Abstract
Study design-Retrospective interventional study.Purpose-To study the visual outcomes,retinal re-attachment and the factors predictive of antecedent trauma in children.Methods-112 children with retinal detachment following Open Globe Injury(OGI) or Closed Globe Injury(CGI) who underwent vitreo-retinal surgery with a minimum follow-up of 6 months were included.Results-OGI is more common than CGI.Mean baseline visual acuity was 2.24±0.94 LogMAR of SD at presentation. Grade D, focal PVR was more common. Anatomical success was achieved in 79.46% (89) at the final follow-up. 38.39%(43) had final functional outcome of 1.1 to 1.7 LogMAR units with a mean of 1.93 ± 0.9 SD. Children with single surgery had better visual outcome with a mean visual acuity of 1.7 ± 0.92 SD. Conclusion- Awareness for early recognition with prompt surgical intervention helps to achieve re-attachment and better visual outcomes.Higher grade of PVR are associated with worse anatomical and visual outcomes.
