April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
Role of Early Patching on Visual Outcomes in Pediatric Ruptured Globes
Author Affiliations & Notes
  • B. B. Bert
    Ophthalmology, New York Eye and Ear Infirmary, New York, New York
  • K. Mukkamala
    Ophthalmology, New York Eye and Ear Infirmary, New York, New York
  • S. Yang
    Ophthalmology, New York Eye and Ear Infirmary, New York, New York
  • L. Hall
    Ophthalmology, New York Eye and Ear Infirmary, New York, New York
  • Footnotes
    Commercial Relationships  B.B. Bert, None; K. Mukkamala, None; S. Yang, None; L. Hall, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 5278. doi:
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    • Get Citation

      B. B. Bert, K. Mukkamala, S. Yang, L. Hall; Role of Early Patching on Visual Outcomes in Pediatric Ruptured Globes. Invest. Ophthalmol. Vis. Sci. 2010;51(13):5278.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose:
 

To evaluate visual outcomes after early patching in pediatricpatients in both the amblyogenic and non-amblyogenic ages aftera ruptured globe repair.

 
Methods:
 

Retrospective chart review. We reviewed the charts of patientsunder the age of 15 that presented between the years 1990-2000with severe globe trauma.

 
Results:
 

Thirty-three charts were analyzed. Mean patient age was 5.5± 3.5 years. Average length of follow up was 19.7 months.Of the 33 cases, 24 were in the amblyogenic period (≤ 7 yearsof age in our study) and 9 were ≥8 years of age. Of the 24 eyesin the amblyogenic period, 82% of patients that received earlypatching achieved Snellen VA of 20/20-20/60 compared to 43%of those that were not patched. 57% of those that were not patchedhad VA of 20/200 or less. Of the 9 patients ≥ 8 years, 8 hada visual acuity (VA) between 20/20-20/60 while one eye requiredenucleation.

 
Conclusions:
 

In the amblyogenic period, early patching of the non-affectedeye after a ruptured globe injury can improve visual outcomeswhen compared to children who were not patched (P<0.05).Table1: Final Visual Outcomes of Affected Eye after Pediatric RupturedGlobes  

 

 
Keywords: trauma • visual acuity 
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