Ferreira Natália, Monteiro Sílvia, Meireles Angelina, Kuhn Ferenc
Department of Ophthalmology, Centro Hospitalar do Porto, EPE, Porto, Portugal.
Ophthalmic Res. 2015;53(4):200-6. doi: 10.1159/000371494. Epub 2015 Apr 18.
To evaluate the anatomical and functional results of patients who underwent pars plana vitrectomy for perforating eye injuries as well as to analyze the benefit of the chorioretinectomy procedure.
Retrospective and descriptive study of 24 eyes of 22 patients with perforating eye injuries operated on at the Centro Hospitalar do Porto between January 2006 and December 2012.
An early vitrectomy was accomplished in 67% of the eyes and a delayed vitrectomy in 33% of the eyes. A concomitant chorioretinectomy was carried out in 78%. Final proliferative vitreoretinopathy (PVR) was found in 11%. The anatomical success was 83%. At the final follow-up, 78% had best-corrected visual acuity equal to or superior to 5/200. Of the eyes that underwent early vitrectomy, 58% regained a visual acuity of 40/200 or better, versus 17% of the cases that underwent delayed vitrectomy.
Early vitrectomy with prophylactic chorioretinectomy seems to be an effective approach to prevent PVR and improve the visual outcome and globe survival in perforating injuries.
评估行玻璃体切割术治疗眼球穿通伤患者的解剖和功能结果，并分析脉络膜视网膜切除术的益处。
对2006年1月至2012年12月间在波尔图中心医院接受手术治疗的22例眼球穿通伤患者的24只眼进行回顾性描述性研究。
67%的眼睛进行了早期玻璃体切割术，33%的眼睛进行了延迟玻璃体切割术。78%的患者同时进行了脉络膜视网膜切除术。最终发现11%的患者发生了增殖性玻璃体视网膜病变（PVR）。解剖学成功率为83%。在最后一次随访时，78%的患者最佳矫正视力等于或优于5/200。在接受早期玻璃体切割术的眼睛中，58%的患者视力恢复到40/200或更好，而接受延迟玻璃体切割术的患者中这一比例为17%。
早期玻璃体切割术联合预防性脉络膜视网膜切除术似乎是预防PVR、改善眼球穿通伤患者视力预后和眼球存活率的有效方法。
