- Ophthalmic Surgery, Lasers and Imaging
- July/August 2012 - Volume 43 · Issue 4: 302-310
BACKGROUND AND OBJECTIVE:
To examine the outcomes of vitrectomy in ocular trauma with opaque cornea.
PATIENTS AND METHODS:
This retrospective study included 17 eyes of 16 patients who underwent vitrectomy with temporary keratoprosthesis or endoscopy at Walter Reed Army Medical Center, Washington, DC, from March 2003 to October 2010.
A temporary keratoprosthesis was used in 8 eyes (47%) and endoscopy in 9 eyes (53%). Overall, the number of eyes with visual acuity of 20/200 or better improved from 0 at baseline to 5 (29%) at 6 months. The number of eyes with retinal detachment also improved from 10 (59%) at baseline to 3 (18%) at 6 months.
Vitrectomy may be safely performed in ocular trauma with opaque cornea using a temporary keratoprosthesis or endoscopy with comparable outcomes. Endoscopy allows earlier diagnosis and treatment of occult pathology and requires less time and fewer procedures to implement than the temporary keratoprosthesis.
From Walter Reed National Military Medical Center, Bethesda, Maryland.
Presented at the American Society of Retina Specialists Annual Meeting, August 24, 2011, Boston, Massachusetts.
The authors have no financial or proprietary interest in the materials presented herein.
The views expressed in the article are those of the authors and do not reflect the official policy of the Department of the Army, Department of Defense, or United States Government.
Address correspondence to Dal W. Chun, MD, The Retina Group of Washington, 7501 Greenway Center Drive, Suite 300, Greenbelt, MD 20770. E-mail: email@example.com
Received: April 13, 2012
Accepted: April 22, 2012