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

Haochi Ho, Jane Foo, Yi-Chiao Li, Samantha Bobba, Christopher Go, Jaya Chandra, Adrian T. Fung*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish
Article number173
Pages (from-to)1-6
Number of pages6
JournalBMC Ophthalmology
Volume21
Issue number1
DOIs
Publication statusPublished - 10 Apr 2021

Bibliographical note

Copyright the Author(s) 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Globe rupture
  • Open globe injury
  • Retinal detachment

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