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Risk Factors and Visual Outcome after Surgical Repair of Open Globe Injuries in Gujarat Adani Institute of Medical Science, Bhuj

Sanjay Upadhyay, Assistant Professor, Department of Ophthalmology, Gujarat Adani Institute of Medical Science, Bhuj, Gujarat 370001, India. , Jayantilal Shah1 , Sanjay Upadhyay 2

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Ophthalmology and Allied Sciences 3(2):p 103-107, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/oas.2454.7816.3217.12

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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%).

Keywords: Open Globe Injury; Ocular Trauma; Visual Outcome Post Trauma. 

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DOI: http://dx.doi.org/10.21088/oas.2454.7816.3217.12

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