Surgical results of 23-gauge pars plana vitrectomy in adult traumatic retinal detachment

INTRODUCTION: To evaluate the anatomic and functional results of 23gauge pars plana vitrectomy (PPV) in eyes with traumatic retinal detachment (RD).
METHODS: Medical records of patients who had each undergone PPV surgery after traumatic RD diagnoses were retrospectively reviewed. Patients who had at least 6 months of follow-up were included in the study. Patients' clinical characteristics, preoperative and postoperative distance corrected visual acuities, anatomical success rates, and complications were analyzed.
RESULTS: Twenty-seven eyes from 27patients were included in the study. Mean patient age was 48±17 years, and 96% of the cases were male. Mean follow-up period was 8±3 months. Seventeen (63%) patients had closed and 10 (37%) patients had open globe trauma. Five (19%) patients had an intraocular foreign body. Mean time from trauma to PPV was 34±33 days. Anatomical success was achieved in 19 (70%) eyes. Functional success was achieved in 13 (48%) eyes. Preoperative (baseline) visual acuity was the only factor associated with functional success.
DISCUSSION AND CONCLUSION: Traumatic RD may result in severe visual loss in the majority of cases despite the advancements in PPV techniques. Functional success is rate is higher in patients presenting better preoperative (baseline) visual acuity.