Guideline for the treatment of no light perception eyes induced by mechanical ocular trauma

Yan H., Yang K., Ma Z., Kuhn F., Zhang W., Wang Z., ...More

JOURNAL OF EVIDENCE BASED MEDICINE, vol.15, no.3, pp.302-314, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 15 Issue: 3
  • Publication Date: 2022
  • Doi Number: 10.1111/jebm.12496
  • Journal Name: JOURNAL OF EVIDENCE BASED MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE
  • Page Numbers: pp.302-314
  • Keywords: evidence-based medicine, mechanical ocular trauma, no light perception, treatment guidelines, OPEN-GLOBE INJURY, SILICONE OIL TAMPONADE, INTRAOCULAR FOREIGN-BODIES, PARS-PLANA VITRECTOMY, FINAL VISUAL-ACUITY, PROGNOSTIC-FACTORS, RISK-FACTORS, POSTTRAUMATIC ENDOPHTHALMITIS, VITREORETINAL SURGERY, SURGICAL-TREATMENT
  • Gazi University Affiliated: Yes

Abstract

Severe mechanical ocular trauma with no light perception (NLP) predicts a poor prognosis of visual acuity and enucleation of the eyeball. Since the innovative treatment concept of exploratory vitreoretinal surgery has developed and treatment technology has advanced, the outcomes of severe ocular trauma treatment in NLP patients have greatly improved. However, there remains a lack of unified standards for the determination, surgical indication, and timing of vitrectomy in NLP eye treatment. To address these problems, we aimed to create evidence-based medical guidelines for the diagnosis, treatment, and prognosis of mechanical ocular trauma with NLP. Sixteen relevant recommendations for mechanical ocular trauma with NLP were obtained, and a consensus was reached. Each recommendation was explained in detail to guide the treatment of mechanical ocular trauma associated with NLP.