Functional outcomes after penetrating eye injuries

Jerzy A. Mackiewicz (Lublin)

Purpose: Assesment of the functional outcomes and the frequency of vitreoretinal complications in patients after penetrating eye injuries.
Material and method: The study evaluated 184 eyes (182 patients) after penetrating injuries of the eyeball surgically treated in Chair and I Department of Ophthalmology Medical University of Lublin in period: 01.01.1994 – 30.10.2002.
Results: Surgical treatment included: primary wound closure – 184 eyes (100 %), vitreoretinal operations – 45 eyes (24,5%), traumatic cataract extractions – 37 eyes (20,1 %), enucleations – 14 eyes (7,6 %).
Vitreoretinal complications comprised: vitreous haemorrhage – 6 eyes (13,3%), retinal detachment – 19 eyes (42,2%), intraocular foreign body – 12 eyes (26,7%), endophthalmitis – 2 eyes (4,4%), intraocular lens dislocation – 1 eye (2,2 %), vitreoretinal proliferations – 5 eyes (11,1, %).
Vitreoretinal operations included: circumferential buckle – 5 eyes (7,4 %), vitrectomy – 15 eyes (27,8 %), vitrectomy+ circ. buckle- 7 eyes (13 %), vitrectomy + silicon oil injection 10 eyes (18,5 %), vitrectomy +circ.buckle+
lentectomy 4 eyes (7,4%), TPPV + lentectomy 4 eyes (7,4 %).

1. Final visual outcomes depending on the place of penetration

2. Final visual outcomes depending on vitreoretinal complications

Conclusions:
1. Functional results are worse in eyes with scleral penetrating injures and in eyes with vitreoretinal complications.
2. Retinal detachment occurs in 10% eyes after penetrating eye injury.


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