Evidence map›Paper›PMID 42412089›Full record

ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2026

The role of pars plana vitrectomy in eyes with no light perception after severe open globe injury and the determination of prognostic factors.

Kıvanç Kasal, Teslime Aydemir Salı, Görsel Salı, Eyyüp Karahan

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Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Kıvanç KasalDepartment of Ophthalmology, Sevgi Hospital, Balıkesir-Türkiye.
Teslime Aydemir SalıDepartment of Ophthalmology, Balıkesir University Faculty of Medicine, Balıkesir-Türkiye.
Görsel SalıDepartment of Ophthalmology, Balıkesir University Faculty of Medicine, Balıkesir-Türkiye.
Eyyüp KarahanDepartment of Ophthalmology, Balıkesir University Faculty of Medicine, Balıkesir-Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to identify prognostic factors in patients undergoing pars plana vitrectomy (PPV) following open globe injury (OGI) and to evaluate surgical outcomes of PPV in eyes with no light perception (NLP) at presentation after OGI.

methodsWe retrospectively reviewed the medical records of patients who underwent primary repair for severe ocular trauma, subsequently required PPV due to posterior segment damage, and had a minimum follow-up of 6 months. Patients were divided into two groups based on initial best-corrected visual acuity (BCVA): Group 1, no light perception (NLP); and Group 2, light perception (LP) or better. Clinical characteristics, as well as final anatomical and visual outcomes, were compared between the groups. Additionally, the role of PPV was specifically evaluated in eyes that were most severely affected by trauma and presented with NLP after primary repair.

resultsA total of 47 eyes from 47 patients were included. Twelve eyes had NLP after primary repair for OGI. Among these, five eyes remained NLP, two (16.7%) improved to light perception (LP), three (25.0%) to hand motion, one (8.3%) to counting fingers, and one (8.3%) achieved a visual acuity of 20/60 at final follow-up. Final anatomical success was achieved in 39 of 47 eyes (82.9%). Visual improvement was observed in 91.4% of eyes (32/35) with preoperative visual acuity of at least LP, and in 58.3% of eyes (7/12) with NLP prior to vitrectomy. No eyes required enucleation. Retinal detachment (p<0.001), retinectomy (p=0.01), silicone oil use (p=0.001), and the need for a second vitrectomy (p=0.019) were associated with poor prognosis.

conclusionIn patients with loss of LP secondary to severe ocular trauma, PPV can achieve high rates of anatomical success, with a significant proportion regaining ambulatory vision when appropriate surgical techniques are employed.

Indexed as

Eye Injuries, PenetratingVitrectomyAdolescentAdultFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesVisual AcuityYoung Adult

Identifiers

PMID42412089
PMCPMC13401180

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.