First Author: A.Soliman EGYPT
Co Author(s): D. Ghalwash 0 0 0 0 0 0 0 0 0
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to evaluate the sequel of gunshot ocular trauma in correlation to type of tamponade used in management.
70 eyes of 70 patients with gunshot eye injury.
all eyes underwent primary repair of ocular wall injuries, two weeks later, pars plana vitrectomy, removal of IOFB, relieving retinectomies at incarceration sites, endolaser, and Tamponade was either non expansile mixture of 20% SF6 or one thousand centistokes silicone oil. All patients reviewed throughout the period from of February 2010 to January 2013.
Eplmacular membranes was clinically detected in 14 eyes in gas group (40%) compared to 19 eyes in silicone oil group (54.3%), while peripheral retinal membranes were clinically detected in 4 eyes in gas group (11.4%), and in 15 eyes in silicone oil group (42.9%). 13 eyes in silicone oil group (37.1%) needed two pars plana procedures to deal with visually disabling epimacular or epiretinal membranes causing retinal traction or detachment and were resiliconized again, and 6 eyes (17.1%) in gas group, four patients of them required silicone oil tamponade. Three eyes in silicone oil group (8.6%) needed more than two pars plana procedures, none of the gas group eyes needed more than two pars plana procedures.
Although silicone oil was described as the tamponade of choice in severely injured eyes to decrease the incidence of complications, in this review, the rate of complications turned to be related to the severity of injury not to the type of tamponade.this study also raises the question does silicone oil modifies these complications??