STUDY OF RISK FACTORS AND VISUAL OUTCOME AFTER SURGICAL REPAIR OF OPEN GLOBE INJURIES IN A TERTIARY EYE HOSPITAL

DR. ANINDITA MONDAL; DR. UDAYADITYA MUKHOPADHYAY; DR. NABANITA BARUA; DR. GAURAVI MINANATH UPADHYE

Volume : VII, Issue : I, January - 2017

STUDY OF RISK FACTORS AND VISUAL OUTCOME AFTER SURGICAL REPAIR OF OPEN GLOBE INJURIES IN A TERTIARY EYE HOSPITAL

Dr. Anindita Mondal, Dr. Udayaditya Mukhopadhyay, Dr. Nabanita Barua, Dr. Gauravi Minanath Upadhye

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 ought 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 corneo–scleral laceration. Zone 3 injuries have the worst visual prognosis followed by zone 2 followed by zone 1. Discussion: 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 %).