When not to give up: restoring vision in a child with no perception of light after ocular trauma

We report a case of severe penetrating ocular trauma in a 6-year-old girl caused by a thorn injury, complicated by traumatic cataract and endophthalmitis. The child presented with no perception of light (NPL) in the affected eye and an ocular trauma score of 1, indicating poor prognosis. Initial management included intravitreal antibiotics, followed by pars plana vitrectomy (PPV) with lensectomy. Subsequent secondary scleral tuck intraocular lens implantation resulted in best-corrected visual acuity of 6/18. This case underscores that even eyes with NPL can achieve functional visual recovery with timely, stepwise surgical intervention and visual rehabilitation.