Approach to management of eyes with no light perception after open globe injury

Neelakshi Bhagat, Roger Turbin, Paul Langer, N. G. Soni, A. M. Bauza, J. H. Son, David Chu, Mohammad Dastjerdi, Marco Zarbin

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations


Loss of light perception (LP) after open globe injury (OGI) does not necessarily mean the patient will have permanent complete visual loss. Findings that seem to be associated reliably with permanent profound vision loss after OGI include optic nerve avulsion, optic nerve transection, and profound loss of intraocular contents, which can be identified with CT/MRI imaging albeit with varying degrees of confidence. Eyes with NLP after OGI that undergo successful primary repair with intact optic nerves may be considered for additional surgery, particularly if there is: (1) recovery of LP on the first day after primary repair; (2) treatable pathology underlying NLP status (e.g., extensive choroidal hemorrhage, dense vitreous and subretinal hemorrhage); (3) NLP in the fellow eye. We counsel patients that the chance of recovering ambulatory vision under these circumstances is very low (5%).

Original languageEnglish (US)
Pages (from-to)313-318
Number of pages6
JournalJournal of Ophthalmic and Vision Research
Issue number3
StatePublished - Jul 1 2016

All Science Journal Classification (ASJC) codes

  • Ophthalmology


  • Choroidal Hemorrhage
  • Eye Trauma
  • No Light Perception
  • Optic Nerve Avulsion
  • Optic Nerve Transection
  • Retinal Detachment
  • Ruptured Globe
  • Vitrectomy


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