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[PMID]:28467586
[Au] Autor:Yazgan S; Ayar O; Akdemir O; Koban Y
[Ti] Título:An excellent anatomical and visual recovery after surgical repair of an open eye injury with poor baseline prognostic factors.
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):167-169, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:Presently described is case of a 42-year-old woman with eye injury that was result of gunshot fired by a man at a wedding celebration. Bullet penetrated inferior quadrant of nasal sclera of left eye 7-12 mm behind limbus. Choroid and vitreous were prolapsed around bullet. Hemorrhage, vitreous prolapse and lens subluxation were present in anterior chamber. Presenting visual acuity (VA) was hand motion. Bullet 14x5 mm in size was carefully extracted from the eye. Fifteen days later, argon laser photocoagulation was performed on retina in area of bullet entry point. VA was 20/25 (Snellen) at final visit. In this case, although foreign body was large, area of penetration was Zone III, and initial VA was poor, early and appropriate surgical repair achieved integrity of the globe and good vision prognosis.
[Mh] Termos MeSH primário: Ferimentos Oculares Penetrantes
Ferimentos por Arma de Fogo
[Mh] Termos MeSH secundário: Adulto
Ferimentos Oculares Penetrantes/diagnóstico
Ferimentos Oculares Penetrantes/fisiopatologia
Ferimentos Oculares Penetrantes/cirurgia
Feminino
Seres Humanos
Fotocoagulação
Prognóstico
Acuidade Visual
Ferimentos por Arma de Fogo/diagnóstico
Ferimentos por Arma de Fogo/fisiopatologia
Ferimentos por Arma de Fogo/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.23790


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[PMID]:27779559
[Au] Autor:Jin Y; Chen H; Xu X; Hu Y; Wang C; Ma Z
[Ad] Endereço:*Department of Ophthalmology, Peking University Third Hospital, Ministry of Education's Key Laboratory of Vision Loss and Restoration, Beijing, People's Republic of China; and †Department of Ophthalmology, Beijing Tsinghua Changgung Hospital, Beijing, People's Republic of China.
[Ti] Título:TRAUMATIC PROLIFERATIVE VITREORETINOPATHY: Clinical and Histopathological Observations.
[So] Source:Retina;37(7):1236-1245, 2017 Jul.
[Is] ISSN:1539-2864
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine the phases of traumatic proliferative vitreoretinopathy after open globe injury by assessing cellular components, extracellular matrix constituents of proliferative vitreoretinopathy membranes, and intraretinal changes over time. METHODS: Twenty-one epiretinal and/or subretinal membrane specimens were obtained from 21 patients with open globe injuries. The patients were divided into Groups A (≤28 days), B (29-120 days), and C (>120 days) according to the interval between injury and vitrectomy. The staining intensity and percentage of positive cells in membranes were compared among the groups, and proliferative indices for Ki-67 and proliferating cell nuclear antigen were assessed. Intraretinal changes were evaluated through histology and immunohistochemistry. Fundus photography was performed during vitrectomy. RESULTS: The proliferating cell nuclear antigen proliferative index was significantly higher in Group B (P = 0.002) than in Group A, and lower in Group C (P < 0.001) than in Group B. α-smooth muscle actin expression increased from day 29 to 120 after injury. Meanwhile, intraretinal gliosis and fibrosis developed. CONCLUSION: Active proliferation and contraction in proliferative vitreoretinopathy membranes continue until 120 days after injury, and are accompanied by the initiation of intraretinal gliosis and fibrosis. These findings provide further insight into the optimal timing of vitrectomy after trauma.
[Mh] Termos MeSH primário: Ferimentos Oculares Penetrantes/complicações
Retina/patologia
Vitreorretinopatia Proliferativa/etiologia
Corpo Vítreo/patologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Biomarcadores/metabolismo
Criança
Pré-Escolar
Ferimentos Oculares Penetrantes/diagnóstico
Ferimentos Oculares Penetrantes/cirurgia
Feminino
Seguimentos
Seres Humanos
Imuno-Histoquímica
Antígeno Ki-67/metabolismo
Masculino
Meia-Idade
Antígeno Nuclear de Célula em Proliferação/metabolismo
Retina/lesões
Retina/metabolismo
Fatores de Tempo
Vitrectomia
Vitreorretinopatia Proliferativa/diagnóstico
Vitreorretinopatia Proliferativa/cirurgia
Corpo Vítreo/lesões
Corpo Vítreo/metabolismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Ki-67 Antigen); 0 (Proliferating Cell Nuclear Antigen)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180110
[Lr] Data última revisão:
180110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1097/IAE.0000000000001350


