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- Category: #1 (08) 2018
- Published: 31 August 2018
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https://doi.org/10.30702/Ophthalmology.2018/08.04
Ulrich Spandau
Uppsala University Hospital, Uppsala, Sweden
Summary. The results of the delayed technique of microsurgical treatment of severe wounds of the eye with step-by-step execution of all stages are presented and a step-by-step algorithm of this approach with a pathogenetic justification based on long-term observation of severe injuries of 21 eyes with a foreign body in 21 patients is presented. Advantages of delayed vitrectomy in comparison with the approach of Ferenc Kuhn is the availability of the optimal team of surgeons, the presence of PVD, proper reduction of PVR and air or gas tamponade.
Keywords: eye trauma, delayed technique, vitrectomy, foreign body, complications.
REFERENCES
- Colyer MH, Weber ED, Weichel ED, Dick JS, Bower KS, Ward TP, Haller JA. Delayed intraocular foreign body removal without endophthalmitis during Operations Iraqi Freedom and Enduring Freedom. Ophthalmology. 2007 Aug;114(8):1439–47.
- Ehlers JP, Kunimoto DY, Ittoop S, Maguire JI, Ho AC, Regillo CD. Metallic intraocular foreign bodies: characteristics, interventions, and prognostic factors for visual outcome and globe survival. Am J Ophthalmol. 2008 Sep;146(3):427–433.
- Kolomeyer AM, Shah A, Bauza AM, Langer PD, Zarbin MA, Bhagat N. Nail gun-induced open-globe injuries: a 10-year retrospective review. Retina. 2014 Feb;34(2):254–61.
- Kuhn F, Schrader W. Prophylacticchorioretinectomy for eye injuries with high proliferative-vitreoretinopathy risk. Clin Anat. 2018 Jan;31(1):28–38.
- Weichel ED, Bower KS, Colyer MH. Chorioretinectomy for perforating or severe intraocular foreign body injuries. Graefes Arch Clin Exp Ophthalmol. 2010 Mar;248(3):319–30.
- Woodcock MG, Scott RA, Huntbach J, Kirkby GR. Mass and shape as factors in intraocular foreign body injuries. Ophthalmology. 2006 Dec;113(12):2262–9.
Received: 14 March 2018
Published: September 2018