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

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.

• Authors: Hua Yan, Kehu Yang, Zhizhong Ma, Ferenc Kuhn, Wenfang Zhang, ZhiJun Wang, Yuntao Hu, Hai Lu, Yoshida Shigeo, Gungor Sobaci, Sengul Ozdek, Matteo Forlini, Bo Huang, Yannian Hui, Ming Zhang, Gezhi Xu, Wenbin Wei, Yanrong Jiang, DongHo Park, RodrigoAntonio Brant Fernandes, Yuguang He, Andres Rousselot, Annette Hoskin, Gangadhara Sundar, Yong Liu, Yusheng Wang, Lijun Shen, Haoyu Chen, Huijin Chen, Gezhi Han, Rui Jiang, Xuemin Jin, Jijian Lin, Jing Luo, Zhaoyang Wang, Yong Wei, Ying Wen, Zhenggao Xie, Yi Wang, Xun Yang, Wenzhen Yu, Zhi Zheng, Xiaodong Sun, Jianhong Liang, Qin Liu, Jinguo Yu, Shihui Wei, Zhengxiang Li, Lu Chen, Xiufen Wang, Lili Wei, Haokun Zhang, Siyue Chen, Yuming Liu, Xu Guo, Siyuan Liu, Xinhua Xu, Yibo Tao, Yixuan Chen, Yaolong Chen
• Journal: Journal of evidence-based medicine (J Evid Based Med) Vol. 15 Issue 3 Pg. 302-314 (Sep 2022) ISSN: 1756-5391 [Electronic] England
• PMID: 36151612 (Publication Type: Journal Article)
• Copyright: © 2022 The Authors. Journal of Evidence-Based Medicine published by Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.

Topics

• Eye Injuries, Penetrating (diagnosis, surgery)
• Humans
• Prognosis
• Retrospective Studies
• Visual Acuity
• Vitrectomy