Purchase this article with an account.
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.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To evaluate visual outcomes after early patching in pediatricpatients in both the amblyogenic and non-amblyogenic ages aftera ruptured globe repair.
Retrospective chart review. We reviewed the charts of patientsunder the age of 15 that presented between the years 1990-2000with severe globe trauma.
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.
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
This PDF is available to Subscribers Only