Abstract
Purpose: To describe the characteristics, management, and outcomes of adult severe open-globe injured (OGI) eyes.Methods: Retrospective chart review of inpatients with initial visual acuity (VA) of light perception (LP) or no light perception (NLP) associated with OGI between 2017 and 2020 at Department of Ophthalmology, Henan Eye Institute, Henan Eye Hospital, Henan provincial People's Hospital.Results: Six hundred twenty-five eyes of 622 adult patients with initial VA of LP or NLP associated with open-globe injuries (OGIs) were included. The mean age was 47.8 ± 14.1 years with the range from 18 to 91 years. Significant male predominance was noted (81.5%). The most common type of these severe OGIs was rupture (65.8%). Traffic accidents accounted for 13.5% followed by fall/tumble (10.9%) and nail/wire (10.9%) of all the severe OGIs. Almost half of the injuries happened at workplace (47.2%). Initially, 78.7% eyes just received primary debridement and wound closure, while 8.5% eyes with no possible of anatomical reconstruction received evisceration. After initial management, 350 eyes received subsequent operation, including 239 eyes underwent vitrectomy + silicone oil/(+cataract remove). Finally, over 6 months follow-up, 137 eyes (21.9%) were eviscerated, 150 eyes (24.0%) got atrophied, while 132 eyes (21.1%) retain some VA. Fifty-three eyes (8.5%) got VA of 0.3–1.5.Conclusion: Severe OGIs are most seen in the young, middle-aged, and male working population and remain a serious public health problem, resulting in significant vision loss or Evisceration of eyes. Effective preventive measures should be taken for the individuals in these groups.
Highlights
Open-globe injuries (OGIs) include a full-thickness break or rupture of the cornea and/or the sclera
Of all the OGIs, 622 cases (625 eyes) of adult severe OGIs with initial VA of LP or no light perception (NLP) were included in this study
The highest incidence of severe adult OGIs was found in the middle-aged group [50–59, 40–49, 30–39] in male patients (Figure 1)
Summary
Open-globe injuries (OGIs) include a full-thickness break or rupture of the cornea and/or the sclera. OGIs are the major cause of unilateral visual loss. Severe OGIs (initial VA of LP or NLP) lead to vision loss and can cause eye loss. OGIs seem more common in developing countries than in developed countries [1]. Henan province is a large agricultural province. It is located in central China with rich labor resources. Latest population census shows that the population of Henan was about one hundred million (99,366 thousands). Henan Eye Hospital is Epidemiology, Management, and Outcomes the 1st or the second largest ophthalmic center in Henan Province and received quite a lot of ocular trauma patients every year in Henan Province
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