Skip to main content

Advertisement

SpringerLink
Log in

Surgical outcomes and prognostic factors in traumatic retinal detachment following closed-globe injuries

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the anatomical and functional results of retinal detachment (RD) surgery following closed-globe injuries (CGI).

Methods

Patients treated with vitreoretinal surgeries due to RD following CGI from 2014 to 2020 were retrospectively reviewed. Data included demographics, mechanism of injury, preoperative evaluation, and surgical intervention. Outcome measurements included anatomic success, best corrected visual acuity (BCVA), and possible prognostic factors.

Results

A total of 67 eyes from 64 patients (49 males; mean age 52.84 years) were included. The most common causes of the CGI were work-related injury (22.4%) and traffic accidents (23.9%). The primary and final anatomic success rates were 80.6% (54/67) and 89.6% (60/67), respectively. In the multivariable analysis of the logistic regression models, the poor prognostic factor was proliferative vitreoretinopathy (PVR) (P = 0.009) for primary anatomic success. The median preoperative and final BCVA were logMAR 0.7 (IQR, 0.3–1.6) and logMAR 0.5 (IQR, 0.1–1.1), respectively (P = 0.077). Poorly presenting BCVA (counting fingers or worse) and giant tear were associated with poor visual outcomes.

Conclusion

Work-related injuries and traffic accidents are the prevalent causes of RD following CGI. The anatomic outcomes were favorable, but visual outcomes varied. Poor prognostic factors included PVR and poorly presenting BCVA, highlighting the importance of a careful initial evaluation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Availability of data and material

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Code availability

Not applicable.

References

  1. May DR, Kuhn FP, Morris RE, Witherspoon CD, Danis RP, Matthews GP, Mann L (2000) The epidemiology of serious eye injuries from the United States Eye Injury Registry. Graefe's archive for clinical and experimental ophthalmology Albrecht von Graefes Archiv fur klinische und experimentelle. Ophthalmologie 238: 153–157. https://doi.org/10.1007/pl00007884

  2. Nowomiejska K, Choragiewicz T, Borowicz D, Brzozowska A, Moneta-Wielgos J, Maciejewski R, Jünemann AG, Rejdak R (2017) Surgical management of traumatic retinal detachment with primary vitrectomy in adult patients. J Ophthalmol 2017:5084319. https://doi.org/10.1155/2017/5084319

    Article  PubMed  PubMed Central  Google Scholar 

  3. Kuhn F, Morris R, Witherspoon CD, Heimann K, Jeffers JB, Treister G (1996) A standardized classification of ocular trauma. Graefe's archive for clinical and experimental ophthalmology. Ophthalmologie 234: 399–403. https://doi.org/10.1007/bf00190717

  4. Ersanli D, Unal M, Aydin A, Gulecek O, Kalemoglu M (2005) Results of pars plana vitrectomy in closed-globe injuries. Ophthalmic Surg Lasers Imaging Off J Int Soc Imaging Eye 36:182–188

    Article  Google Scholar 

  5. Liu X, Wang L, Wang C, Sun G, Liu S, Fan Y (2013) Mechanism of traumatic retinal detachment in blunt impact: a finite element study. J Biomech 46:1321–1327. https://doi.org/10.1016/j.jbiomech.2013.02.006

    Article  PubMed  Google Scholar 

  6. Hoogewoud F, Chronopoulos A, Varga Z, Souteyrand G, Thumann G, Schutz JS (2016) Traumatic retinal detachment–the difficulty and importance of correct diagnosis. Surv Ophthalmol 61:156–163. https://doi.org/10.1016/j.survophthal.2015.07.003

    Article  PubMed  Google Scholar 

  7. Erdurman FC, Sobaci G, Acikel CH, Ceylan MO, Durukan AH, Hurmeric V (2011) Anatomical and functional outcomes in contusion injuries of posterior segment. Eye (Lond) 25:1050–1056. https://doi.org/10.1038/eye.2011.118

    Article  CAS  Google Scholar 

  8. Erdurman CF, Ceylan MO, Acikel CH, Durukan HA, Mumcuoglu T (2011) Outcomes of vitreoretinal surgery in patients with closed-globe injury. Eur J Ophthalmol 21:296–302. https://doi.org/10.5301/ejo.2010.5732

    Article  PubMed  Google Scholar 

  9. Mukkamala LK, Soni N, Zarbin MA, Langer PD, Bhagat N (2017) Posterior segment intraocular foreign bodies: a 10-year review. Ophthalmol Retina 1:272–277. https://doi.org/10.1016/j.oret.2017.01.007

    Article  PubMed  Google Scholar 

  10. Lee TH, Chen YH, Kuo HK, Chen YJ, Chen CH, Lee JJ, Wu PC (2017) Retinal detachment associated with basketball-related eye trauma. Am J Ophthalmol 180:97–101. https://doi.org/10.1016/j.ajo.2017.05.025

