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

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

doi:10.1186/s12886-021-01929-z

Abstract

BackgroundTo identify prognostic factors determining final visual outcome following open globe injuries.MethodsRetrospective 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.ResultsA 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.ConclusionsPoor presenting visual acuity, globe rupture and retinal detachment are the most important prognostic factors determining final visual acuity following open globe injury.

Highlights

To identify prognostic factors determining final visual outcome following open globe injuries
Our understanding of Open globe injury (OGI) has increased tremendously over the past decade thanks to the standardisation of terminology [4, 5] and prognostic parameters based on the Ocular Trauma Classification [6]
The purpose of this study was to identify prognostic factors for final visual outcome following OGIs presenting to a tertiary teaching hospital in Western Sydney, Australia

Summary

Introduction

To identify prognostic factors determining final visual outcome following open globe injuries. Open globe injury (OGI) is defined as a full-thickness injury to the eyewall. The incidence of OGI in Australia has been reported to be 3.7/100000 per annum [1, 2], similar to the United States at 3.49/100000 per annum [3]. Our understanding of OGIs has increased tremendously over the past decade thanks to the standardisation of terminology [4, 5] and prognostic parameters based on the Ocular Trauma Classification [6]. There is no report on OGIs from Western Sydney. The closest we can find was a study on open globe injuries from 2010 to 2015 from Sydney Eye Hospital [7]

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Methods

Results