title: Surgical Management and Outcome of Open Globe Injuries with Posterior Segment Complications: A 10-Year Review.
abstract: OBJECTIVE
  To describe the characteristics, management, and outcomes of open globe injured (OGI) eyes that underwent pars plana vitrectomy (PPV) for posterior segment complications.
  
  
  METHODS
  Retrospective chart review of cases that underwent PPV for posterior segment complications associated with OGI between 2003-2012 at University Hospital, Newark, NJ.
  
  
  RESULTS
  120 eyes were identified and classified as follows: "early retinal detachment (RD)" (within 30 days of OGI), 64 (53%) eyes; "delayed RD" (≥30 days after OGI), 30 (25%) eyes; and "no RD," 26 (22%) eyes. Injuries included penetrating (39 (33%) eyes), rupture (60 (50%) eyes), and penetrating wounds with retained intraocular foreign body (21 (17%) eyes). Injuries in Zones I, II, and III were seen in 40 (35%) eyes), 38 (34%) eyes, and 35 (31%) eyes, respectively, with statistically different ocular trauma scores (p<0.01) associated with each zone of injury. Mean presenting and final logMAR VA were 2.20± 0.63 and 1.87 ±0.60, respectively (p<0.01), with a mean follow-up of 3.2 years. Final overall anatomic success after surgeries was 98% for early RD and 95% for delayed RD.
  
  
  CONCLUSIONS
  Despite a high anatomic success rate, the overall functional success rate for eyes with posterior segment trauma that undergo PPV is poor and comparable to other studies.
authors.affiliation: a Institute of Ophthalmology and Visual Science , Rutgers New Jersey Medical School , Newark , NJ , USA.
authors.forename: Tian
authors.initials: T
authors.lastname: Xia
authors.affiliation: a Institute of Ophthalmology and Visual Science , Rutgers New Jersey Medical School , Newark , NJ , USA.
authors.forename: Alain
authors.initials: A
authors.lastname: Bauza
authors.affiliation: a Institute of Ophthalmology and Visual Science , Rutgers New Jersey Medical School , Newark , NJ , USA.
authors.forename: Nishant G
authors.initials: NG
authors.lastname: Soni
authors.affiliation: a Institute of Ophthalmology and Visual Science , Rutgers New Jersey Medical School , Newark , NJ , USA.
authors.forename: Marco A
authors.initials: MA
authors.lastname: Zarbin
authors.affiliation: a Institute of Ophthalmology and Visual Science , Rutgers New Jersey Medical School , Newark , NJ , USA.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Langer
authors.affiliation: a Institute of Ophthalmology and Visual Science , Rutgers New Jersey Medical School , Newark , NJ , USA.
authors.forename: Neelakshi
authors.initials: N
authors.lastname: Bhagat
mesh_terms: D000328:Adult; D000368:Aged; D005129:Eye Foreign Bodies / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D057972:Posterior Eye Segment / Q000293:injuries / Q000601:surgery; D012163:Retinal Detachment / Q000601:surgery; D012189:Retrospective Studies; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods; D055815:Young Adult
keywords: Endophthalmitis; intraocular foreign body; open globe; pars plana vitrectomy; posterior segment complications; retinal detachment