAM H. KAUFMAN ◽  
JAMES J. AUGSBURGER
Keyword(s):  
Retinal Detachment ◽  
Temporary Keratoprosthesis

scholarly journals Wide-Field Landers Temporary Keratoprosthesis in Severe Ocular Trauma: Functional and Anatomical Results after One Year

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Katarzyna Nowomiejska ◽  
Dariusz Haszcz ◽  
Cesare Forlini ◽  
Matteo Forlini ◽  
Joanna Moneta-Wielgos ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Silicone Oil ◽  
Corneal Opacity ◽  
Corneal Graft ◽  
Wide Field ◽  
Eye Trauma ◽  
Temporary Keratoprosthesis ◽  
One Year

Purpose. To evaluate longitudinal functional and anatomical results after combined pars plana vitrectomy (PPV) and penetrating keratoplasty (PKP) using a wide-field Landers intraoperative temporary keratoprosthesis (TKP) in patients with vitreoretinal pathology and corneal opacity due to severe ocular trauma.Material and Methods. Medical records of 12 patients who had undergone PPV/PKP/KP due to severe eye trauma were analyzed. Functional (best-corrected visual acuity) and anatomic outcomes (clarity of the corneal graft, retinal attachment, and intraocular pressure) were assessed during the follow-up (mean 16 months).Results. Final visual acuities varied from NLP to CF to 2 m. Visual acuity improved in 7 cases, was unchanged in 4 eyes, and worsened in 1 eye. The corneal graft was transparent during the follow-up in 3 cases and graft failure was observed in 9 eyes. Silicone oil was used as a tamponade in all cases and retina was reattached in 92% of cases.Conclusions. Combined PPV and PKP with the use of wide-field Landers TKP allowed for surgical intervention in patients with vitreoretinal pathology coexisting with corneal wound. Although retina was attached in most of the cases, corneal graft survived only in one-fourth of patients and final visual acuities were poor.

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