Visual Outcomes of Traumatic Posterior Segment Complications in Upper Egypt: Tertiary Center Study

Document Type : Original Article

Authors

1 Department of Ophthalmology , Faculty of Medicine, Assiut University, Egypt

2 Department of Ophthalmology, Faculty of Medicine, Assiut University, Egypt

Abstract

Background:
Ocular trauma is a significant contributor to visual deterioration worldwide, with nearly 1.6 million people suffering from blindness due to eye injuries. As a result, unilateral blindness, caused most commonly by ocular trauma, is the most common form of this condition.
Patients and Methods:
This prospective observational study included eighty cases who underwent vitreoretinal intervention from September 2020 to August 2022. Patients with recent intraocular surgery, other causes of posterior segment complications, pre-existing diseases affecting visual outcome, and loss of follow-up were excluded. Demographic features, mechanism and time of eye injury, clinical features, surgical approach, and outcome were recorded and analyzed.
Results:
Variables predictive of good visual outcome included a vision more than HM at presentation and closed-eye trauma. Conversely, variables predictive of poor visual outcome included vision equal to or less than HM at presentation, initial or secondary retinal detachment, initial central corneal wound, initial scleral wound, and the presence of RAPD. Notably, the visual outcome was not affected by age, presence of secondary cataract, initial vitreous hemorrhage, time of intervention, or recurrence after retinal detachment surgery for these 80 patients.
Conclusion:
This study identified multiple prognostic factors for visual outcomes following ocular trauma. Notably, presenting visual acuity emerged as the strongest predictor in this series.

Keywords

Journal of Current Medical Research and Practice
Volume 9, Issue 1
January 2024
Pages 49-58

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