Feasibility and significance of early vitrectomy for open ocular trauma / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

@#AIM: To explore the feasibility and significance of early vitrectomy for open ocular trauma.<p>METHODS: Eighty-two cases(82 eyes)of open ocular trauma complicated with retinal detachment in Department of Ophthalmic Surgery in our hospital from March, 2018 to 2019 were reviewed, and the patients were divided into early group(<7d)and routine group(7-14d)according to the time of vitrectomy. All patients were followed up for 3mo. The overall efficacy, visual acuity changes, retinal detachment reduction rate, dysfunctional vitreous diseases(TPVR)and complications were compared between the two groups.<p>RESULTS: The total cure rate and visual acuity improvement rate of the early group were 93% and 95%, and those of the conventional group were 71% and 76%. The early group was significantly higher than the conventional group, and the difference was statistically significant(χ2=5.222, 4.783, <i>P</i><0.05). The complication rates of silicone oil dependence, vitreous hemorrhage and secondary glaucoma were 5%, 10% and 5% in the early group which were significantly lower than in the conventional group(27%, 39%, 29%, <i>P</i><0.05). There was no difference in the reduction rate of retinal detachment between two groups(<i>P</i>>0.05). The incidence of TPVR was 5% in the early group, which lower than in the conventional group,but had no difference(<i>P</i>>0.05).<p>CONCLUSION: For patients with open ocular trauma and retinal detachment, early vitrectomy may be more effective, which is more significant in improving the rate of retinal reduction and reducing the incidence of TPVR.