Table 6.
Complications after surgery for traumatic retinal detachment.
| Author | Number of eyes | Type of intervention | Timing to intervention | Complications | Comments |
|---|---|---|---|---|---|
| Nashed et al. [5] | 88 | Vitrectomy with SO within 8 hours of presentation | Within 8 hours | 49% retained SO 44%: PVR 8%: phthisis bulbi 3.4%: endophthalmitis |
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| Ehrlich and Polkinghorne [8] | 19 | Small-gauge vitrectomy ± SB ± SO tamponade | Mean: 22.4 d | 21% had OHTN that responded to topical treatment 11% had hypotony (≤6 mm Hg) 5% developed PVR 5% developed phthisis bulbi |
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| Rouberol et al. [9] | 50 | 94% underwent cryotherapy 82% had a SB 76% underwent PPV |
Within 7 days | 8% retained SO 6%: a secondary cataract 4%: an ERM 2% developed SO emulsification in the AC 2% developed phthisis bulbi |
25 patients had open globe injuries, while 25 had closed globe injuries. |
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| Wang et al. [10] | 33 | 88% underwent PPV 70% had a SB placed |
Within 7 days | 30%: phthisis bulbi 18%: band keratopathy 15%: rubeosis 6%: VH 3%: secondary glaucoma 3%: siderosis |
These were all pediatric patients. |
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| Sisk et al. [11] | 9 | 78% PPV and SB 11% PPV alone 11% SB alone |
Varied 6/9 cases were chronic RD, likely delayed presentation |
89% developed a cataract 56% developed secondary glaucoma after SO placement 56% developed PVR 56% developed complications from SO, such as emulsification blocking the visual axis 44% had recurrent RD |
These patients all had repeated head trauma from self-injurious behavior. Some of these RDs were chronic. |
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| Kolomeyer et al. [17] | 41 | PPV with 360° retinectomy | Varied | 100% of phakic eyes developed a cataract 39%: PVR 32%: significant retinal hemorrhage intraoperatively 17%: corneal decompensation 17%: hypotony 17%: preretinal or retinectomy hemorrhage 15%: hyphema 15%: phthisis bulbi 5%: subretinal Perfluoron droplets |
Only 63% of patients had traumatic RD. |
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| James et al. [16] | 28 | 100% had cryobuckle placement | 46%: buckle removal 25%: buckle exposure 18%: strabismus 11%: infection related to the buckle |
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SO: silicone oil, OHTN: ocular hypertension, ERM: epiretinal membrane, SB: scleral buckle, AC: anterior chamber, VH: vitreous hemorrhage, RD: retinal detachment, PVR: proliferative vitreoretinopathy.