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Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment

Traumatic retinal detachments are a significant cause of morbidity. There are currently no evidence-based guidelines on the appropriate time to perform vitreoretinal surgery to repair a traumatic retinal detachment. Early intervention, within seven days of the inciting trauma, may decrease prolifera...

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Autores principales: Orban, Molly, Islam, Yasmin Florence Khodeja, Haddock, Luis J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5141321/
https://www.ncbi.nlm.nih.gov/pubmed/27999681
http://dx.doi.org/10.1155/2016/4978973
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author Orban, Molly
Islam, Yasmin Florence Khodeja
Haddock, Luis J.
author_facet Orban, Molly
Islam, Yasmin Florence Khodeja
Haddock, Luis J.
author_sort Orban, Molly
collection PubMed
description Traumatic retinal detachments are a significant cause of morbidity. There are currently no evidence-based guidelines on the appropriate time to perform vitreoretinal surgery to repair a traumatic retinal detachment. Early intervention, within seven days of the inciting trauma, may decrease proliferative vitreoretinopathy and postoperative endophthalmitis. Later intervention may yield a reduced risk of inflammation and hemorrhage, particularly in cases of concomitant open globe injuries. This article reviews the literature on the management of retinal detachments associated with ocular trauma from the years 2006 to 2016. Particular focus was placed on the timing of surgery, concomitant open globe injury, anatomical success rates, visual acuity, and complication rates. In this review, anatomical success was not significantly related to timing of intervention when compared between early and delayed intervention in eyes with and without concomitant open globe injuries. Visual acuities postoperatively varied widely despite timing of intervention due to the large variation in mechanism and extent of ocular injuries. Proliferative vitreoretinopathy was a common complication. Preliminary data indicate that endophthalmitis rates may be lower when early vitreoretinal surgery is performed. There is insufficient data to conclude whether early or delayed surgery leads to improved outcomes, highlighting the need for further research in this domain.
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spelling pubmed-51413212016-12-20 Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment Orban, Molly Islam, Yasmin Florence Khodeja Haddock, Luis J. J Ophthalmol Review Article Traumatic retinal detachments are a significant cause of morbidity. There are currently no evidence-based guidelines on the appropriate time to perform vitreoretinal surgery to repair a traumatic retinal detachment. Early intervention, within seven days of the inciting trauma, may decrease proliferative vitreoretinopathy and postoperative endophthalmitis. Later intervention may yield a reduced risk of inflammation and hemorrhage, particularly in cases of concomitant open globe injuries. This article reviews the literature on the management of retinal detachments associated with ocular trauma from the years 2006 to 2016. Particular focus was placed on the timing of surgery, concomitant open globe injury, anatomical success rates, visual acuity, and complication rates. In this review, anatomical success was not significantly related to timing of intervention when compared between early and delayed intervention in eyes with and without concomitant open globe injuries. Visual acuities postoperatively varied widely despite timing of intervention due to the large variation in mechanism and extent of ocular injuries. Proliferative vitreoretinopathy was a common complication. Preliminary data indicate that endophthalmitis rates may be lower when early vitreoretinal surgery is performed. There is insufficient data to conclude whether early or delayed surgery leads to improved outcomes, highlighting the need for further research in this domain. Hindawi Publishing Corporation 2016 2016-11-23 /pmc/articles/PMC5141321/ /pubmed/27999681 http://dx.doi.org/10.1155/2016/4978973 Text en Copyright © 2016 Molly Orban et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Orban, Molly
Islam, Yasmin Florence Khodeja
Haddock, Luis J.
Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment
title Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment
title_full Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment
title_fullStr Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment
title_full_unstemmed Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment
title_short Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment
title_sort timing and outcomes of vitreoretinal surgery after traumatic retinal detachment
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5141321/
https://www.ncbi.nlm.nih.gov/pubmed/27999681
http://dx.doi.org/10.1155/2016/4978973
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