Współczesne strategie chirurgicznego leczenia ciężkich urazów gałki ocznej

• Authors: Małgorzata Ozimek , Dominika Nowakowska , Tomasz Chorągiewicz , Mariusz Spyra , Agnieszka Cisek , Katarzyna Nowomiejska , Dariusz Haszcz , Robert Rejdak

Title variants

EN

Current strategies for the surgical treatment of severe ocular injuries

• Languages of publication: PL

Abstracts

EN

Initial management in cases of suspected injury to the eyeball does not differ from the one adopted in other ophthalmic diseases. Only once the preliminary diagnosis is confirmed, a treatment strategy should be planned. It is important to take into account the general condition of the patient, the condition of the eye, and the possibility of its preserve. If a patient requires vitrectomy, small incision surgery is the preferred technique. In the case of total eyeball injury, optical centers of the eye lose their translucency, making examination of the eye fundus, diagnosis and treatment impossible. There are several options in such situations. They include: delayed treatment, open sky surgery, endoscopic surgery, and temporary keratoprosthesis. 7% of all open globe injuries are associated with the development of endophthalmitis. The management strategy in advanced endophthalmitis involves performing an urgent vitrectomy.

Keywords

EN

keratoproteza czasowa; urazy gałki ocznej; witrektomia; zapalenie wnętrza gałki ocznej

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Education
• Journal: OphthaTherapy
• Year: 2016
• Volume: 3
• Issue: 3
• Pages: 200-207

Contributors

author

Małgorzata Ozimek

• Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie

author

Dominika Nowakowska

• Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie

author

Tomasz Chorągiewicz

• Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie

author

Mariusz Spyra

• Oddział Okulistyczny, Wojewódzki Szpital im. Zofii z Zamoyskich Tarnowskiej w Tarnobrzegu

author

Agnieszka Cisek

• Oddział Okulistyczny, Wojewódzki Szpital im. Zofii z Zamoyskich Tarnowskiej w Tarnobrzegu