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[PMID]:28810038
[Au] Autor:Banker TP; McClellan AJ; Wilson BD; Juan FM; Kuriyan AE; Relhan N; Chen FV; Weichel ED; Albini TA; Berrocal AM; Sridhar J; Gregori NZ; Townsend JH; Flynn HW
[Ti] Título:Culture-Positive Endophthalmitis After Open Globe Injuries With and Without Retained Intraocular Foreign Bodies.
[So] Source:Ophthalmic Surg Lasers Imaging Retina;48(8):632-637, 2017 Aug 01.
[Is] ISSN:2325-8179
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVE: To report the visual and anatomical outcomes and microbiologic spectrum of culture-positive endophthalmitis in open globe injuries (OGIs) with or without intraocular foreign bodies (IOFBs). PATIENTS AND METHODS: A retrospective, interventional case series of OGIs (n = 718) treated between 2004 and 2015. Patients underwent a management protocol for OGI, including systemic broad-spectrum antibiotics, on presentation. RESULTS: Culture-positive cases of endophthalmitis after open globe repair occurred in 2.1% of eyes (n = 15 of 718 eyes); two eyes had evidence of endophthalmitis on presentation. The most common organism was Staphylococcus species (five of 17 eyes). An IOFB was present in 6.8% of eyes (n = 49 of 718 eyes). All of these eyes received prophylactic intravitreal antimicrobials. In eyes with IOFB, the rate of culture-positive endophthalmitis after initial globe repair was 8.1% (n = 4 of 49 eyes) versus 1.6% (n = 11 of 669 eyes) in eyes without IOFB (P < .01). CONCLUSION: Culture-positive endophthalmitis was identified after OGIs more often in eyes with a concurrent IOFB. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:632-637.].
[Mh] Termos MeSH primário: Bactérias/isolamento & purificação
Endoftalmite/microbiologia
Corpos Estranhos no Olho/complicações
Infecções Oculares Bacterianas/microbiologia
Ferimentos Oculares Penetrantes/complicações
Órbita/lesões
Infecção dos Ferimentos/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Bactérias/patogenicidade
Endoftalmite/diagnóstico
Endoftalmite/etiologia
Corpos Estranhos no Olho/diagnóstico
Infecções Oculares Bacterianas/diagnóstico
Infecções Oculares Bacterianas/etiologia
Ferimentos Oculares Penetrantes/diagnóstico
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Virulência
Acuidade Visual
Infecção dos Ferimentos/etiologia
Infecção dos Ferimentos/microbiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170816
[St] Status:MEDLINE
[do] DOI:10.3928/23258160-20170802-05


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[PMID]:28554552
[Au] Autor:Cho WK; Ko AC; Eatamadi H; Al-Ali A; Abboud JP; Kikkawa DO; Korn BS
[Ad] Endereço:Division of Oculofacial Plastic and Reconstructive Surgery, UC San Diego Department of Ophthalmology, Shiley Eye Institute, La Jolla, California; Department of Ophthalmology, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
[Ti] Título:Orbital and Orbitocranial Trauma From Pencil Fragments: Role of Timely Diagnosis and Management.
[So] Source:Am J Ophthalmol;180:46-54, 2017 Aug.
[Is] ISSN:1879-1891
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To emphasize the importance of early detection and radiologic evaluation of retained organic foreign bodies (FBs) in orbital or orbitocranial penetrating injuries by pencil. DESIGN: Retrospective case series. METHODS: A retrospective chart review of patients who had penetrating orbital or orbitocranial trauma at 2 tertiary hospitals was conducted. Patients whose mechanism of injury was penetrating trauma by pencil were included. The patients' demographics, time between initial trauma and detection of foreign body, radiologic images, and resulting sequelae were reviewed. RESULTS: Four patients were included in this study. All patients were male; 3 were less than 2 years of age and 1 was 34 years old. Accidents were witnessed in 2 cases, and initial detections of FBs were delayed in 3 cases, from 2 days to 7 weeks. Three cases involved the right orbit. Computed tomography (CT) imaging of the head demonstrated penetration of the orbital walls in 3 cases. Three-dimensional CT scans were used to differentiate the penetrating graphite pencil fragments from the orbital wall, and catheter angiography was used in 1 case of suspected orbital apex penetration. Vision was lost in 1 patient while other severe neurologic deficits were fully recovered after removal of FB. CONCLUSIONS: Penetrating injury by pencils to the periorbital structures and delayed detection of retained pencil fragments can result in threat to life and vision. Radiologic examinations are essential to the detection of these retained FBs. Prompt detection and removal of the FBs within 48 hours and treatment with antibiotics can save vision and life.
[Mh] Termos MeSH primário: Lesões Encefálicas/diagnóstico por imagem
Corpos Estranhos no Olho/diagnóstico por imagem
Ferimentos Oculares Penetrantes/diagnóstico por imagem
Escrita Manual
Órbita/lesões
[Mh] Termos MeSH secundário: Adulto
Lesões Encefálicas/fisiopatologia
Lesões Encefálicas/cirurgia
Pré-Escolar
Diagnóstico Precoce
Corpos Estranhos no Olho/fisiopatologia
Corpos Estranhos no Olho/cirurgia
Ferimentos Oculares Penetrantes/fisiopatologia
Ferimentos Oculares Penetrantes/cirurgia
Seres Humanos
Imagem Tridimensional
Lactente
Masculino
Estudos Retrospectivos
Fatores de Tempo
Tomografia Computadorizada por Raios X
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170531
[St] Status:MEDLINE


