Small-gauge vitrectomy in traumatic retinal detachment

Abstract

Purpose: To report the outcome of retinal detachment surgery following trauma treated with small-gauge vitrectomy. Design: Retrospective chart review. Participants: Adult patients presenting with a retinal detachment following severe trauma between 2007 and 2009 that underwent vitreoretinal surgery with either 25- or 23-gauge vitrectomy. Methods: Data collected included; age, sex, eye, time interval between injury and diagnosis of retinal detachment, anatomical and functional success, complications, and length of follow up. Main Outcome Measures: Anatomical and functional outcome. Results: Nineteen consecutive adult patients with traumatic retinal detachment were included. The mean age was 51.4±19.3years; 68.5% were male. Thirteen patients (68.4%) presented with visual acuity of hand movement or worse including six patients with light perception only. Five eyes achieved 6/60 vision or better, and three eyes had visual acuity of 6/12 or better. During the period of follow up six eyes experienced a recurrent retinal detachment. Conclusion: Traumatic retinal detachment can be successful managed with small-gauge vitrectomy. © 2011 The Authors. Clinical and Experimental Ophthalmology © 2011 Royal Australian and New Zealand College of Ophthalmologists.