Dr.Sakshi Makhloga

Dr.Shreya Shah, Dr. Bhumi Chandarana, Dr.Avadhi Ganasava

Abstract

METHODS: WE DID RETROSPECTIVE REVIEW OF OUTCOMES OF PEDIATRIC TRAUMA
SURGERIES FROM 2005-2023 ON ALL CASES OF OCULAR INJURIES THAT HAD NLP ON
PRESENTATION.
RESULTS: 4721 CASES OF OCULAR INJURIES WERE INCLUDED. 2% PATIENTS HAD NLP ON PRESENTATION. 45% WERE PEDIATRIC PATIENTS.84% PATIENTS DID NOT HAVE ANY SURGERY DUE TO SEVERE STRUCTURAL DAMAGE OR PATIENT NOT READY FOR SURGERY WITH EXTREMELY GUARDED PROGNOSIS. 7.7% WERE OPERATED FOR DESTRUCTIVE AND COSMETIC SURGERIES. 9% CASES OPERATED FOR VISION SALVAGING SURGERIES.AMONG EYES THAT UNDERWENT SURGERY, 6 EYES HAD IMPROVEMENT WITH VISION RANGING FROM HAND MOTION TO 6/12.ALL EYES THAT DID NOT UNDERGO VITREORETINAL SURGERY RETURNED TO NLP OR BECAME PTHYSICAL WITHIN 1 YEAR.
CONCLUSION:PATIENTS WITH SEVERE OCULAR INJURY AND NLP OCCASIONALLY RECOVER.THESE PATIENTS MAY REGAIN USEFUL VISION AFTER SURGERY IF PROMPT REFERRAL AND INTERVENTION IS ATTEMPTED.