Question
My child is 8 years old. On the afternoon of June 3, 2014, around 3 pm, while at school, they accidentally got injured in their right eye by a pencil. Initially, there was no severe pain, but the next morning, they started experiencing excruciating pain. After being taken to the Second Affiliated Hospital of Zhejiang University School of Medicine, we learned that the injury was severe. Since the anesthesiologist had gone off duty, the surgery was not performed until the third day morning after the incident, and corticosteroid medication was used for 10 days post-surgery.
Answer
Hello! Based on your description, your child has suffered a relatively serious injury and has undergone corneal laceration repair surgery, as well as lens removal and vitrectomy.
- The risk of developing endophthalmitis post-surgery is low but still possible, and close observation is required.
- Whether to implant an artificial lens depends on the current vision status after refraction by the doctor. If there is no significant improvement in vision after refraction, the implantation of an artificial lens may not be very effective. However, if there is an improvement in vision after refraction, artificial lens implantation can be considered. Please note that although the risk of intraoperative hemorrhage during artificial lens implantation is extremely low, it cannot be completely ruled out.
- The photos show an enlarged pupil. If necessary, a pupillary contraction surgery can be performed at the same time as the artificial lens implantation. In summary, for trauma, especially severe trauma, each individual’s condition is different, and the treatment plan needs to be determined by the attending physician based on the actual situation. The above suggestions are for reference only.