Ocular pellet injury in conflict zone of Kashmir, India

Session Details

Session Title: Free Paper Session 20: Vitreoretinal Surgery V

Session Date/Time: Sunday 10/09/2017 | 08:00-09:30

Paper Time: 08:18

Venue: Room 117

First Author: : V.Kumar INDIA

Co Author(s): :    F. Obeng   N. Kaur                          

Abstract Details

Purpose:

To assess the anatomical and visual outcome in victims of ocular pellet injuries suffered in a cohort of patients from the Indian part of Kashmir.

Setting:

Patients undergoing pars plana vitrectomy at S.B.Dr. Sohan Singh Eye Hospital, for Ocular Pellet injuries.

Methods:

Records of all patients who had ocular pellet injury (OPI) from 2014 to 2016 were reviewed retrospectively for effects of pellet injury on the eye and their management. Patients’ demographic data, indications for surgery, initial and last BCVA, complications, number of surgeries and length of follow up were collected and analysed.

Results:

Thirty three eyes of 32 patients (30 males and 2 females) were identified. Mean age at presentation was 19.9+5 years (range 10-35 years) with a mean follow up 6.6+4 months (range 1 to 18 months). 54.55%, 42.42% and 3.03% of eyes had improvement, maintenance and worsening of the final BCVA respectively. 11 (33.33%) of 33 eyes had postoperative complications with ocular hypertension being the most common.

Conclusions:

OPI causes serious visual decline due to retinal detachment and vitreous haemhorrage. Although visual prognosis depends massively on presenting BCVA, location of pellet, exit wound on the retina and type of pellet, it is generally guarded. Patients should know about their visual prognosis before signing of consent forms and policy makers, the crucial role prevention plays.

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