Risk Factors and Visual Outcome after Surgical Repair of Open Globe Injuries in Gujarat Adani Institute of Medical Science, Bhuj
Journal Title: Ophthalmology and Allied Sciences - Year 2017, Vol 3, Issue 2
Abstract
Introduction: The study aims to study the mechanism, type, site, size, severity of injury and to see the final visual outcome after surgical repair at the end of 3 months. Material Methods: It is a single centric prospective study done at tertiary care centre over 1 and half year with 150 patients. Parameters taken were age, sex, profession of the patient, visual acuity and final vision at 3 months, anterior and posterior segment evaluation, imaging when required. Result: Males were affected more (3.8:1) involving unskilled labourers and farmers (30.6%) and students (28%). Majority of these were caused by sharp objects (93.33%), stick followed by stone. 80% patients were brought within 24 hours. In this study majority (58.66%) patients had vision worse than 2/60 at presentation. It was also observed in this study that corneal laceration (50%) is more common compared to scleral laceration (32%) while 18% had a corneoscleral laceration. Zone 3 injuries have the worst visual prognosis followed by zone 2 followed by zone 1. Conclusion: In our study factors associated ultimate with poor vision (<2/60) at 3 months were presenting visual acuity, extensive lid laceration (66.66%), relative afferent pupillary defect (96.14%), hyphaema (56.7%), vitreous loss (61.8%), retinal detachment (50%).
Authors and Affiliations
Jayantilal Shah
Keywords
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- EP ID EP470872
- DOI 10.21088/oas.2454.7816.3217.12
- Views 97
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