Study on maintenance of eyeball morphology by foldable capsular vitreous body in severe ocular trauma
Abstract Objectives To explore the feasibility and safety of using a foldable capsular vitreous body (FCVB) in managing severe ocular trauma and silicone oil-dependent eyes. Methodology This is a retrospective study of 61 ocular trauma patients (61 eyes) who presented to the Department of Eye Emerge...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-11-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-03209-4 |
| _version_ | 1797577391526117376 |
|---|---|
| author | Shanyu Li Xiaoxuan Wang Zhixia Dou Jie Zhang Jinchen Jia |
| author_facet | Shanyu Li Xiaoxuan Wang Zhixia Dou Jie Zhang Jinchen Jia |
| author_sort | Shanyu Li |
| collection | DOAJ |
| description | Abstract Objectives To explore the feasibility and safety of using a foldable capsular vitreous body (FCVB) in managing severe ocular trauma and silicone oil-dependent eyes. Methodology This is a retrospective study of 61 ocular trauma patients (61 eyes) who presented to the Department of Eye Emergency, Hebei Eye Hospital from May 1, 2018, to May 31, 2019, including 51 male patients (51 eyes) and 10 female patients (10 eyes) with an average age of 44.98 ± 14.60 years old. The oldest patient was 75 years old, and the youngest was 8 years old. These cases represented 51 eyes with severe eyeball rupture and 10 eyes with severe, complicated ocular trauma, which became silicone oil-dependent after the operation. These patients received FCVB implants, and data regarding their visual acuity, intraocular pressure, changes in eye axis, cornea, retina, and FCVB state were recorded after the operation. Results In all patients, the FCVB was properly positioned and well supported with the retina. All 61 patients cleared a follow-up window of 1–36 months with no reports of important changes in their visual acuity. Among the patients, 91.8% reported normal intraocular pressure, the retinal reattachment rate reached 100%, and the eyeball atrophy control rate reached 100%. There was no report of rupture of the FCVB, allergies to silicone, intraocular infection, intraocular hemorrhage, silicone oil emulsification, or sympathetic ophthalmia. Conclusions Foldable capsular vitreous bodies (FCVBs) designed to mimic natural vitreous bodies are suitable as long-term ocular implants that can provide sustained support for the retina without the need for any special postoperative postures. Their barrier function may effectively prolong the retention time of the tamponade and prevent various complications caused by direct contact of the eye tissues with the tamponade. |
| first_indexed | 2024-03-10T22:07:36Z |
| format | Article |
| id | doaj.art-a6ca34be97ea49748dc60383461b9edc |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-10T22:07:36Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-a6ca34be97ea49748dc60383461b9edc2023-11-19T12:45:15ZengBMCBMC Ophthalmology1471-24152023-11-012311910.1186/s12886-023-03209-4Study on maintenance of eyeball morphology by foldable capsular vitreous body in severe ocular traumaShanyu Li0Xiaoxuan Wang1Zhixia Dou2Jie Zhang3Jinchen Jia4Hebei Provincial Key Laboratory of Ophthalmology, Hebei Provincial Clinical Research Center for Eye Diseases, Hebei Eye HospitalHebei Provincial Key Laboratory of Ophthalmology, Hebei Provincial Clinical Research Center for Eye Diseases, Hebei Eye HospitalHebei Provincial Key Laboratory of Ophthalmology, Hebei Provincial Clinical Research Center for Eye Diseases, Hebei Eye HospitalXingtai Third HospitalHebei Provincial Key Laboratory of Ophthalmology, Hebei Provincial Clinical Research Center for Eye Diseases, Hebei Eye HospitalAbstract Objectives To explore the feasibility and safety of using a foldable capsular vitreous body (FCVB) in managing severe ocular trauma and silicone oil-dependent eyes. Methodology This is a retrospective study of 61 ocular trauma patients (61 eyes) who presented to the Department of Eye Emergency, Hebei Eye Hospital from May 1, 2018, to May 31, 2019, including 51 male patients (51 eyes) and 10 female patients (10 eyes) with an average age of 44.98 ± 14.60 years old. The oldest patient was 75 years old, and the youngest was 8 years old. These cases represented 51 eyes with severe eyeball rupture and 10 eyes with severe, complicated ocular trauma, which became silicone oil-dependent after the operation. These patients received FCVB implants, and data regarding their visual acuity, intraocular pressure, changes in eye axis, cornea, retina, and FCVB state were recorded after the operation. Results In all patients, the FCVB was properly positioned and well supported with the retina. All 61 patients cleared a follow-up window of 1–36 months with no reports of important changes in their visual acuity. Among the patients, 91.8% reported normal intraocular pressure, the retinal reattachment rate reached 100%, and the eyeball atrophy control rate reached 100%. There was no report of rupture of the FCVB, allergies to silicone, intraocular infection, intraocular hemorrhage, silicone oil emulsification, or sympathetic ophthalmia. Conclusions Foldable capsular vitreous bodies (FCVBs) designed to mimic natural vitreous bodies are suitable as long-term ocular implants that can provide sustained support for the retina without the need for any special postoperative postures. Their barrier function may effectively prolong the retention time of the tamponade and prevent various complications caused by direct contact of the eye tissues with the tamponade.https://doi.org/10.1186/s12886-023-03209-4Foldable capsular vitreous bodySevere caseOcular traumaVisual acuityIntraocular pressureRetina |
| spellingShingle | Shanyu Li Xiaoxuan Wang Zhixia Dou Jie Zhang Jinchen Jia Study on maintenance of eyeball morphology by foldable capsular vitreous body in severe ocular trauma BMC Ophthalmology Foldable capsular vitreous body Severe case Ocular trauma Visual acuity Intraocular pressure Retina |
| title | Study on maintenance of eyeball morphology by foldable capsular vitreous body in severe ocular trauma |
| title_full | Study on maintenance of eyeball morphology by foldable capsular vitreous body in severe ocular trauma |
| title_fullStr | Study on maintenance of eyeball morphology by foldable capsular vitreous body in severe ocular trauma |
| title_full_unstemmed | Study on maintenance of eyeball morphology by foldable capsular vitreous body in severe ocular trauma |
| title_short | Study on maintenance of eyeball morphology by foldable capsular vitreous body in severe ocular trauma |
| title_sort | study on maintenance of eyeball morphology by foldable capsular vitreous body in severe ocular trauma |
| topic | Foldable capsular vitreous body Severe case Ocular trauma Visual acuity Intraocular pressure Retina |
| url | https://doi.org/10.1186/s12886-023-03209-4 |
| work_keys_str_mv | AT shanyuli studyonmaintenanceofeyeballmorphologybyfoldablecapsularvitreousbodyinsevereoculartrauma AT xiaoxuanwang studyonmaintenanceofeyeballmorphologybyfoldablecapsularvitreousbodyinsevereoculartrauma AT zhixiadou studyonmaintenanceofeyeballmorphologybyfoldablecapsularvitreousbodyinsevereoculartrauma AT jiezhang studyonmaintenanceofeyeballmorphologybyfoldablecapsularvitreousbodyinsevereoculartrauma AT jinchenjia studyonmaintenanceofeyeballmorphologybyfoldablecapsularvitreousbodyinsevereoculartrauma |