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. 2014 Jul;28(7):852-6.
doi: 10.1038/eye.2014.108. Epub 2014 May 16.

Determination of visual prognosis in children with open globe injuries

X Liu  1 , Z Liu  1 , Y Liu  1 , L Zhao  1 , S Xu  1 , G Su  1 , J Zhao  1
Affiliations

Determination of visual prognosis in children with open globe injuries

X Liu et al. Eye (Lond). 2014 Jul.

Abstract

Aims: To determine the predictive factors of visual outcomes in children with open globe injury and to give guidance to reduce the incidence of open globe injury.

Methods: One hundred and forty eyes of 137 consecutive open globe injury patients, who were treated at the Eye Center of Second Bethune Hospital affiliated with Jilin University between August 2005 and August 2012, were retrospectively analyzed. Data recorded included demographic characteristics, causes of injury, location and extent of injury, presenting visual acuity, detailed ocular anterior and posterior segment evaluations, details of primary and subsequent surgeries, and postoperative complications and outcomes. The follow-up data included the most recent best-corrected visual acuity, complications, and the duration of follow-up.

Results: Of the 137 patients, there were 116 (84.7%) boys and 21 (15.3%) girls. Their ages ranged between 3 and 17 years old (mean=11.57±4.19 years old). Sixty (43.8%) children had a right eye injury, whereas 74 (54.0%) had a left eye injury. Only three (2.2%) children suffered bilateral eye injury. Living utensils, industrial tools, and fireworks contributed to the most common causes of open globe injury. Eighty-one (59.1%) had sharp force injuries, 23 (16.8%) had blunt injuries, and 33 (24.1%) had missile injuries.

Conclusions: Unfavorable visual outcomes were related to a younger age at presentation, poor presenting visual acuity, injuries caused by blunt or missile objects, posterior wound location, hyphema, vitreous hemorrhage, and surgical intervention of pars plana vitrectomy.

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Figures

Figure 1
Figure 1
The graph shows the age and sex distribution of the children with open globe injury at presentation. One hundred and thirty-seven pediatric open globe injury patients were recruited, including 116 boys and 21 girls, ranging from 3 to 17 years of age.
Figure 2
Figure 2
The graph shows the distribution of injuries by calendar month. Injuries occurred most frequently in February and August.
See this image and copyright information in PMC

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