VF 65
Intraoperative options in primary care of complex vitreoretinal injuries with vitrectomy, (sub)retinal i.o. FB extraction and posterior chamber lens implantationA. A. Bialasiewicz, T. Treziak, A. Hassenstein
Introduction: The different strategies in surgical steps for primary care of complex injuries of the anterior and posterior part have been discussed controversely.
Patients: 7 patients with metal i.o. foreign bodies with vitrectomy and posterior chamber lens implantation (4x, 3x sulcus sutured; PCL and vitrectomy (2x); keratoplasty and sulcus sutured PCL and vitrectomy) are presented, who were operated on from 11/93 to 11/99. C2F6 was used 6x, and silicone oil 1x and 1x scleral buckling procedure.
Results: The development of the visual acuity of the above mentionned patients was following: preOP hand movements to cc-0.75/-1.25/40°=1.0; preOP sc 0.2 to cc 0.25sph= 0.3, preOP sc 0.5 to 1.25/-0.5/10°=1.25, preOP hand movements to cyl 7.0/125°=0.4, preOP 1.0 to sc 1.0.
Discussion: The decision for the following surgical procedures and strategy depends on a good and clear intraoperative survey for coping with the often complex vitreoretinal situations in injuries (bleeding, fibrin, retinal detachment).
University Eye Hospital Hamburg, Eppendorf, Martinistr. 52, D- 20251 Hamburg, Germany