Purpose: To assess clinical profile and outcome of patients with ocular pellet injury (OPI) in the Indian patients who visited our hospital.
Material and Methods: Records of all patients who had OPI from 2014 to 2018 were reviewed and analyzed retrospectively for effects of pellet injury on the eye and their management.
Results: During the study period, 81 patients (79 males and 2 females) were found to be affected. Mean age at presentation was 20.73 years (Range 10-56 years) with a mean follow up period of 6.9+/-4 months (1-18 months). 65, 8 and 1 patients had improvement, maintenance and worsening of the final BCVA respectively. 3 eyes were unsalvageable, and 4 patients were lost to follow up. 35(43.21%) patients had post-operative complications with re-detachment being the most common (23.46%). After the treatment, there was a significant improvement in the visual acuity (p < 0.001). Intra-ocular foreign body (IOFB) was removed from 30 eyes. In 39/51 eyes which had a perforating injury, the pellet was lodged in the retro-bulbar area.
Conclusion: OPI causes serious visual decline due to vitreous hemorrhage, cataract and retinal detachment. However, proper diagnosis and treatment can significantly improve the final visual outcome.
Impact Factor
2022: 6.012
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