Review Article

Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment

Table 6

Complications after surgery for traumatic retinal detachment.

AuthorNumber of eyesType of interventionTiming to interventionComplicationsComments

Nashed et al. [5]88Vitrectomy with SO within 8 hours of presentationWithin 8 hours49% retained SO
44%: PVR
8%: phthisis bulbi
3.4%: endophthalmitis

Ehrlich and Polkinghorne [8]19Small-gauge vitrectomy ± SB ± SO tamponadeMean: 22.4 d21% had OHTN that responded to topical treatment
11% had hypotony (≤6 mm Hg)
5% developed PVR
5% developed phthisis bulbi

Rouberol et al. [9]5094% underwent cryotherapy
82% had a SB
76% underwent PPV
Within 7 days8% 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.

Wang et al. [10]3388% underwent PPV
70% had a SB placed
Within 7 days30%: phthisis bulbi
18%: band keratopathy
15%: rubeosis
6%: VH
3%: secondary glaucoma
3%: siderosis
These were all pediatric patients.

Sisk et al. [11]978% 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.

Kolomeyer et al. [17]41PPV with 360° retinectomyVaried100% 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.

James et al. [16]28100% had cryobuckle placement46%: buckle removal
25%: buckle exposure
18%: strabismus
11%: infection related to the buckle

SO: silicone oil, OHTN: ocular hypertension, ERM: epiretinal membrane, SB: scleral buckle, AC: anterior chamber, VH: vitreous hemorrhage, RD: retinal detachment, PVR: proliferative vitreoretinopathy.