1. Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review
- Author
-
Haochi Ho, Christopher Zq Go, Jaya Chandra, Jane Foo, Adrian T. Fung, Yi Chiao Li, and Samantha Bobba
- Subjects
Adult ,Globe rupture ,medicine.medical_specialty ,Visual acuity ,genetic structures ,03 medical and health sciences ,0302 clinical medicine ,lcsh:Ophthalmology ,Ophthalmology ,Epidemiology ,medicine ,Humans ,Hyphema ,Retrospective Studies ,030222 orthopedics ,Open globe injury ,Open globe ,business.industry ,Australia ,Retinal detachment ,General Medicine ,Prognosis ,medicine.disease ,Eye Injuries, Penetrating ,eye diseases ,lcsh:RE1-994 ,Vitreous hemorrhage ,030221 ophthalmology & optometry ,medicine.symptom ,business ,Uveal Prolapse ,Research Article - 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 p p = 0.003), lens expulsion (p = 0.003) and vitreous hemorrhage (p 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.
- Published
- 2021