author

Katarzyna Nowomiejska

• Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie

author

Dariusz Haszcz

• Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie

author

Robert Rejdak

• Klinika Okulistyki Ogólnej, Uniwersytet Medyczny w Lublinie

References

• 1. Mackiewicz J, Machowicz-Matejko E, Sałaga-Pylak M, et al. Penetrating eye trauma epidemiology in own material. Klin Oczna 2004; 106(3 Suppl): 448-449.
• 2. Kuhn F, Mester V, Berta A, et al. Epidemiology of severe eye injuries. United States Eye Injury Registry (USEIR) and Hungarian Eye Injury Registry (HEIR). Ophthalmologe 1998; 95(5): 332-343.
• 3. Casson RJ, Walker JC, Newland HS. Four-year review of open eye injuries at the Royal Adelaide Hospital. Clin Experiment Ophthalmol 2002; 30(1): 15-18.
• 4. Liggett PE, Pince KJ, Barlow W, et al. Ocular trauma in an urban population. Review of 1132 cases. Ophthalmology 1990; 97(5): 581-584.
• 5. Katz J, Tielsch JM. Lifetime prevalence of ocular injuries from the Baltimore Eye Survey. Arch Ophthalmol 1993; 111(11): 1564-1568.
• 6. Sinclair SA, Smith GA, Xiang H. Eyeglasses-related injuries treated in U.S. emergency departments in 2002–2003. Ophthalmic Epidemiol 2006; 13(1): 23-30.
• 7. Parker JF, Simon HK. Eye injuries due to paintball sports: a case series. Pediatr Emerg Care 2004; 20(9): 602-603.
• 8. Kuhn F, Morris R, Witherspoon CD, et al. A standardized classification of ocular trauma. Ophthalmology 1996; 103(2): 240-243.
• 9. Kuhn F, Zagórski Z, Bielińska A. Urazy oka. Czelej, Lublin 2011: 5, 39, 184-185, 198.
• 10. Brinton GS, Aaberg TM, Reeser FH, et al. Surgical results in ocular trauma involving the posterior segment. Am J Ophthalmol 1982; 93(3): 271-278.
• 11. De Juan E, Sternberg P, Michels RG. Penetrating ocular injuries. Types of injuries and visual results. Ophthalmology 1983; 90(11): 1318- -1322.
• 12. Kuhn F, Maisiak R, Mann L, et al. The Ocular Trauma Score (OTS). Ophthalmol Clin North Am 2002; 15(2): 163-165.
• 13. Nowomiejska K, Haszcz D, Forlini C, et al. Wide-Field Landers Temporary Keratoprosthesis in Severe Ocular Trauma: Functional and Anatomical Results after One Year. J Ophthalmol. 2015; 2015: 163675 [doi: 10.1155/2015/163675].
• 14. Brackup AB, Carter KD, Nerad JA, et al. Long-term follow-up of severely injured eyes following globe rupture. Ophthal Plast Reconstr Surg 1991; 7(3): 194-197.
• 15. Rofail M, Lee GA, O’Rourke P. Quality of life after open-globe injury. Ophthalmology 2006; 113(6): 1057.e1-3.
• 16. Unver YB, Acar N, Kapran Z, et al. Prognostic factors in severely traumatized eyes with posterior segment involvement. Ulus Travma Acil Cerrahi Derg 2009; 15(3): 271-276.
• 17. Lewandowski B, Brodowski R, Dymek M, et al. Obrażenia oczodołu powikłane obecnością ciała obcego. Okulistyka 2010; 4: 34.
• 18. Kuhn F, Mester V, Morris R. A proactive treatment approach for eyes with perforating injury. Klin Monatsblätter für Augenheilkd 2004; 221(8): 622-628.
• 19. Chorągiewicz T, Nowomiejska K, Wertejuk K, et al. Surgical treatment of open globe trauma complicated with the presence of an intraocular foreign body. Klin Oczna 2015; 117(1): 5-8.
• 20. Cleary PE, Ryan SJ. Mechanisms in traction retinal detachment. Dev Ophthalmol 1981; 2: 328-333.
• 21. Prost M. Chirurgia witreoretinalna w chorobach oczu u dzieci. Okulistyka 1999; 2(3): 22-26.
• 22. Garcia-Valenzuela E, Blair NP, Shapiro MJ, et al. Outcome of vitreoretinal surgery and penetrating keratoplasty using temporary keratoprosthesis. Retina 1999; 19(5): 424-429.
• 23. Boscher C, Kuhn F. An endoscopic overview of the anterior vitreous base in retinal detachment and anterior proliferative vitreoretinopathy. Acta Ophthalmol 2014; 92(4): e298-e304.
• 24. Mamalis N. Endophthalmitis. J Cataract Refract Surg 2002; 28(5): 729-730.
• 25. Morris RE, Witherspoon CD, Feist RM, et al. Infectious endophthalmitis: an ocular emergency. Ala Med 1986; 56(5): 18-20, 25-26.
• 26. Essex RW, Yi Q, Charles PG, Allen PJ, et al. Post-traumatic endophthalmitis. Ophthalmology 2004; 111(11): 2015-2022.
• 27. Kernt M, Kampik A. Endophthalmitis: Pathogenesis, clinical presentation, management, and perspectives. Clin Ophthalmol 2010; 4: 121-135.
• 28. Kuhn F, Gini G. Ten years after... are findings of the Endophthalmitis Vitrectomy Study still relevant today? Graefe’s Arch Clin Exp Ophthalmol 2005; 243(12): 1197-1199.
• 29. Mackiewicz J, Kozioł-Montewka M, Kosior-Jarecka E, et al. Evaluation of antimicrobial properties of silicon oil – in vitro studies. Klin Oczna 2004; 106(3 Suppl): 434-435.
• 30. Ozimek M, Nowomiejska K, Forlini C, et al. Posttraumatic endophthalmitis due to tobacco drying wire treated with vitrectomy, temporary keratoprosthesis, and keratoplasty. Ophthalmol J 2016; 1(1): 36-39.

• Document Type: article