Travmatik Retina Dekolmanı; Risk Faktörleri, Patogenez, Klinik Özellikler ve Yönetim

Açık veya kapalı göz yaralanmalarına eşlik edebilen travmatik retina dekolmanı oküler morbidite için önemli bir risk faktörüdür. Retina dekolmanının eşlik etiği yaralanmalar, retina dekolmanının eşlik etmediği travmalara göre daha kötü görsel prognoza sahiptirler. Travmatik retina dekolmanları diğer göz yapılarının travmaları ile birlikte bulunabilirler, tanılarında zorluklar mevcuttur ve yönetimlerinde tam bir görüş birliği mevcut değildir. Günümüzde vitreoretinal cerrahi ekipmanlarındaki ve görüntüleme sistemlerindeki gelişmelerle travmatik retina dekolmanlarına daha etkili müdahale imkanı söz konusu olmuştur. Bu yazıda travmatik retina dekolmanlarındaki risk faktörleri, patogenez, klinik özellikler ve yönetimden bahsedilmektedir.

Traumatic Retinal Detachment; Risk Factors, Pathogenesis, Clinical Features and Management

Traumatic retinal detachment associated with open or closed eye injuries is an important risk factor for ocular morbidity. Injuries associated with retinal detachment have a worse visual prognosis than traumas without retinal detachment. Traumatic retinal detachments may be associated with traumas of other eye structures, there are difficulties in diagnosis and there is no consensus on their management. Today, improvements in vitreoretinal surgical equipments and imaging systems have resulted in more effective intervention of traumatic retinal detachments. In this paper, risk factors, pathogenesis, clinical features and management of traumatic retinal detachment are discussed.

Kaynakça

1. Hoogewoud F, Chronopoulos A, Varga Z, Souteyrand G, Thumann G, Schutz JS. Traumatic retinal detachment- the difficulty and importance of correct diagnosis. Surv Ophthalmol. 2016;61(2):156-163.

2. Cruvinel Isaac DL, Ghanem VC, Nascimento MA, Torigoe M, Kara-José N. Prognostic factors in open globe injuries. Ophthalmologica. 2003;217(6):431-435.

3. Liu X, Wang L, Wang C, Sun G, Liu S, Fan Y. Mechanism of traumatic retinal detachment in blunt impact: a finite element study. J Biomech. 2013;46(7):1321-1327.

4. Ryan SJ. Retina. Trauma:Principles and Techniques of Treatment. Volume III. Surgical Retina. Mosby Elsevier 4th Edition, 2006; 2384-2386.

5. Nowomiejska K, Choragiewicz T, Borowicz D, Brzozowska A, Moneta-Wielgos J, Maciejewski R, et al. Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients. J Ophthalmol. 2017;2017:5084319.

6. Winthrop SR, Cleary PE, Minckler DS, Ryan SJ. Penetrating eye injuries: a histopathological review. Br J Ophthalmol. 1980;64(11):809-817.

7. Pieramici DJ, Sternberg P Jr, Aaberg TM Sr, Bridges WZ Jr, Capone A Jr, Cardillo JA et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol. 1997;123(6):820-831.

8. Reed DC, Juhn AT, Rayess N, Hsu J, Chiang A. Outcomes of retinal detachment repair after posterior open globe injury. Retina. 2016;36(4):750- 757.

9. Stryjewski TP, Andreoli CM, Eliott D. Retinal detachment after open globe injury. Ophthalmology. 2014;121(1):327-333.

10. American Academy of Ophthalmology. Section 12. Retina and Vitreus: Chapter 13; Posterior Segment Manifestations of Trauma 2011-2012; 315- 333

11. Orban M, Islam YF, Haddock LJ. Timing and outcomes of vitreoretinal surgery after traumatic retinal detachment. J Ophthalmol. 2016;2016:4978973.

12. Kuhn F. Strategic thinking in eye trauma management. Ophthalmol Clin North Am. 2002;15(2):171-177.

13. He Y, Zhang L, Wang F, Zhu M, Wang Y, Liu Y. Timing influence on outcomes of vitrectomy for open-globe injury: a prospective randomized comparative study. Retina. 2019 Jan 24. doi: 10.1097/IAE.0000000000002447.

14. Nuzzi R, Buschini E, Actis AG. Ophthalmic evaluation and management of traumatic accidents associated with retinal breaks and detachment: a retrospective study. Eur J Ophthalmol. 2012;22(4):641-6.

15. Peyman GA, Meffert S, Conway MD. Vitreoretinal cerrahi teknikleri: Penetran ve Perforan Yaralanmalar: Bölüm 50, Türkçe 2. baskı. Hayat Tıp Kitapları Yayınları; 513.

16. Yaşa D, Alkın Z. Comparison of outcomes for traumatic retinal detachment surgery using 1000- or 5000-centistoke silicone oil. Saudi J Ophthalmol. 2018;32(4):286-289.

17. Palioura S, Eliott D. Traumatic endophthalmitis, retinal detachment, and metallosis after intraocular foreign body ınjuries. Int Ophthalmol Clin. 2013;53(4):93-104.

18. Jonas JB, Knorr HL, Budde WM. Prognostic factors in ocular injuries caused by intraocular or retrobulbar foreign bodies. Ophthalmology. 2000;107(5):823-828.

19. Woodcock MG, Scott RA, Huntbach J, Kirkby GR. Mass and shape as factors in intraocular foreign body injuries. Ophthalmology. 2006;113(12):2262-2269

20. Wickham L, Xing W, Bunce C, Sullivan P. Outcomes of surgery for posterior segment intraocular foreign bodies-a retrospective review of 17 years of clinical experience. Graefes Arch Clin Exp Ophthalmol. 2006;244(12):1620-1626.

21. Yang CS, Hsieh MH, Hou TY. Predictive factors of visual outcome in posterior segment intraocular foreign body. J Chin Med Assoc. 2019;82(3):239- 244.

22. Weissgold DJ, Kaushal P. Late onset of rhegmatogenous retinal detachments after successful posterior segment intraocular foreign body removal. Br J Ophthalmol. 2005;89(3):327-331.

23. García-Arumí J, Corcostegui B, Cavero L, Sararols L. The role of vitreoretinal surgery in the treatment of posttraumatic macular hole. Retina. 1997;17(5):372-377.

24. Gao M, Liu K, Lin Q, Liu H. Management modalities for traumatic macular hole: a systematic review and single-arm meta-analysis. Curr Eye Res. 2017;42(2):287-296.

25. Ghoraba HH, Ellakwa AF, Ghali AA. Long term result of silicone oil versus gas tamponade in the treatment of traumatic macular holes. Clin Ophthalmol. 2012;6:49-53.

Kaynak Göster