title: Trauma-induced retinal detachment associated with giant retinal tears.
abstract: Giant retinal tears may arise spontaneously, but approximately 25% occur in association with ocular trauma. The clinical findings and results of surgical management in 38 cases of traumatic giant retinal tear seen at Moorfields Eye Hospital in London during a 10-year period are presented. Patients were young (mean age = 29 years) and mostly men (n = 36; 95%). Trauma was penetrating in 14 eyes (37%) and nonpenetrating in 24 (63%). Initial surgical management consisted of pars plana vitrectomy and fluid-silicone oil exchange in the majority of cases. Lensectomy was performed for opacity or dislocation in 23 (61%) eyes. Reattachment was achieved in 34 (89%) eyes 12 months after surgery. Most of the surgical failures occurred in eyes with penetrating trauma. Raised intraocular pressure was an associated problem that required treatment in 12 (32%) eyes. Visual acuity at final follow-up examination ranged from 6/6 to no perception of light (NPL; mean = 6/36). These results compare favorably with published figures for the treatment of spontaneous giant retinal tears.
authors.affiliation: Vitreoretinal Unit, Moorfields Eye Hospital, London, United Kingdom.
authors.forename: G W
authors.initials: GW
authors.lastname: Aylward
authors.forename: R J
authors.initials: RJ
authors.lastname: Cooling
authors.forename: P K
authors.initials: PK
authors.lastname: Leaver
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002387:Cataract Extraction; D002648:Child; D005131:Eye Injuries / Q000150:complications* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012160:Retina / Q000293:injuries* / Q000601:surgery; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery; D012167:Retinal Perforations / Q000209:etiology* / Q000601:surgery; D012189:Retrospective Studies; D014792:Visual Acuity; D014821:Vitrectomy