Dr. JIVITESH SINGH

Dr.Sherine M D Souza, Dr.Shetty Bhujang K

Abstract

Purpose: To present management of penetrating trauma in step by step fashion in a PR inaccurate eye.

Methods: A 35-year-oldpresented with penetrating injury Right eye with a glass shard from an explosion. Visual acuity- PL+ and PR inaccurate. On examination he had a 9mm central linear corneal tear with 6 mm L shaped scleral extension involving the limbus with no evidence of Intraocular Foreign body on CT scan. Patient underwent primary corneal tear repair. Post op fundus had retinal and choroidal detachments. Pars plana vitrectomy was done after 2 months later which retina was attached and VA became 6/36.

Results: On initial presentation the visual acuity was PR inaccurate but step by step management of treating penetrating injury led to final visual acuity of 6/36

Conclusion: Any patient with penetrating trauma and poor visual acuity needs to be managed step by step approach. Primary repair followed posterior segment management with patient on regular follow-up and reassurance