title: [Preventive surgery in the treatment of severely injured eyes: late results, complications, postoperative care (author's transl)].
abstract: Definitive reconstruction of the eye is the main objective of surgery in severe trauma. Therefore the damaged lens and vitreous have to be primarily removed in combined injuries to the anterior and posterior segments. 81 cases, treated according to this, have been followed-up from 6 months to 6.2 years. 43 have a VA of 0.1 or better, 18 at least a useful visual field. Main causes of blindness in 20 eyes are retinal detachment in 10, hemosiderosis in 4, phthisis in 3 eyes. 8 of the eyes lost through retinal detachment had a massive intraocular hemorrhage during the post-traumatic period. This hemorrhage is discussed as a main factor in development of retinal detachment with a poor prognosis. In 9 other cases of severely injured eyes with a massive posttraumatic intraocular hemorrhage the blood was removed from the vitreous cavity by intraocular irrigations with Ringer's solution. In 4 of these cases visual function could be retained.
mesh_terms: D000328:Adult; D005129:Eye Foreign Bodies / Q000601:surgery; D005131:Eye Injuries / Q000150:complications / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007908:Lens, Crystalline / Q000601:surgery; D008875:Middle Aged; D011182:Postoperative Care; D011379:Prognosis; D012163:Retinal Detachment / Q000209:etiology; D013997:Time Factors; D014822:Vitreous Body / Q000601:surgery
vernacular_title: Präventive Chirurgie bei der Versorgung schwerverletzter Augen: Spätergebnisse, Komplikationen, Nachbehandlung