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. 2020 Nov 5;10(1):19139.
doi: 10.1038/s41598-020-76121-2.

Globe rupture: a single-center retrospective study of demographic patterns and outcomes

Janejit Choovuthayakorn  1 , Susama Chokesuwattanaskul  2 , Phit Upaphong  2 , Pongsant Supreeyathitikul  2
Affiliations

Globe rupture: a single-center retrospective study of demographic patterns and outcomes

Janejit Choovuthayakorn et al. Sci Rep. .

Abstract

Globe rupture is one of the severe mechanisms of eye injury. This study aimed to describe an epidemiologic patterns and visual outcomes of the open globe injury from globe rupture at a tertiary referral centre. Medical records of 167 patients (173 eyes) were retrospectively reviewed. Overall, males were predominant (82%). Road traffic- (26.3%) and work- (23.4%) were the major contributors. However, falling was the main mechanism in the elderly aged over 60 years. At presentation, 91.4% of eyes had initial visual acuity (VA) of worse than 20/200. The mean (SD) VA in logarithm of the minimum angle of resolution (LogMAR) unit at final [1.8 (1.1)] was significantly improved from presenting VA [2.4 (0.6)] (p ˂ 0.001). Predictors for final VA of worse than 20/400 included poor initial VA, presence of relative afferent pupillary defect, and endophthalmitis. In conclusion, this study observed the peak incidence of globe rupture in young teen to early adult patients, with unique characteristics in each age group. Even with significant visual improvement following the treatments, profound visual loss was still a common consequence. Thus, the role of effective prevention along with a multidisciplinary team together with timely and prompt ophthalmic management should be emphasised.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
The incidence of globe rupture by genders and age groups.
Figure 2
Figure 2
The correlation between presenting Ocular Trauma Score and final visual acuity of eyes with ruptured open globe injury.
Figure 3
Figure 3
Proportion of final visual acuity of eyes categorised in each Ocular Trauma Score (OTS) classes in present study comparing to the OTS study.
See this image and copyright information in PMC

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