Materials and Methods: In this retrospective study, we evaluated 19 patients (15 men, 4 women) who had retinal detachments secondary to 14 penetrating and 5 perforating trauma. Pars plana vitrectomy, retinal reattachment by perfluorocarbon liquids and internal tamponades were performed in all cases. Additionaly, epiretinal membrane removal in 17 eyes, retinectomy in 6 eyes, intravitreal lens aspiration for dislocated lenses in 4 eyes and lensectomy in 2 eyes were performed. Main outcome measures were, anatomical and functional results and surgical complications.
Results: Mean age of the patients was 32 years (6-75 years) and mean follow-up time was 7.4 months (3-24 months). Preoperative visual acuity was counting fingers at 1 meter or worse in all cases. Total retinal reattachment in 16 eyes (84.2%), macular reattachment with peripheral recurrent detachment in 2 eyes (10.5%) and total recurrent retinal redetachment with severe proliferative vitreoretinopathy in 1 eye (5.26%) were observed after primary and secondary procedures. Postoperative visual acuity was 1/10 or better in 6 eyes (31.6%) and 1/10 or worse in 13 eyes (68.4%). Retinal redetachment in 7 eyes, development of epiretinal membrane in 5 eyes, cataract formation in 4 eyes, silicone oil emulsification in 1 eye and corneal decompansation due to silicone oil in 1 eye were observed as postoperative complications.
Conclusion: Anatomical success can be achieved by vitreoretinal surgery in most cases with retinal detachment secondary to open globe injury; however, visual prognosis remains limited.
Keywords : Open globe injury, retinal detachment, pars plana vitrectomy.