Management of Ocular Injuries — Results and Complications
Keywords:Visual outcome penetrating, anterior segment injuries
One hundred cases of penetrating anterior segment injuries of all age groups requiring surgical repair were reviewed. 90 were male and 10 female, with a maximum number, 44%, lying in the working age group (21-30 years). The next highest, 34% was the paediatric age group (O-10 years). The visual outcome varied according to the involvement of the tissues and age of the patient Perforations involving just the peripheral part of the cornea, cornea, corneoscleral area and minimum corneal injury with or without traumatic cataract in; adult age group were associated with good visual results, 6/12 or better. Poor visual results were associated with involvement of visual axis resulting in cortical scarring and postoperative astigmatism in adults. In paediatric age group development of amblyopia because of unilateral aphakia or marked astigmatism were the causes of gross visual decline. Better parent’s education for prevention of injuries and long term follow up after repair is recommended. Preventive measures at work place would save the working age group from considerable visual loss.
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