Prospective Study of Globe Rupture Subcategory of Open Globe Injuries in Pediatric Population

Abstract

Purpose: This work attempts to investigate the clinical profile as well as consequences of globe rupture, which constitutes a key subclass of open globe ocular trauma, in pediatric patients as per the Birmingham Eye Trauma Terminology System. Methods: All pediatric ocular trauma patients with mechanical eye injury who were enrolled at the ocular trauma care center between 2007 and 2019 were included in this prospective cohort study. The international ocular trauma society form was employed to acquire the data through our online MIS, and the details were exported to Excel sheet. The data were statistically analyzed by performing univariate analysis and cross tabulation with the help of SPSS 22 software.  Results: Among the 12687 patients with mechanical ocular trauma, 7546 (59.4%) had endured open globe injuries while 5328 (41.9%) had sustained closed globe injuries. In the former, 818 (10.8%) fell under the globe rupture category and 417 (51%) belonged to the pediatric age group (0–18 years). The mean age of the patients was 8.4±4.5 years; 283 were males (67.9%) and 134 were females. (32.1%).  Conclusion: Based on our findings, it could be inferred that open globe injury is a leading cause of vision loss in the pediatric age group (45.1% <1/60), with the problem being more widespread among the males (>67.2%) than females. The therapeutic approach encompasses multiple surgeries and is beneficial in improving the vision of the young patients.