Vitreous haemorrhage due to glass injury

[Sid9]

Dear sir/Madam,
My daughter aged 2 years and 3 months fell down on a lamp glass while playing on 21/3/09 and the glass broke.Her right eye was severely injured leading to profuse bleeding.She was rushed to the hospital and Drs took 2-3 hrs to repair the damage.She had a cut 8mm away from the limbus and 15mm wide vertically towards the punctum.Her Vitreous cavity was ruptured leading to haemorrage in the vitreous as well.Now she is under regular medical super vision and on oral & topical steroid/+ anti infective medications.The Drs suggest a vitrectomy to clear the haemorrhage which may invite further complications without assuring 100% vision.As of now there is no retinal detachment.She was a ceaserian child but normal one without any severe desease.Today's check up reveals no RD as of now and the haemorrhage is still there.
Pls suggest the possible remedies so that the haemorrage gets cleared and she can see clearly in both eyes.Thanks

[Sid9]

Hi
Thanks for your comments;however the condition of the hemorrhage has changed.After 3-4 days of the injury the rupture was sealed on it's own.Then the hemorrhage was like a clot and after almost a month now,the Dr said, it seemed to have dispersed and the vitreous has become little hazy.So it means some amount of resorption has happened.Now is it likely that the whole vitreous can become clear and the vision restores to normal?Thanks

[John C Hagan III, MD, FACS, FAAO]

With this type of severe injury it is not at all likely that the eye will have good vision and one hopes for "useful" vision. You can get a second opinion if you are not comfortable with the vitrectomy to remove the non-clearing blood in the back of the eye.

The most important thing is to protect the "good" eye from disease or injury. Protective glasses should be fit.

Again its unlikely that the child will have 100% normal vision.

JCH MD