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. 2021 Apr 10;21(1):173.
doi: 10.1186/s12886-021-01929-z.

Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review

Haochi Ho  1   2 , Jane Foo  1   3 , Yi-Chiao Li  4 , Samantha Bobba  1   4 , Christopher Go  1   4 , Jaya Chandra  1 , Adrian T Fung  5   6   7
Affiliations

Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review

Haochi Ho et al. BMC Ophthalmol. .

Abstract

Background: To identify prognostic factors determining final visual outcome following open globe injuries.

Methods: Retrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected included demographic information, ocular injury details, management and initial and final visual acuities.

Results: A total of 104 cases were identified. Predictors of poor final visual outcomes included poor presenting visual acuity (p < 0.001), globe rupture (p < 0.001), retinal detachment (p < 0.001), Zone III wounds (p < 0.001), hyphema (p = 0.003), lens expulsion (p = 0.003) and vitreous hemorrhage (p < 0.001). Multivariate analysis demonstrated presenting visual acuity (p < 0.001), globe rupture (p = 0.013) and retinal detachment (p = 0.011) as being statistically significant for predicting poor visual outcomes. The presence of lid laceration (p = 0.197) and uveal prolapse (p = 0.667) were not significantly associated with the final visual acuity.

Conclusions: Poor presenting visual acuity, globe rupture and retinal detachment are the most important prognostic factors determining final visual acuity following open globe injury.

Keywords: Globe rupture; Open globe injury; Retinal detachment.

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Conflict of interest statement

All authors have no competing interests (financial or non-financial).

Figures

Fig. 1
Fig. 1
Graph of Presenting Versus Final Visual Acuity
See this image and copyright information in PMC

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References

    1. Smith AR, O'Hagan SB, Gole GA. Epidemiology of open- and closed-globe trauma presenting to Cairns Base hospital, Queensland. Clin Exp Ophthalmol. 2006;34(3):252–259. doi: 10.1111/j.1442-9071.2006.01200.x. - DOI - PubMed
    1. Kong GY, Henderson RH, Sandhu SS, Essex RW, Allen PJ, Campbell WG. Wound-related complications and clinical outcomes following open globe injury repair. Clin Exp Ophthalmol. 2015;43(6):508–513. doi: 10.1111/ceo.12511. - DOI - PubMed
    1. Landen D, Baker D, LaPorte R, Thoft RA. Perforating eye injury in Allegheny County, Pennsylvania. Am J Public Health. 1990;80(9):1120–1122. doi: 10.2105/AJPH.80.9.1120. - DOI - PMC - PubMed
    1. Kuhn F, Morris R, Witherspoon CD, Heimann K, Jeffers JB, Treister G. A standardized classification of ocular trauma. Ophthalmology. 1996;103(2):240–243. doi: 10.1016/S0161-6420(96)30710-0. - DOI - PubMed
    1. Kuhn F, Morris R, Witherspoon CD, Mester V. The Birmingham eye trauma terminology system (BETT) J Fr Ophtalmol. 2004;27(2):206–210. doi: 10.1016/S0181-5512(04)96122-0. - DOI - PubMed