Ulianova Nadiia, Sidak-Petretska Oksana, Bondar Nataliia
State Institution, "The Filatov Institute of Eye Diseases and Tissue Therapy of NAMS of Ukraine", Frantsuzkiy Bulvar, 49/51, Odesa, 65015, Ukraine.
Int J Retina Vitreous. 2025 Apr 22;11(1):49. doi: 10.1186/s40942-025-00674-5.
To analyse the anatomical and functional results of pars plana vitrectomy in patients with Chorioretinitis Sclopetaria caused by severe combat-related ocular trauma.
This retrospective, observational study involved 24 cases of pars plana vitrectomy in patients with Chorioretinitis Scleropetaria following combat-related ocular trauma. Best-corrected visual acuity and retinal reattachment were studied. The data were analysed via quantitative and categorical correlation analyses, as well as logistic regression models.
Postoperative best-corrected visual acuity improved in 18 patients (75%) but remained unchanged in 5 patients (20.8%). In 1 patient (4.2%), best-corrected visual acuity deteriorated due to the development of traumatic optic neuropathy. Retinal detachment was noted in 13 patients, whereas a macular hole was present in 5 patients. In 2 patients, both retinal detachment and macular holes were diagnosed simultaneously. After pars plana vitrectomy, retinal reattachment was achieved in 23 patients (95.8%). In one case, reattachment was unsuccessful. The localization of Chorioretinitis Sclopetaria was significantly associated with the final best-corrected visual acuity, with the best surgical outcome observed in patients with Chorioretinitis Sclopetaria located in the inferior sector of the fundus (p < 0.05). The outcome of pars plana vitrectomy for Chorioretinitis Sclopetaria with concomitant retinal detachment is significantly better when the procedure is performed earlier following blast injury.
Chorioretinitis Sclopetaria following blast ocular trauma is characterized by a significant, persistent, best-corrected visual acuity decreasing, a high frequency of vitreous haemorrhages, macular holes, and retinal detachment. Pars plana vitrectomy in Chorioretinitis Sclopetaria has shown considerable effectiveness in improving visual function, retinal reattachment, and macular hole closure in patients with blast-related ocular trauma.
Not applicable.
分析严重战伤性眼外伤所致匐行性脉络膜视网膜炎患者行玻璃体切除术的解剖和功能结果。
本回顾性观察研究纳入24例战伤性眼外伤后匐行性脉络膜视网膜炎患者行玻璃体切除术的病例。研究最佳矫正视力和视网膜复位情况。通过定量和分类相关性分析以及逻辑回归模型对数据进行分析。
18例患者（75%）术后最佳矫正视力提高，5例患者（20.8%）视力无变化。1例患者（4.2%）因外伤性视神经病变导致最佳矫正视力下降。13例患者出现视网膜脱离，5例患者存在黄斑裂孔。2例患者同时诊断为视网膜脱离和黄斑裂孔。玻璃体切除术后，23例患者（95.8%）实现视网膜复位。1例复位未成功。匐行性脉络膜视网膜炎的部位与最终最佳矫正视力显著相关，眼底下方区域匐行性脉络膜视网膜炎患者手术效果最佳（p < 0.05）。爆炸伤后早期行玻璃体切除术治疗合并视网膜脱离的匐行性脉络膜视网膜炎，效果明显更好。
爆炸伤性眼外伤后匐行性脉络膜视网膜炎的特点是最佳矫正视力显著持续下降、玻璃体积血、黄斑裂孔和视网膜脱离发生率高。玻璃体切除术在改善爆炸伤性眼外伤患者的视功能、视网膜复位和黄斑裂孔闭合方面显示出相当的疗效。
不适用。
