Visual recovery following open globe injury with initial no light perception

Visual recovery following open globe injury with initial no light perception

Yong S Han, Shaheen C Kavoussi, Ron A Adelman Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT, USA Background: The purpose of this study was to analyze eyes presenting with no light perception (NLP) after open globe injury (OGI) to determine visual...

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Autores principales: Han YS, Kavoussi SC, Adelman RA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/b99cb56868374b03934cd9d0318dff78
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spelling oai:doaj.org-article:b99cb56868374b03934cd9d0318dff782021-12-02T01:11:49ZVisual recovery following open globe injury with initial no light perception1177-5483https://doaj.org/article/b99cb56868374b03934cd9d0318dff782015-08-01T00:00:00Zhttp://www.dovepress.com/visual-recovery-following-open-globe-injury-withnbspinitial-no-light-p-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Yong S Han, Shaheen C Kavoussi, Ron A Adelman Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT, USA Background: The purpose of this study was to analyze eyes presenting with no light perception (NLP) after open globe injury (OGI) to determine visual outcomes and prognostic indicators for visual recovery. Methods: The records of consecutive patients with at least 6 months of follow-up presenting with OGI and NLP to a single institution between January 1, 2003 and December 31, 2013 were reviewed for demographics, ophthalmic history, context and characteristics of injury, ocular examination findings, surgical interventions, and follow-up visual acuity. Unpaired t-tests and Fisher’s Exact tests were used for statistical analysis. Results: Twenty-five patients met our inclusion criteria. The mean age was 50.4±25.5 (range 8–91) years. Four patients (16%) regained vision (hand motion in three patients and light perception in one patient) while 21 patients (84%) remained with NLP or had a prosthesis at final follow-up. Fourteen eyes (56%) were enucleated; nine (36%) were secondary enucleations. Although the sample sizes were small, neither ocular trauma score nor wound size was found to predict visual recovery. Conclusion: Four patients regained some vision after presenting with NLP due to OGI. These findings suggest that, in select cases, physicians should discuss the possibility of regaining some vision. Keywords: no light perception, open globe injury, visual recovery, vitreoretinal surgery Han YSKavoussi SCAdelman RADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1443-1448 (2015)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Han YS
Kavoussi SC
Adelman RA
Visual recovery following open globe injury with initial no light perception
description Yong S Han, Shaheen C Kavoussi, Ron A Adelman Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT, USA Background: The purpose of this study was to analyze eyes presenting with no light perception (NLP) after open globe injury (OGI) to determine visual outcomes and prognostic indicators for visual recovery. Methods: The records of consecutive patients with at least 6 months of follow-up presenting with OGI and NLP to a single institution between January 1, 2003 and December 31, 2013 were reviewed for demographics, ophthalmic history, context and characteristics of injury, ocular examination findings, surgical interventions, and follow-up visual acuity. Unpaired t-tests and Fisher’s Exact tests were used for statistical analysis. Results: Twenty-five patients met our inclusion criteria. The mean age was 50.4±25.5 (range 8–91) years. Four patients (16%) regained vision (hand motion in three patients and light perception in one patient) while 21 patients (84%) remained with NLP or had a prosthesis at final follow-up. Fourteen eyes (56%) were enucleated; nine (36%) were secondary enucleations. Although the sample sizes were small, neither ocular trauma score nor wound size was found to predict visual recovery. Conclusion: Four patients regained some vision after presenting with NLP due to OGI. These findings suggest that, in select cases, physicians should discuss the possibility of regaining some vision. Keywords: no light perception, open globe injury, visual recovery, vitreoretinal surgery 
format article
author Han YS
Kavoussi SC
Adelman RA
author_facet Han YS
Kavoussi SC
Adelman RA
author_sort Han YS
title Visual recovery following open globe injury with initial no light perception
title_short Visual recovery following open globe injury with initial no light perception
title_full Visual recovery following open globe injury with initial no light perception
title_fullStr Visual recovery following open globe injury with initial no light perception
title_full_unstemmed Visual recovery following open globe injury with initial no light perception
title_sort visual recovery following open globe injury with initial no light perception
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/b99cb56868374b03934cd9d0318dff78
work_keys_str_mv AT hanys visualrecoveryfollowingopenglobeinjurywithnbspinitialnolightperception
AT kavoussisc visualrecoveryfollowingopenglobeinjurywithnbspinitialnolightperception
AT adelmanra visualrecoveryfollowingopenglobeinjurywithnbspinitialnolightperception
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