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[PMID]:28546694
[Au] Autor:Ting DSJ; Dees C; Ellerton C
[Ad] Endereço:Department of Ophthalmology, The James Cook University Hospital, Middlesbrough TS4 3BW, UK.
[Ti] Título:Cannula-associated Ocular Injuries during Cataract Surgery: A Preventable Intraoperative Complication?
[So] Source:Middle East Afr J Ophthalmol;24(1):54-56, 2017 Jan-Mar.
[Is] ISSN:0975-1599
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Although rare, inadvertently dislodged cannula can occur during cataract surgery. We report two cases of cannula-associated ocular injury during stromal hydration of the main corneal incision despite the use of Luer-lock syringes. Case 1 suffered from an initially occult intraocular injury which led to a delayed presentation of vitreous prolapsing into the anterior chamber, presumed posterior capsular rupture, vitreous hemorrhage, and multiple retinal tears, which required a three-port pars plana vitrectomy and cryotherapy. Case 2 sustained an iris laceration, anterior capsular tear, and postoperative raised intraocular pressure with no late sequelae. The former case highlights the need for close monitoring postoperatively despite the absence of initial apparent evidence of intraocular injury. Herein, we propose a systematic approach in reducing the risk of inadvertent cannula-associated ocular injury.
[Mh] Termos MeSH primário: Cânula/efeitos adversos
Extração de Catarata/efeitos adversos
Ferimentos Oculares Penetrantes/etiologia
Complicações Intraoperatórias
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Ferimentos Oculares Penetrantes/diagnóstico
Ferimentos Oculares Penetrantes/prevenção & controle
Feminino
Seres Humanos
Masculino
Estudos Retrospectivos
Acuidade Visual
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170527
[St] Status:MEDLINE
[do] DOI:10.4103/meajo.MEAJO_208_15


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[PMID]:28388345
[Au] Autor:Brent AJ; Mota PM; Saldanha G; Vaidhyanath R; Sampath R
[Ad] Endereço:a Department of Ophthalmology, University Hospitals of Leicester , Leicester Royal Infirmary , Infirmary Square , Leicester , United Kingdom.
[Ti] Título:A new cause of lacrimal gland calcification: Retained metallic foreign bodies.
[So] Source:Orbit;36(2):118-121, 2017 Apr.
[Is] ISSN:1744-5108
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A 49-year-old male presented with a 4 month history of dysaesthesia in the left periorbital region. A CT scan showed a lacrimal gland mass with areas of dense calcification. Biopsies of the left lacrimal gland revealed a silver material with associated chronic granulomatous inflammation and secondary calcification. The histological specimen was sent for X-ray microanalysis. This confirmed the silver material to be aluminium. The metal fragments were subsequently discovered to be from a car aerial, which caused an orbital impaling injury 20 years prior to presentation. This is the first reported case of lacrimal gland calcification secondary to chronic metal foreign body exposure. The case is presented alongside literature reviews of lacrimal gland calcification and associated radiological findings.
[Mh] Termos MeSH primário: Alumínio
Calcinose/etiologia
Corpos Estranhos no Olho/complicações
Ferimentos Oculares Penetrantes/complicações
Doenças do Aparelho Lacrimal/etiologia
Órbita/lesões
[Mh] Termos MeSH secundário: Biópsia
Calcinose/diagnóstico por imagem
Microanálise por Sonda Eletrônica
Corpos Estranhos no Olho/diagnóstico
Ferimentos Oculares Penetrantes/diagnóstico
Seres Humanos
Doenças do Aparelho Lacrimal/diagnóstico por imagem
Masculino
Meia-Idade
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
CPD4NFA903 (Aluminum)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE
[do] DOI:10.1080/01676830.2017.1279651


