97th DOG Annual Meeting 1999
PARS PLANA VITRECTOMY FOR TREATMENT OF OPEN-GLOBE-INJURIES IN CHILDREN
P. Meier, K. Meyer, P. Wiedemann
If open-globe-injuries associated with posterior complications pars plana vitrectomy is necessary. The aim of our study was to present the results of secondary surgical treatment of open-globe-trauma in children.
Subjects and methods: We analyzed 21 eyes of 20 consecutive patients undergoing pars plana vitrectomy for treatment of posterior complications caused by open-globe-trauma. Vitreoretinal surgery for internal reconstruction was performed in 16 eyes 2 to 28 days after primary wound repair. In 5 eyes pars plana vitrectomy was performed 2 months to 2 years after ocular trauma for treatment of late complications of the posterior segment.
Results: In 15 eyes silicone oil was used for endotamponade. With a 3 to 48 months follow-up we observed anatomical attachment of the retina in 14 eyes. In the postoperative follow up 9 eyes developed posttraumatic PVR, 1 eye macular pucker, 2 eyes secondary glaucoma, 2 eyes keratopathy and 1 eye chronic hypotony. Reproliferations developed in 9 eyes and reoperations were necessary. Postoperatively an increase in visual acuity was seen in over 60% of patients, 8 eyes showed no improvement of function. In 18 eyes vitreoretinal surgery was combined with lensectomy, only in 1 eye implantation of a posterior chamber lens was performed.
Conclusion: The results of vitreoretinal surgery for complications of open-globe-injuries in children are determined by the severity of the primary trauma. Secondary pathologic changes require careful postoperative clinical investigations.
University Eye Hospital, Liebigstr. 10-14, 04103 Leipzig