Table of Contents - WOC 2012

FP-COR-MO 367 (10)
Toxic Epidermal Necrolysis and Ocular Treatments
Doroodgar Farideh (1)
1. Tehran University of Medical Sciences
Purpose: This study aimed to report Ocular Treatments in toxic epidermal
necrolysis (TEN).
Material and Methods: 51 patients were included in this descriptive study. We
assessed the outcome of Ocular Treatments. Lubricant eye drops, topical
steroid, punctum plug, therapeutic contact lens, debridement, mucolytic agents
were modalities that compare together.
Results: 51 TEN patients with ocular involvement were included. With regard
to SCORTEN Scoring System and systemic management ophthalmic cares
were initiated with regard to grading severity. Lubricant eye drops, fornix
sweeping, debridement, topical steroids, vitamin c and benefit hydration was
down for all patients, TCL in 13 PED, punctum plug was inserted in 24 patients
and AMG wasn’t needed for any patient. Outcomes of ocular treatments don›t
differ significantly between groups.
Conclusion: Ocular complication in TEN should decline with early recognition,
prompt withdrawal of the offending agent, early therapeutics and meticulous
wound care of eye.
Free Paper: Eye Trauma and Emergencies
Mon 20 Feb 8:30 - 10:00 Conference Room B4
FP-TRA-MO 368 (1)
Prognostic Factors in Treatment Outcome of Traumatic Pediatric
Endophthalmitis
Sahu Anupam (1,2) , Malhotra Sumit (1,2) , Agrawal Deepshikha (1,2) , Kumbhkar
Anil (1)
1. MGM Eye Institute
2. All India Ophthalmological Society
Objective: To identify the effect of prognostic variables on final visual outcome
following surgical management in traumatic pediatric endophthalmitis.
Methods: This is a retrospective evaluation of 44 children less than 17 years of
age who underwent pars plana vitrectomy with intraocular antibiotics /
antifungal and steroids as the primary vitreo retinal intervention for traumatic
endophthalmitis at our institute from 2005 to 2010.
Results: Patients ranged from 1.5 - 14 years (mean 7.6 ± 3.3 years) of which
75% were male. The most common cause of trauma was wooden sticks and
arrows (47.7%). Duration of follow up was from 6 to 277.7 weeks (median
18 weeks). Visual acuity by standard techniques could be estimated in
40 patients. One patient was lost to follow up. 55% (22/40) of children had
BCVA ≥ 20/200 at last follow up. The individual variables assessed for
prognosticating were time of presentation (P=0.78), associated corneal scar
(P=0.67), co-existent infectious keratitis (P=0.08), cataract (P=0.96), retinal
pathology (P=0.49), relative afferent pupillary defect (RAPD) (P=0.03) and
culture results (P=0.32).
Conclusion: Presence of RAPD at the time of presentation is significantly
associated with poorer final visual outcome.
WOC2012 Abstract Book
FP-TRA-MO 368 (2)
Visual Outcomes,Globe Survival and Endophthalmitis Rates After
Delayed Removal Of Intraocular Foreign Body.
Malhotra Sumeet (1) , Agarwal Deepshikha (1)
1. MGM Eye Institute
Purpose: To determine incidence of endophthalmitis, globe survival and visual
outcomes after delayed removal (>3 days) of intraocular foreign bodies (IOFB).
Methods: Retrospective analysis 60 patients with IOFB injuries from January
2005 to January 2011 was done for IOFB removal time, visual outcomes,
endophthalmitis and globe survival rates after anterior and posterior segment
surgical interventions.
Results: 61% (37 of 60) patients had delayed IOFB removal with mean IOFB
removal time of 23 days.28% patients had visual acuity of ?20/400 and ?20/40
was seen in 39% patients, one patient had enucleation of globe at 6 months
follow-up. 49% patients presented with traumatic endophthalmitis. Poor
outcome (?20/400) was associated with severe intraocular injury (P=0.02) and
did not correlate with endophthalmitis (P=0.13) and retinal detachment with
proliferative vitreretinopathy (P=0.14).
Conclusion: Anatomical and visual outcomes after delayed IOFB removal are
not dismal.Poor visual outcome is associated with extensive ocular injury.
FP-TRA-MO 368 (3)
Penetrating Eye Trauma in Children, Causes and Outcome
Alotaibi Abdullah (1) , Alhamad Fatimah (1)
1. King Saud University
2. King Saud University
Purpose: To determine the clinical and demographical characteristics of
childhood penetrating eye injuries, predisposing factors and visual outcome.
Methods: A retrospective review of all pediatric (?15 years) presenting with
penetrating eye injury from a sharp object to King Abdul Aziz University
Hospital (KAUH) between January 1995 and December 2010 was conducted.
Results: A total 71 cases of penetrating ocular injury in children were included
in our study. About 50% of injuries occurred at home. Knife was the most
frequent object of trauma (24%).Cornea was the most common site of
penetration in 49% followed by scerocorneal in 28% of patients. Lens injury
was present in 49% and vitreous hemorrhage in 7%.Sinle surgery was
performed in 73% while33% required additional procedure(s). Final visual
acuity of 20l40 or better was achieved in 48% of injured eyes. Size of corneal
laceration was significantly correlated with the final visual outcome. Unlike in
adults, in patients as young as ours, the initial visual acuity cannot be regarded
as a prognostic factor. Lens injury was associated with poor visual outcome (p
value=0.0027, significant).
Conclusions: Although advances in the repair and treatment of open globe
trauma have improved visual prognosis, prevention of injury remains the first
line of defense.
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