title: Retinectomy vs vitrectomy combined with scleral buckling in repair of posterior segment open-globe injuries with retinal incarceration.
abstract: PurposeTo evaluate the anatomic and functional outcome of pars plana vitrectomy (PPV) combined with scleral buckling (SB) vs retinectomy in treating posterior segment open-globe injuries with retinal incarceration.MethodsPatients (38 eyes) with posterior segment open-globe injuries and retinal incarceration were identified, and they underwent either PPV combined with SB (PPV+SB, n=19) or retinectomy (n=19). The two groups were matched in the following categories: the severity of injury (including wound length), the location of the incarceration site and the presence of retinal detachment. Anatomic reattachment of the retina and best-corrected visual acuity (BCVA) were measured at the time of 12 months after operation.ResultsAt 12 months after operation, the PPV+SB group demonstrated a better anatomic retinal attachment rate (84.2% vs 68.4%, P=0.252) and BCVA (73.7% vs 47.4%, P=0.247) compared with the retinectomy group, however, the differences failed to reach statistical significance. Compared with the PPV+SB group, the rectinectomy group had significantly higher rates of hemorrhage (47.4% vs 15.8%, P=0.036), inflammation (42.1% vs 10.5%, P=0.027), and a lower intraocular pressure (IOP, 9.8±3.1 vs 13.6±4.1 mmHg, P=0.002) after silicone oil (SO) removal.ConclusionsFor patients with posterior segment open-globe injuries and retinal incarceration, PPV and SB treatments resulted in a better anatomic and functional outcome and less post-operation complications compared with the retinectomy.
authors.affiliation: Department of the Retinal and Vitreous Diseases, Eye Center of Xiamen University, Xiamen, China.|Department of the Retinal and Vitreous Diseases, Shaanxi Ophthalmic Medical Center, Xi'an No. 4 Hospital, Affiliated Guangren Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.
authors.forename: Y
authors.initials: Y
authors.lastname: Wei
authors.affiliation: Department of the Retinal and Vitreous Diseases, Shaanxi Ophthalmic Medical Center, Xi'an No. 4 Hospital, Affiliated Guangren Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.
authors.forename: R
authors.initials: R
authors.lastname: Zhou
authors.affiliation: Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, OH, USA.
authors.forename: K
authors.initials: K
authors.lastname: Xu
authors.affiliation: Department of the Retinal and Vitreous Diseases, Shaanxi Ophthalmic Medical Center, Xi'an No. 4 Hospital, Affiliated Guangren Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.
authors.forename: J
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of the Retinal and Vitreous Diseases, Shaanxi Ophthalmic Medical Center, Xi'an No. 4 Hospital, Affiliated Guangren Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.
authors.forename: Z
authors.initials: Z
authors.lastname: Zu
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002386:Cataract / Q000209:etiology; D058450:Endotamponade; D015807:Eye Injuries, Penetrating / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D007908:Lens, Crystalline / Q000293:injuries; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D057972:Posterior Eye Segment / Q000293:injuries*; D012160:Retina / Q000601:surgery*; D012163:Retinal Detachment / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012421:Rupture; D012591:Scleral Buckling / Q000379:methods*; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*; D055815:Young Adult