Abstract

We appreciate the opportunity to further discuss no light perception (NLP) following open-globe injury, in particular to respond to the comments from Chan and associates on our article regarding prognostic indicators for NLP after open-globe injury. 1 Feng K. Hu Y.T. Ma Z. Prognostic indicators for no light perception after open-globe injury: Eye Injury Vitrectomy Study. Am J Ophthalmol. 2011; 152: 654-662 Abstract Full Text Full Text PDF PubMed Scopus (70) Google Scholar Prognostic Indicators for No Light Perception After Open-Globe Injury: Eye Injury Vitrectomy StudyAmerican Journal of OphthalmologyVol. 153Issue 4PreviewFeng and associates describe remarkable outcomes with reversal of no light perception (NLP) following vitrectomy in eyes that have sustained open-globe injury, with visual recovery better than light perception (LP) in 18 of 33 eyes ranging from LP to 20/40.1 The current standard in the United States is to perform primary closure of an open globe followed by careful assessment of vision and reevaluation prior to considering vitrectomy.2–4 If the eye has no potential for visual recovery, enucleation should be considered within the first 7 to 14 days to reduce the risk of sympathetic ophthalmia. Full-Text PDF

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