    Article  PubMed  Google Scholar 

  11. Rouberol F, Denis P, Romanet JP, Chiquet C (2011) Comparative study of 50 early- or late-onset retinal detachments after open or closed globe injury. Retina (Philadelphia, Pa) 31:1143–1149. https://doi.org/10.1097/IAE.0b013e3181f9c22e

    Article  Google Scholar 

  12. Yaşa D, Erdem ZG, Ürdem U, Demir G, Demircan A, Alkın Z (2018) Pediatric traumatic retinal detachment: clinical features, prognostic factors, and surgical outcomes. J Ophthalmol 2018:9186237. https://doi.org/10.1155/2018/9186237

    Article  PubMed  PubMed Central  Google Scholar 

  13. Chen SN, Lian Ie B, Wei YJ (2016) Epidemiology and clinical characteristics of rhegmatogenous retinal detachment in Taiwan. Br J Ophthalmol 100:1216–1220. https://doi.org/10.1136/bjophthalmol-2015-307481

    Article  PubMed  Google Scholar 

  14. Chang YS, Teng YT, Huang YH, Liu ML, Hung JH, Hsu SM, Huang FC, Shih MH, Chen WJ, Lai CC, Hsiao SF, Wang SH, Tseng SH (2018) Major ocular trauma in Taiwan: 2002–2004 versus 2012–2014. Sci Rep 8:7081. https://doi.org/10.1038/s41598-018-25030-6

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Goffstein R, Burton TC (1982) Differentiating traumatic from nontraumatic retinal detachment. Ophthalmology 89:361–368. https://doi.org/10.1016/s0161-6420(82)34783-1

    Article  CAS  PubMed  Google Scholar 

  16. Orban M, Islam YF, Haddock LJ (2016) Timing and outcomes of vitreoretinal surgery after traumatic retinal detachment. J Ophthalmol 2016:4978973. https://doi.org/10.1155/2016/4978973

    Article  PubMed  PubMed Central  Google Scholar 

  17. Ehrlich R, Polkinghorne P (2011) Small-gauge vitrectomy in traumatic retinal detachment. Clin Exp Ophthalmol 39:429–433. https://doi.org/10.1111/j.1442-9071.2011.02485.x

    Article  PubMed  Google Scholar 

  18. Chronopoulos A, Hattenbach LO, Schutz JS (2021) Pneumatic retinopexy: a critical reappraisal. Surv Ophthalmol 66:585–593. https://doi.org/10.1016/j.survophthal.2020.12.007

    Article  PubMed  Google Scholar 

  19. Williamson TH, Lee EJ, Shunmugam M (2014) Characteristics of rhegmatogenous retinal detachment and their relationship to success rates of surgery. Retina (Philadelphia, Pa) 34:1421–1427. https://doi.org/10.1097/iae.0000000000000094

    Article  Google Scholar 

  20. Murtagh PJ, Stephenson KA, Rhatigan M, McElnea EM, Connell PP, Keegan DJ (2020) Rhegmatogenous retinal detachments: primary reattachment rates and visual outcomes over a 4-year period. Ir J Med Sci 189:355–363. https://doi.org/10.1007/s11845-019-02084-7

    Article  PubMed  Google Scholar 

  21. Oderinlo O, Hassan A, Okonkwo O, Bogunjoko T, Idris O (2020) Are outcomes of surgery for retina detachments from giant tears worse than from other holes and tears in this era of small gauge vitrectomy and perflorocarbon use in Sub-Saharan Africa? Niger J Clin Pract 23:1248–1253. https://doi.org/10.4103/njcp.njcp_227_20

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

The authors thank the Biostatistics Task Force of Taichung Veterans General Hospital for their support with the statistical analysis.

Funding

The authors did not receive support from any organization for the submitted work and have no relevant financial or non-financial interests to disclose.

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Taichung Veterans General Hospital, Taichung, Taiwan

    Chung-Hao Hsiao, Hung-Ju Chen, Wei Ping Hsia & Chia-Jen Chang

  2. Department of Optometry, Central Taiwan University of Science and Technology, Taichung, Taiwan

    Chia-Jen Chang

Authors
  1. Chung-Hao Hsiao
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hung-Ju Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wei Ping Hsia
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Chia-Jen Chang
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors contributed to the study conception and design. Chung-Hao Hsiao, Hung-Ju Chen, and Wei Ping Hsia participated in the data collection. The first draft of the manuscript was written by Chung-Hao Hsiao and all authors commented on previous versions of the manuscript. All authors were involved in the interpretation of the results and discussion of the clinical significance. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Chia-Jen Chang.

Ethics declarations

Conflict of interest

The authors declare that they have no conflicts of interest/competing interests.

Ethical approval

Approval was obtained from the ethical research committee of Taichung Veterans General Hospital. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

Consent to participate

Not applicable.

Consent for publication

Not applicable.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hsiao, CH., Chen, HJ., Hsia, W.P. et al. Surgical outcomes and prognostic factors in traumatic retinal detachment following closed-globe injuries. Int Ophthalmol 42, 1849–1860 (2022). https://doi.org/10.1007/s10792-021-02182-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-021-02182-5

Keywords

Search

Navigation