Sengul Ozdek*, Erdem Yuksel (Ankara, Turkey)

Advantages:

Early chorioretinectomy in eyes with perforating eye injury may increase the globe survival rate.

Methods:

Reports of consecutive eyes with severe perforating injuries treated with chorioretinectomy were examined for surgical technique, VA, formation of postoperative proliferative tissue, PVR, and tractional retinal detachment rate.

Effectiveness / Safety:

Results of 15 eyes of 15 patients were included in the study. All had an exit wound, 7 of which were located in the central macula that caused choroidal and retinal incarceration. PPV together with chorioretinectomy, endolaser, silicone oil tamponade, +/- encircling band, +/- lensectomy surgery were applied in all cases. All but one eye had attached retina together with tiny scarring of the exit wound. Only one eye had a newly formed proliferative tissue in the exit wound area and PVR, necessitating further surgery.

Take home message:

Early chorioretinectomy seems to be an effective technique to prevent exit wound-induced granulation tissue and yield high globe survival rates in perforating injuries.