Trauma-induced retinal detachment associated with giant retinal tears

Retina. 1993;13(2):136-41. doi: 10.1097/00006982-199313020-00008.

Abstract

Giant retinal tears may arise spontaneously, but approximately 25% occur in association with ocular trauma. The clinical findings and results of surgical management in 38 cases of traumatic giant retinal tear seen at Moorfields Eye Hospital in London during a 10-year period are presented. Patients were young (mean age = 29 years) and mostly men (n = 36; 95%). Trauma was penetrating in 14 eyes (37%) and nonpenetrating in 24 (63%). Initial surgical management consisted of pars plana vitrectomy and fluid-silicone oil exchange in the majority of cases. Lensectomy was performed for opacity or dislocation in 23 (61%) eyes. Reattachment was achieved in 34 (89%) eyes 12 months after surgery. Most of the surgical failures occurred in eyes with penetrating trauma. Raised intraocular pressure was an associated problem that required treatment in 12 (32%) eyes. Visual acuity at final follow-up examination ranged from 6/6 to no perception of light (NPL; mean = 6/36). These results compare favorably with published figures for the treatment of spontaneous giant retinal tears.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cataract Extraction
  • Child
  • Eye Injuries / complications*
  • Eye Injuries / surgery
  • Eye Injuries, Penetrating / complications
  • Eye Injuries, Penetrating / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Retina / injuries*
  • Retina / surgery
  • Retinal Detachment / etiology*
  • Retinal Detachment / surgery
  • Retinal Perforations / etiology*
  • Retinal Perforations / surgery
  • Retrospective Studies
  • Visual Acuity
  • Vitrectomy