PURPOSE Ocular traumas occur in children usually lead to irreversible visual impairment, especially the complex open global injuries involved the cornea, lens and retina. Though the developing of cataract and vitreoretinal surgical techniques succeeded in salvaging many poor prognosis eyes, the post operation treatments should pay more attention to amblyopia in order to get an improved vision. In this study, we investigated the amblyopia treatment after ocular trauma injuries in children.
METHODS 51 children with complicated ocular trauma ranged from 3 to 15 years old were included into this study, including 39 cases of open global injuries and 12 cases of ocular blunt injuries. The injured eyes were underwent combined operation of cornea or sclera wound suture, cataract and vitreoretina surgery. The correct visual acuity were 0.02~0.1 in 20 eyes, 0.2~0.3 in 22 eyes, 0.4~0.5 in 9 eyes after operations. Spectacles were prescribed to the injured eyes for both distance vision and near vision, combined with covering the uninjured eyes 6 days 1 week for 12 to 48 months. 36 eyes were implanted with intraocular lens for distance vision and +3.0~ +3.5D spectacles for near vision. All the children were followed up for 12 to 60 months after the final operations.
RESULTS Correct vision was improved in 36 eyes (70.6%), not improved in 15 eyes (29.4%), including 8 eyes for central corneal leukoma, 5 eyes for retina scar involving macula, 2 eyes for uncertainly reasons. There was no statistically difference in improving correct vision between by wearing the spectacles and by implanting intraocular lens.
CONCLUSION Cataract and vitreoretinal surgeries resulted in an improved vision in 36 children (70.6%). Spectacles and intraocular lens had no significant difference in treating amblyopia and improving vision. | 
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