Analysis of 74 Open Globe Injuries Requiring Vitreo-Retinal Intervention and Its Correlation with Ocular Trauma Score

Ophthalmology Research: An International Journal Pub Date : 2022-07-29 DOI:10.9734/or/2022/v17i130249

Girish A. Gadre, Prashant Bulchandani

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Abstract

Aim: Retrospective study of 74 eyes with open globe injuries requiring V-R Intervention & its correlation with ocular trauma score. Results: Commonest cause of injury: Hammer-chisel/stone in 32.43% (24) & Thorn/wooden stick 27% (20). Average age-30.5yrs. Average interval between trauma & intervention was -10.04days (4hrs – 52days). Discussion: Delay of presentation to ophthalmologist has lot of significance,high incidence of endophthalmitis & retinal detachment compared to other studies. Surgical outcome shows lower incidence of NO Light Perception & Significant reduction in number of cases with 20/200. 60% of our cases had traumatic cataract, visual acuity may be underestimated in traumatic cataract. Faulty Projection of rays probably would be better criteria than RAPD. Extension of wound beyond pars plana, and aniridia (6.7%) are important risk factor. Conclusion: Modification of raw points is recommended in OTS criteria in Indian scenario.

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74例玻璃体-视网膜介入治疗的开放性眼球损伤及其与眼外伤评分的相关性分析

目的:回顾性分析74只眼球开放性损伤需要V-R介入治疗的眼及其与眼外伤评分的关系。结果:最常见的伤源:锤凿/石头占32.43%(24)，刺/木棍占27%(20)。平均年龄- 30.5岁。创伤与干预之间的平均间隔为-10.04天(4小时- 52天)。讨论:延迟向眼科就诊具有重要意义，与其他研究相比，眼内炎和视网膜脱离的发生率较高。手术结果显示NO光感发生率降低，20/200病例数显著减少。60%的病例为外伤性白内障，外伤性白内障的视敏度可能被低估。射线投射错误可能是比RAPD更好的诊断标准。创面延伸及无虹膜(6.7%)是重要的危险因素。结论:建议在印度的OTS标准中修改原始穴位。

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Ophthalmology Research: An International Journal

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