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. 2023 Jan 25:17:365-373.
doi: 10.2147/OPTH.S401643. eCollection 2023.

Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score

Tuangprot Porapaktham  1 , Janejit Choovuthayakorn  1 , Onnisa Nanegrungsunk  1 , Phichayut Phinyo  2   3   4 , Krittai Tanasombatkul  2   3 , Nawat Watanachai  1 , Paradee Kunavisarut  1 , Voraporn Chaikitmongkol  1 , Direk Patikulsila  1
Affiliations

Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score

Tuangprot Porapaktham et al. Clin Ophthalmol. .

Abstract

Purpose: To determine characteristics and factors associated with no vision survival (included no light perception, enucleation, and evisceration) following open globe injury (OGI) and to correlate the proportion of final vision to predictive values of ocular trauma score (OTS).

Patients and methods: The medical records of consecutive patients diagnosed as OGI between January 2015 and December 2020 were retrospectively reviewed. Data collected included demographics, mechanisms and modes of injuries, ophthalmic presentations, managements, and visual outcomes at the final visit.

Results: Three hundred and seventy-one patients with a mean (standard deviation, SD) age of 44.0 (17.4) years were included. Male with workplace injury was the most frequent scenario. High-velocity metallic objects were the predominant causative materials. Following treatments, fifty-six eyes (14.9%) obtained no vision survival. Factors associated with no vision survival following OGI were low presenting vision, globe perforation, larger wound, presence of relative afferent pupillary defect, retinal detachment, and vitreous hemorrhage. Compared to OTS predictive values, eyes in OTS categories 1 and 2 had a lower proportion of no vision survival.

Conclusion: This study identified the importance of workplace injuries. Overall, there were comparable final visions between OTS and this study. However, a reduced proportion of no vision survival among severely injured eyes signifies the challenges of OGI management.

Keywords: characteristics; no vision survival; open globe injury; visual outcomes.

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Conflict of interest statement

Dr Onnisa Nanegrungsunk is speaker for Allergan and Roche; reports support for meeting registration and traveling from Bayer and Novartis; advisory board and speaker for Santen, outside the submitted work. The authors report no other conflicts of interest in this work.

Figures

Figure 1
Figure 1
Distribution of open globe injury by month and year.
Figure 2
Figure 2
Distribution of presenting and final vision of eyes with open globe injury. The final vision of NLP includes eyes having no light perception and eyes that were removed.
See this image and copyright information in PMC

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