RESEARCH ARTICLE


Outcome of Primary Management of Scleral Rupture without Vitrectomy Jakarta Eye Trauma Study



Gilbert W.S Simanjuntak1, 2, Biju Raju3, Golda A.M Simanjuntak1, Reinne Natali1, *
1 Department of Ophthalmology, Faculty of Medicine, Christian University of Indonesia, Jakarta, Indonesia
2 Cikini Eye Institute/Cikini CCI Hospital, Jakarta, Indonesia
3 Dr. NSD Raju's Eye Hospital and Research Centre, Kerala, India


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Creative Commons License
© 2022 Simanjuntak et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Ophthalmology Faculty of Medicine, Christian University of Indonesia, Jalan PS Sutoyo, Cawang, Jakarta, Indonesia; Tel: +62-21-80870762; Fax: +62-21-38997778; Mobile: +62-811168237; E-mail: retinaid@yahoo.com


Abstract

Introduction:

To report the outcome of primary management of scleral rupture without vitrectomy.

Methods:

Descriptive retrospective study of primary surgical management of scleral rupture located anterior to the equator. Initial and final visual acuity (FVA, intra ocular pressure, type of injury (sharp/blunt/projectile), wound length, time interval between the incident and primary repair and cause of injury were recorded. Encircling scleral buckle was placed in case of scleral laceration reaching muscle insertion. Patients who had a follow up of 3 months after the primary repair were included in the study .

Results:

There were 41 patients out of 78 who had scleral rupture anterior to the equator. The average age was 21.27 + 9.73 years (range 3-50 years). Thirty-three (80.4%) were males and eight (19.6%) were females. Rupture was located superiorly) in 28 (68.3%) patients, and inferiorly in 13 (31.7%) patients. Eight patients underwent encircling buckle. The time interval from the injury till the primary repair less than 8 hours (p 0.000) and 8-24 hours (p 0.000) were associated significantly with FVA improvements. Initial VA correlated with FVA improvement significantly (p 0.001). Two patients with initial VA of LP became NLP, and they had a wound length 11 mm and 12 mm respectively.

Conclusion:

The primary management of scleral rupture anterior to the equator, without vitrectomy, improves VA significantly. Time interval less than 24 hours and shorter wound length correlated with significant improvement of final VA.

Keywords: Scleral rupture, Wound size, Injury, Vitrectomy, Time interval, Equator.