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V. K. Gullapalli, M. A. Zarbin, N. Bhagat; Visual Outcomes in Traumatic Ruptured Globes Without Intraocular Foreign Bodies. Invest. Ophthalmol. Vis. Sci. 2009;50(13):3177.
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To determine final visual outcomes in eyes with traumatic ruptured globe injuries without intraocular foreign bodies.
Cases of ruptured globe injuries at our institution from 1997 to 2005 were reviewed retrospectively. Ruptured globes that involved a full thickness corneal, corneoscleral or scleral lacerations were included. Cases with intraocular foreign body were excluded. Visual acuity was recorded during post-operative period and expressed as logarithm of minimum angle of resolution (LogMAR). Since a visual acuity of 1/200 is equivalent to 2.3 logMAR, the following logMAR values were assigned: counting fingers, 2.6, logMAR; hand motion, 2.9 logMAR; light perception, 3.1 logMAR; and no light perception, 3.4 logMAR.
A total of 356 cases were reviewed. 286 cases fit the inclusion criteria. Age ranged from 1 yr to 91 yrs, with a median age of 34 yrs. One hundred and thirty two patients had a full thickness corneal laceration, 78 had a corneoscleral laceration, 3 had only limbal laceration and 73 had scleral laceration. The following table summarizes the best visual acuity attained following surgery. Corneoscleral wounds undergoing penetrating keratoplasty (PKP) showed the largest gain in vision followed by corneal wounds undergoing cataract extraction (CE). Pars plana vitrectomy (PPV) was the most common procedure; patients in this group had a smaller improvement in vision compared to other groups. Eighteen cases underwent primary enucleation, 6 of which had a corneoscleral laceration, one each had corneal, or limbal laceration. Twenty seven patients underwent secondary enucleation; 13 of these had corneoscleral, 9 had scleral, 3 had corneal, and 1 had limbal lacerations.
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