Surgical outcomes in adult patients after repair of anterior segment trauma sustained during childhood.

摘要

PURPOSE: To evaluate the outcomes and possible benefit of surgery performed on adults for anterior segment trauma sustained during childhood. SETTING: Private practice. METHODS: A retrospective review of patient records was performed. Adult patients who had anterior segment surgery for injuries that occurred during childhood were identified. The surgical outcomes were evaluated to determine whether intervention was beneficial in this subgroup of patients. RESULTS: Six patients were identified. Preoperative best corrected visual acuity (BCVA) was 20/200 or worse in all patients. After surgery, the BCVA in 3 patients had improved to 20/30 or better and in 1 patient, to 20/60. The other 2 patients had less improvement; however, each noted subjective improvement in vision. No major intraoperative or postoperative complications occurred. CONCLUSION: In the absence of evidence of accompanying posterior segment trauma, surgery in adults to correct anterior segment damage from childhood trauma was safe and often beneficial.