From Impact To Outcome: Short- And Long-Term Sequelae Of Carbide Gun–Related Ocular Injuries
Published 2026 - 44th Congress of the ESCRS
Reference: POCOR528 | Type: Free paper | DOI: 10.82333/ydyq-4076
Authors: Dr Smruti Rekha Priyadarshini* 1 , Dr Sikha Misra 1 , Dr Mitali Mangoli 1 , Dr Sujata Das 1
1Cornea and Anterior Segment,L.V Prasad Eye Institute,Bhubaneswar,India
Purpose
To evaluate the short and long term outcomes of carbide-related ocular trauma
Setting
L.V Prasad Eye Institute, Bhubaneswar, India
Methods
Sixty-five eyes with carbide-gun injuries were reviewed for demographics, type of burns, visual and anatomical outcome at 3 months, and 1 year.
Results
The mean age was 32.75 ± 13.98 years. Most patients were young (<20 years, 31.1%) with Grade 6 Dua’s grading (26.2%), and total limbal involvement (23.07%). Primary interventions performed were Amniotic membrane grafting (52.3%), EDTA chelation (21.5%), tarsorrhaphy (9.09%), and symblepharon release (1.6%). Secondary intervention included Simple Limbal Epithelial Transplantation (72.7%) and keratoplasty (36.4%). We observed complete recovery without sequelae(41.53%). In the remaining, the most common sequelae were corneal scarring (56.75%), partial limbal stem cell deficiency (40.54%), and symblepharon (7.69%). Visual acuity showed significant improvement (p<0.05) over time at 3 months (0.66 ± 0.80 logMAR) and 1 year (0.40 ± 0.67 logMAR).
Conclusions
Early stratification of injury severity and appropriate medical and surgical management can result in excellent visual and anatomical outcomes.