STUDY OF PROGNOSTIC FACTORS AND VISUAL OUTCOME IN OPEN GLOBE INJURIES IN A TERTIARY CARE HOSPITAL IN MUMBAI.

Dr. Sheela Kerkar; Dr. Charuta Mandke; Janika Shah

Volume : VI, Issue : VIII, August - 2017

STUDY OF PROGNOSTIC FACTORS AND VISUAL OUTCOME IN OPEN GLOBE INJURIES IN A TERTIARY CARE HOSPITAL IN MUMBAI.

Dr. Sheela Kerkar, Dr. Charuta Mandke, Janika Shah

Abstract :

Ocular trauma is a common cause of monocular visual impairment and blindness worldwide. 50 consecutive patients, with Open Globe Injuries, were studied from January 2012 to October 2013, and primary surgical repair was carried out. Assessment, treatment and 6 months follow up of patients in our study, revealed maximum incidence in the youth with unilateral metallic penetrating injuries being the most common. A good initial visual acuity, early intervention, the absence of a relative afferent pupillary defect, hyphema, retinal detachment & vitreous haemorrhage were significant predictors for a good visual outcome. The zone of injury is significant, with posterior injuries having poorer prognosis. With advances in management modalities, the final visual outcome in open globe injury is improving. Limitaions of the study were due to small sample size and single centre study design.