%0 Journal Article
%T Surgical Treatment of Severely Traumatized Eyes with No Light Perception
%A Ebadollah Heidari
%A Ali Mahdavi-Fard
%J Journal of Ophthalmic & Vision Research
%D 2008
%I Ophthalmic Research Center
%X 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¡À5.2 (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.
%U http://www.jovr.ir/index.php/jovr/article/view/18