Prognostic factors for visual outcome after surgical repair of limbal corneal laceration at a tertiary eye care center in South India
Purpose: To determine the factors affecting the visual outcome after surgical repair of limbal corneal lacerations at a tertiary eye care center in South India. Methods: A retrospective analysis of patients diagnosed with limbal tears between 2011 and 2021 was conducted. Demographic information such...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=9;spage=3198;epage=3202;aulast=Shetty |
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| author | Prerana A Shetty Ramya Natarajan Sushank A Bhalerao Sowjanya Vuyyuru Uma Yogesh Thigale Divya Tara |
| author_facet | Prerana A Shetty Ramya Natarajan Sushank A Bhalerao Sowjanya Vuyyuru Uma Yogesh Thigale Divya Tara |
| author_sort | Prerana A Shetty |
| collection | DOAJ |
| description | Purpose: To determine the factors affecting the visual outcome after surgical repair of limbal corneal lacerations at a tertiary eye care center in South India. Methods: A retrospective analysis of patients diagnosed with limbal tears between 2011 and 2021 was conducted. Demographic information such as age, gender, cause of injury, and size of the laceration was recorded. Comprehensive ocular examination was performed, including gentle B scan evaluation whenever not contraindicated for detailed posterior segment evaluation. Only those cases with a minimum follow-up of one year were included. Postoperative best-corrected visual acuity, intraocular pressure (IOP), cornea clarity, and integrity of the wound at last follow-up were noted. Results: Out of the 20 patients, 15 (75%) were males and 5 (25%) were females. The mean age was 42.6 ± 22.4 years. All 20 patients had a penetrating injury, with four (20%) injured by a stick, two (10%) by an iron rod, three (15%) due to road traffic accident (RTA), three (15%) by glass, and eight (40%) with other nonspecific objects [two (10%) with needle, two (10%) with elastic rope, two (10%) with bangle, and two (10%) with metal]. The average time between the injury and the surgery was 48 hours (2 days). Four (20%) patients underwent a second surgery within a week of repair. After limbal tear repair, at final follow-up at 3 years, 7 (35%) had VA worse than 20/800, 3 (15%) had VA between 20/100 and 20/800, and 10 (50%) achieved VA better than 20/80. Conclusion: Preoperative visual acuity (VA), mode of injury, and size of wound affect the final visual outcome after surgical repair of limbal corneal laceration. Preoperative VA and mode of injury were statistically significant even in the multivariate analysis. |
| first_indexed | 2024-03-11T15:44:53Z |
| format | Article |
| id | doaj.art-27885b2eb28c4977bad6d5daa846ef25 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-03-11T15:44:53Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-27885b2eb28c4977bad6d5daa846ef252023-10-26T06:49:21ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017193198320210.4103/IJO.IJO_156_23Prognostic factors for visual outcome after surgical repair of limbal corneal laceration at a tertiary eye care center in South IndiaPrerana A ShettyRamya NatarajanSushank A BhaleraoSowjanya VuyyuruUma Yogesh ThigaleDivya TaraPurpose: To determine the factors affecting the visual outcome after surgical repair of limbal corneal lacerations at a tertiary eye care center in South India. Methods: A retrospective analysis of patients diagnosed with limbal tears between 2011 and 2021 was conducted. Demographic information such as age, gender, cause of injury, and size of the laceration was recorded. Comprehensive ocular examination was performed, including gentle B scan evaluation whenever not contraindicated for detailed posterior segment evaluation. Only those cases with a minimum follow-up of one year were included. Postoperative best-corrected visual acuity, intraocular pressure (IOP), cornea clarity, and integrity of the wound at last follow-up were noted. Results: Out of the 20 patients, 15 (75%) were males and 5 (25%) were females. The mean age was 42.6 ± 22.4 years. All 20 patients had a penetrating injury, with four (20%) injured by a stick, two (10%) by an iron rod, three (15%) due to road traffic accident (RTA), three (15%) by glass, and eight (40%) with other nonspecific objects [two (10%) with needle, two (10%) with elastic rope, two (10%) with bangle, and two (10%) with metal]. The average time between the injury and the surgery was 48 hours (2 days). Four (20%) patients underwent a second surgery within a week of repair. After limbal tear repair, at final follow-up at 3 years, 7 (35%) had VA worse than 20/800, 3 (15%) had VA between 20/100 and 20/800, and 10 (50%) achieved VA better than 20/80. Conclusion: Preoperative visual acuity (VA), mode of injury, and size of wound affect the final visual outcome after surgical repair of limbal corneal laceration. Preoperative VA and mode of injury were statistically significant even in the multivariate analysis.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=9;spage=3198;epage=3202;aulast=Shettylimbal tearopen globe injurypostoperative visual acuityprognostic factors |
| spellingShingle | Prerana A Shetty Ramya Natarajan Sushank A Bhalerao Sowjanya Vuyyuru Uma Yogesh Thigale Divya Tara Prognostic factors for visual outcome after surgical repair of limbal corneal laceration at a tertiary eye care center in South India Indian Journal of Ophthalmology limbal tear open globe injury postoperative visual acuity prognostic factors |
| title | Prognostic factors for visual outcome after surgical repair of limbal corneal laceration at a tertiary eye care center in South India |
| title_full | Prognostic factors for visual outcome after surgical repair of limbal corneal laceration at a tertiary eye care center in South India |
| title_fullStr | Prognostic factors for visual outcome after surgical repair of limbal corneal laceration at a tertiary eye care center in South India |
| title_full_unstemmed | Prognostic factors for visual outcome after surgical repair of limbal corneal laceration at a tertiary eye care center in South India |
| title_short | Prognostic factors for visual outcome after surgical repair of limbal corneal laceration at a tertiary eye care center in South India |
| title_sort | prognostic factors for visual outcome after surgical repair of limbal corneal laceration at a tertiary eye care center in south india |
| topic | limbal tear open globe injury postoperative visual acuity prognostic factors |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=9;spage=3198;epage=3202;aulast=Shetty |
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