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[PMID]:28315517
[Au] Autor:Stolyarenko G; Doroshenko D; Salakhutdinov V; Smetanin Y
[Ad] Endereço:Posterior Eye Segment Diagnostics and Surgery Center, Moscow - Russia.
[Ti] Título:Removal of large foreign bodies made of thermoplastic material from the eye.
[So] Source:Eur J Ophthalmol;27(5):621-625, 2017 Aug 30.
[Is] ISSN:1724-6016
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To present the results of research aimed at developing a new method of minimally invasive removal of an intraocular foreign body (IOFB) from the eye cavity. METHODS: The main idea was to fix the IOFB onto the edge of a laser probe, which is transsclerally injected into the eye. After that, the IOFB is fixed at the end of the laser probe and removed transpupillary from the eye through an incision in the cornea. In order to fix the IOFB on the laser probe edge, this edge should be brought closely to the IOFB surface. The material of the IOFB should be locally fused using the laser emission. During this process, the probe edge should be submerged into the liquid melt. After laser emission is turned off, the material around the probe is hardened and the IOFB is hardly fixed on the laser probe edge. RESULTS AND CONCLUSIONS: The main laser emission parameters and their influence on the eye tissue were investigated within a thermodynamic model. It is shown that for IOFB made from polyethylene terephthalate the optimal laser power is close to 2 W, the rate of rise of light energy is more than 10 ms, and the wavelength is approximately 0.905 µm. With these parameters (taking into account multiple scattering effects), the light impact on the retina will not exceed 100 mW/cm2, which is not dangerous for eye tissue. Efficiency is supported by clinical testing. The method was used for intraocular extraction of an Airsoft ball bearing (6 mm sphere of polyethylene terephthalate).The overall extraction time was approximately 4 minutes.
[Mh] Termos MeSH primário: Corpos Estranhos no Olho/cirurgia
Ferimentos Oculares Penetrantes/cirurgia
Microcirurgia/métodos
Procedimentos Cirúrgicos Oftalmológicos/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170319
[St] Status:MEDLINE
[do] DOI:10.5301/ejo.5000945


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[PMID]:28303330
[Au] Autor:Purtskhvanidze K; Rüfer F; Klettner A; Borzikowsky C; Roider J
[Ad] Endereço:Department of Ophthalmology, University Medical Center Schleswig-Holstein, Arnold-Heller Strasse 3, Haus 25, Kiel, D-24105, Germany. konstantine.purtskhvanidze@uksh.de.
[Ti] Título:Ocular Trauma Score as prognostic value in traumatic ocular injuries due to rotating wire brushes.
[So] Source:Graefes Arch Clin Exp Ophthalmol;255(5):1037-1042, 2017 May.
[Is] ISSN:1435-702X
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Rotating wire brushes are used, e.g., for rust removal. Detaching fragments can cause severe eye injuries. The purpose of this study was to investigate mechanism, severity, clinical outcome, validity of Ocular Trauma Score (OTS) and to assess the likelihood of final visual acuity. METHODS: Twenty patients with traumatic ocular injuries by rotating wire brushes were included. Location and type of injury, grade of injury according to OTS, surgical procedure, and development of visual acuity were evaluated. RESULTS: Eleven accidents (55%) happened at work, nine at home (45%). Eighteen injuries (90%) were penetrating, one (5%) was perforating. In one case (5%), an intraocular foreign body was present. One case each was classified OTS 1 and 2 (5%), six cases OTS 3 (30%), four cases OTS 4 (20%), and eight cases OTS 5 (40%). None of the patients was wearing safety goggles. Fourteen patients (70%) were surgically treated. Of these, five were treated at the anterior segment only, nine additionally underwent pars-plana vitrectomy. Nine patients received phacoemulsification. Mean best corrected visual acuity was logMAR 1.0 (2/20) at admission and 0.3 (10/20) at last follow-up. Our results were similar to those in the OTS study, except for OTS 1 (p = 0.046). Comparing the categorical distribution of final visual acuity in all OTS categories, no statistically significant difference was found (p = 0.119) between our results and the OTS study group. CONCLUSIONS: OTS may provide prognostic information in traumatic ocular injuries by rotating wire brushes. The injuries could have been avoided by wearing safety goggles.
[Mh] Termos MeSH primário: Corpos Estranhos no Olho/diagnóstico
Ferimentos Oculares Penetrantes/diagnóstico
Dispositivos de Proteção dos Olhos
Acuidade Visual
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Corpos Estranhos no Olho/prevenção & controle
Corpos Estranhos no Olho/cirurgia
Ferimentos Oculares Penetrantes/prevenção & controle
Ferimentos Oculares Penetrantes/cirurgia
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Procedimentos Cirúrgicos Oftalmológicos/métodos
Prognóstico
Estudos Retrospectivos
Índices de Gravidade do Trauma
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.1007/s00417-017-3629-6


