Author/Authors :
Bhagat, Neelakshi Rutgers‑Institute of Ophthalmology and Visual Science - Rutgers‑New Jersey Medical School, Newark, NJ, USA , Turbin, Roger Rutgers‑Institute of Ophthalmology and Visual Science - Rutgers‑New Jersey Medical School, Newark, NJ, USA , Langer, Paul Rutgers‑Institute of Ophthalmology and Visual Science - Rutgers‑New Jersey Medical School, Newark, NJ, USA , Soni, NG Rutgers‑Institute of Ophthalmology and Visual Science - Rutgers‑New Jersey Medical School, Newark, NJ, USA , Bauza, AM Rutgers‑Institute of Ophthalmology and Visual Science - Rutgers‑New Jersey Medical School, Newark, NJ, USA , Son, JH Rutgers‑Institute of Ophthalmology and Visual Science - Rutgers‑New Jersey Medical School, Newark, NJ, USA , Chu, David Rutgers‑Institute of Ophthalmology and Visual Science - Rutgers‑New Jersey Medical School, Newark, NJ, USA , Dastjerdi, Mohammad Rutgers‑Institute of Ophthalmology and Visual Science - Rutgers‑New Jersey Medical School, Newark, NJ, USA , Zarbin, Marco Rutgers‑Institute of Ophthalmology and Visual Science - Rutgers‑New Jersey Medical School, Newark, NJ, USA
Abstract :
Loss of light perception (LP) after open globe injury (OGI) does not necessarily mean the patient will have
permanent complete visual loss. Findings that seem to be associated reliably with permanent profound
vision loss after OGI include optic nerve avulsion, optic nerve transection, and profound loss of intraocular
contents, which can be identified with CT/MRI imaging albeit with varying degrees of confidence. Eyes
with NLP after OGI that undergo successful primary repair with intact optic nerves may be considered for
additional surgery, particularly if there is: (1) recovery of LP on the first day after primary repair; (2) treatable
pathology underlying NLP status (e.g., extensive choroidal hemorrhage, dense vitreous and subretinal
hemorrhage); (3) NLP in the fellow eye. We counsel patients that the chance of recovering ambulatory
vision under these circumstances is very low (~5%).
Keywords :
Choroidal Hemorrhage , Eye Trauma , No Light Perception , Optic Nerve Avulsion , Optic Nerve Transection , Retinal Detachment , Ruptured Globe , Vitrectomy
