Analysis of 74 Open Globe Injuries Requiring Vitreo-Retinal Intervention and Its Correlation with Ocular Trauma Score
Girish A. Gadre
Department of Ophthalmology, Krishna Institute of Medical Sciences (Deemed to be University), Karad, Maharashtra - 415539, India.
Prashant Bulchandani *
Department of Ophthalmology, Krishna Institute of Medical Sciences (Deemed to be University), Karad, Maharashtra - 415539, India.
*Author to whom correspondence should be addressed.
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 </=HM. Patients had better prognosis & visual outcome, higher incidence of 1/200- 20/50; 35.14% 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.
Keywords: Ocular Trauma Score (OTS), Retinal Detachment (RD), Penetrating Trauma (PT), Retained IOFB (IOFB), Perforating injury (PF), Globe Rupture (RPT)