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NR 4-6/2005
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Zastosowanie
chirurgii witreoretinalnej w urazach oczu
Vitreoretinal surgery in the
ocular trauma
Jarosława Krajka-Lauer, Krystyna
Raczyńska, Andrzej Gębka, Cezary Ciechanowski
Z Katedry i Kliniki Chorób Oczu Akademii Medycznej w Gdańsku
Kierownik: prof. dr hab. n. med. Barbara
Iwaszkiewicz-Bilikiewicz |
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| Summary: |
Purpose: This
retrospective study was undertaken to review the
structure of patients that admitted to the hospital
during one year, due to the different types of ocular
trauma as well as to analyze the rate of the
vitreo-retinal procedures being employed to treat those
patients.
Material and methods: As many as 1212 consecutive
patients (1252 eyes) submitting to the out-patients
Department of Ophthalmology of the Medical University
Hospital in Gdańsk between the 1st of January and the
30th of December 2004, presenting with eye injury were
evaluated. The majority of the patients were males (746)
with the mean age of 46.8 years. The females in the
number of 466 were 48,5 years old in average. In 40
cases of ocular trauma both eyes were affected. The
routine ophthalmologic examination was provided
including the anamnesis and collecting the information
regarding the circumstances of the injury. The
ultrasound (USG) examination, fluoresceine angiography (FA)
and CT scan was provided when the intraocular foreign
body (IOFB), the macular hole or uveal rupture were
suspected.
The results: Most of the patients who admitted to
the Clinic were applied the first aid and dismissed.
That referred to 1210 of 1252 eyes. In 42 cases patients
were hospitalized: 5 eyes received standard treatment
while 37 eyes were operated. Twenty five eyes required
vitreoretinal surgery – pars plana vitrectomy (PPV) due
to the IOFB (6/25), vitreous hemorrhage (2/25), retinal
detachment (10/25), dislocation of the lens (4/25) and
the uveitis (3/25).
Conclusions: PPV revealed to be the most
effective modality used for treating the most severe eye
injuries. The analyze included the cases treated in one
year time only, as the strategies of treatment tend to
change in time as well as the techniques of operation.
The time of observation was limited to 12 month
additionally in purpose to make comparison easier in the
different Polish centers surveys, regarding the
treatment of mechanical eye injuries. |
| Słowa kluczowe: |
urazy oczu, witrektomia. |
| Key words: |
ocular trauma,
vitreoretinal surgery. |
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