Surgical Treatment of Severely Traumatized Eyes with No Light Perception
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Knowledge E
2008-11-01
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| Series: | Journal of Ophthalmic & Vision Research |
| Online Access: | http://www.jovr.ir/index.php/jovr/article/view/18 |
| _version_ | 1811249281665859584 |
|---|---|
| author | Ebadollah Heidari Ali Mahdavi-Fard |
| author_facet | Ebadollah Heidari Ali Mahdavi-Fard |
| author_sort | Ebadollah Heidari |
| collection | DOAJ |
| description | <!--[if gte mso 9]><xml> Normal 0 false false false MicrosoftInternetExplorer4 </xml><![endif]--><!--[if gte mso 9]><xml> </xml><![endif]--> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]--> <p>PURPOSE: To evaluate the anatomical and functional outcomes of surgical intervention in severely traumatized eyes with no light perception (NLP). METHODS: In this prospective interventional case series, 18 eyes of 18 patients with severe ocular trauma whose vision was documented as NLP and with relative afferent pupillary defect (RAPD) of 3-4+ underwent deep vitrectomy and other necessary procedures once to three times. RESULTS: Vision was NLP in all eyes at the time of surgery which was performed 3-14 days after the initial trauma. During a mean follow up period of 20.5±5.2 (range 11 to 49) months, except for one case of phthisis, other eyes achieved acceptable anatomic and functional outcomes. Postoperative vision was NLP in two eyes (11.1%), light perception in three eyes (16.7%), hand motions in four eyes (22.2%), counting fingers in three eyes (16.7%) and 20/200 or better in six eyes (33.3%). CONCLUSION: Following eye trauma, NLP vision and RAPD of 3-4+ alone may not be an indication for enucleation. Performing exploratory surgery within 14 days after the injury may salvage the globe and improve vision; this approach may be more acceptable psychologically for patients and relatives.</p> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables /> <w:SnapToGridInCell /> <w:WrapTextWithPunct /> <w:UseAsianBreakRules /> <w:DontGrowAutofit /> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--> <!-- /* Font Definitions */ @font-face {font-family:Palatino; mso-font-alt:"Book Antiqua"; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:7 0 0 0 147 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0cm; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} @page Section1 {size:612.0pt 792.0pt; margin:72.0pt 90.0pt 72.0pt 90.0pt; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} --> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]--> |
| first_indexed | 2024-04-12T15:43:42Z |
| format | Article |
| id | doaj.art-d7245934db8d4076b8a9f3e02d8107c5 |
| institution | Directory Open Access Journal |
| issn | 2008-2010 2008-322X |
| language | English |
| last_indexed | 2024-04-12T15:43:42Z |
| publishDate | 2008-11-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Journal of Ophthalmic & Vision Research |
| spelling | doaj.art-d7245934db8d4076b8a9f3e02d8107c52022-12-22T03:26:43ZengKnowledge EJournal of Ophthalmic & Vision Research2008-20102008-322X2008-11-0122129134Surgical Treatment of Severely Traumatized Eyes with No Light PerceptionEbadollah HeidariAli Mahdavi-Fard<!--[if gte mso 9]><xml> Normal 0 false false false MicrosoftInternetExplorer4 </xml><![endif]--><!--[if gte mso 9]><xml> </xml><![endif]--> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]--> <p>PURPOSE: To evaluate the anatomical and functional outcomes of surgical intervention in severely traumatized eyes with no light perception (NLP). METHODS: In this prospective interventional case series, 18 eyes of 18 patients with severe ocular trauma whose vision was documented as NLP and with relative afferent pupillary defect (RAPD) of 3-4+ underwent deep vitrectomy and other necessary procedures once to three times. RESULTS: Vision was NLP in all eyes at the time of surgery which was performed 3-14 days after the initial trauma. During a mean follow up period of 20.5±5.2 (range 11 to 49) months, except for one case of phthisis, other eyes achieved acceptable anatomic and functional outcomes. Postoperative vision was NLP in two eyes (11.1%), light perception in three eyes (16.7%), hand motions in four eyes (22.2%), counting fingers in three eyes (16.7%) and 20/200 or better in six eyes (33.3%). CONCLUSION: Following eye trauma, NLP vision and RAPD of 3-4+ alone may not be an indication for enucleation. Performing exploratory surgery within 14 days after the injury may salvage the globe and improve vision; this approach may be more acceptable psychologically for patients and relatives.</p> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables /> <w:SnapToGridInCell /> <w:WrapTextWithPunct /> <w:UseAsianBreakRules /> <w:DontGrowAutofit /> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--> <!-- /* Font Definitions */ @font-face {font-family:Palatino; mso-font-alt:"Book Antiqua"; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:7 0 0 0 147 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0cm; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} @page Section1 {size:612.0pt 792.0pt; margin:72.0pt 90.0pt 72.0pt 90.0pt; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} --> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]-->http://www.jovr.ir/index.php/jovr/article/view/18 |
| spellingShingle | Ebadollah Heidari Ali Mahdavi-Fard Surgical Treatment of Severely Traumatized Eyes with No Light Perception Journal of Ophthalmic & Vision Research |
| title | Surgical Treatment of Severely Traumatized Eyes with No Light Perception |
| title_full | Surgical Treatment of Severely Traumatized Eyes with No Light Perception |
| title_fullStr | Surgical Treatment of Severely Traumatized Eyes with No Light Perception |
| title_full_unstemmed | Surgical Treatment of Severely Traumatized Eyes with No Light Perception |
| title_short | Surgical Treatment of Severely Traumatized Eyes with No Light Perception |
| title_sort | surgical treatment of severely traumatized eyes with no light perception |
| url | http://www.jovr.ir/index.php/jovr/article/view/18 |
| work_keys_str_mv | AT ebadollahheidari surgicaltreatmentofseverelytraumatizedeyeswithnolightperception AT alimahdavifard surgicaltreatmentofseverelytraumatizedeyeswithnolightperception |