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[PMID]:28300741
[Au] Autor:Biler ED; Onay MP; Ceylan N; Ceper BY
[Ad] Endereço:Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkey.
[Ti] Título:Unusual route of a bullet: From scapula to eye.
[So] Source:Indian J Ophthalmol;65(1):52-54, 2017 Jan.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Herein, an awkward case of globe perforation with a bullet-entering from the right posterior scapular region and leaving the body from the right orbit through the eye - is reported. Route of the bullet could be devastating - as it passed through the neck and the maxillofacial region-however by chance no vital damage occurred. Its path was assessed by plain radiography and computed tomography scans. Sometimes prediction of the trajectory is very difficult without additional radiological investigations. Especially, in the case of any high velocity projectile wounding, physician must be aware of the fact that the bullet's course will not be a linear but most probably a complicated one. Prognosis of the injury depends on the path of the bullet or shrapnel fragment, close clinical observation, an open-minded approach, and the multidisciplinary care. Moreover, even the crime investigation might be needed.
[Mh] Termos MeSH primário: Ferimentos Oculares Penetrantes/diagnóstico
Traumatismo Múltiplo
Órbita/lesões
Escápula/lesões
Ferimentos por Arma de Fogo/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
Masculino
Órbita/diagnóstico por imagem
Escápula/diagnóstico por imagem
Tomografia Computadorizada por Raios X
Índices de Gravidade do Trauma
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.4103/ijo.IJO_84_16


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[PMID]:28297037
[Au] Autor:Ghoraba HH; Elgouhary SM; Mansour HO; Abdel-Fattah HM; Heikal MA; Elgemaey EM
[Ti] Título:Safety of Silicone Oil Removal in Cases of Gunshot Perforating Eye Injuries.
[So] Source:Ophthalmic Surg Lasers Imaging Retina;48(3):242-250, 2017 Mar 01.
[Is] ISSN:2325-8179
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVE: To evaluate the feasibility and safety of silicone oil (SO) removal in cases of gunshot perforating eye injuries (PEI). PATIENTS AND METHODS: A retrospective, consecutive, interventional study from medical records regarding cases of gunshot PEI during the periods of Egyptian political instability (January 2011 until December 2013). The main outcomes were to evaluate the feasibility of SO removal in cases of gunshot PEI and management of retinal detachment (RD) after SO removal in such cases. RESULTS: One hundred ninety-six eyes of 193 patients were reviewed. SO was removed in 72 eyes of 70 patients (36.7%). After SO removal, five eyes (6.9%) developed RD. One case refused any other intervention. RD in the remaining four cases was treated with revision surgery and SO reinjection. The retina remained stable throughout follow-up. None of the eyes developed phthisis bulbi after SO removal. Mean follow-up after SO removal was 10.86 months (range: 3 months to 30 months). Mean follow-up after management of RD after SO removal was 17.7 months (range: 13 months to 21 months). CONCLUSIONS: Patients aged younger than 20 years were associated with extensive fibrous proliferation, which might affect the safety profile of SO removal in cases of gunshot PEI. Rate of RD after SO removal in cases of apparent retinal stability and localized fibrous proliferation was 6.9%. Retinal detachment after SO removal in such cases can be treated with revision surgery and SO reinjection. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:242-250.].
[Mh] Termos MeSH primário: Tamponamento Interno/métodos
Ferimentos Oculares Penetrantes/cirurgia
Óleos de Silicone/farmacologia
Vitrectomia/métodos
Ferimentos por Arma de Fogo/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Ferimentos Oculares Penetrantes/diagnóstico
Estudos de Viabilidade
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Reoperação
Ferimentos por Arma de Fogo/diagnóstico
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Silicone Oils)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170705
[Lr] Data última revisão:
170705
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE
[do] DOI:10.3928/23258160-20170301-08



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