Visual and anatomic outcomes of vitrectomy with temporary keratoprosthesis or endoscopy in ocular trauma with opaque cornea.
OBJECTIVE
To examine the outcomes of vitrectomy in ocular trauma with opaque cornea.


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.


RESULTS
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.


CONCLUSIONS
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.
Walter Reed National Military Medical Center, Bethesda, Maryland, USA. chunretina@gmail.com
Dal W
DW
Chun
Marcus H
MH
Colyer
Keith J
KJ
Wroblewski
D000328:Adult; D055826:Afghan Campaign 2001-; D003130:Combat Disorders; D003315:Cornea; D003318:Corneal Opacity / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005129:Eye Foreign Bodies / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D008889:Military Personnel; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology*; D014821:Vitrectomy / Q000379:methods*