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Journal of Ophthalmology
Volume 2016, Article ID 4978973, 7 pages
http://dx.doi.org/10.1155/2016/4978973
Review Article

Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment

1University of Central Florida College of Medicine, Orlando, FL, USA
2University of Florida College of Medicine, Gainesville, FL, USA
3Bascom Palmer Eye Institute at Palm Beach Gardens, Palm Beach Gardens, FL, USA

Received 10 September 2016; Accepted 30 October 2016

Academic Editor: Robert Rejdak

Copyright © 2016 Molly Orban et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Traumatic retinal detachments are a significant cause of morbidity. There are currently no evidence-based guidelines on the appropriate time to perform vitreoretinal surgery to repair a traumatic retinal detachment. Early intervention, within seven days of the inciting trauma, may decrease proliferative vitreoretinopathy and postoperative endophthalmitis. Later intervention may yield a reduced risk of inflammation and hemorrhage, particularly in cases of concomitant open globe injuries. This article reviews the literature on the management of retinal detachments associated with ocular trauma from the years 2006 to 2016. Particular focus was placed on the timing of surgery, concomitant open globe injury, anatomical success rates, visual acuity, and complication rates. In this review, anatomical success was not significantly related to timing of intervention when compared between early and delayed intervention in eyes with and without concomitant open globe injuries. Visual acuities postoperatively varied widely despite timing of intervention due to the large variation in mechanism and extent of ocular injuries. Proliferative vitreoretinopathy was a common complication. Preliminary data indicate that endophthalmitis rates may be lower when early vitreoretinal surgery is performed. There is insufficient data to conclude whether early or delayed surgery leads to improved outcomes, highlighting the need for further research in this domain.