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Binocularity and severe uniocular trauma.

F C Lam1, C R Weir, M Cleary

  • 1Department of Ophthalmology, Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, UK. fook chang@ hotmail.com

Strabismus
|May 20, 2008
PubMed
Summary
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Severe ocular trauma can impact binocular vision, even with good monocular outcomes. Patients require counseling on potential binocular vision problems and prompt orthoptic assessment after eye injuries.

Area of Science:

  • Ophthalmology
  • Vision Science
  • Retinal Surgery

Background:

  • Severe ocular trauma often leads to monocular vision impairment.
  • The impact of severe ocular trauma on binocular visual function is not well understood.
  • This study investigates binocular outcomes in patients with severe ocular injuries.

Purpose of the Study:

  • To evaluate binocular visual outcomes in patients following severe ocular trauma.
  • To determine the relationship between monocular visual acuity and binocular function post-injury.
  • To highlight the need for comprehensive assessment of binocular vision in trauma patients.

Main Methods:

  • Retrospective analysis of 6 patients with binocular issues after severe ocular injury.
  • Patients underwent 1 to 5 vitreoretinal surgical procedures.

Related Experiment Videos

  • Inclusion criteria involved referral to a regional vitreoretinal surgery center.

    • Main Results:

    • Final visual acuities varied from 6/9 to 1/60 after a mean follow-up of 2.9 years.
    • Three patients achieved some binocularity; two experienced intractable diplopia; one used prisms for suppression.
    • Monocular visual acuity did not predict the binocular outcome; presentation to motility service ranged from 3 months to 2.25 years post-injury.

    Conclusions:

    • Good monocular vision does not guarantee satisfactory binocular function after severe ocular trauma.
    • Significant binocular symptoms can occur even with poor monocular outcomes.
    • Patients must be informed about the risk of under-recognized binocular vision problems and require prompt orthoptic evaluation.