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Article / Publication Details
Abstract
Aim
To report the clinical presentations, management, and factors affecting the outcomes in posterior segment open globe injuries in 2,360 consecutive eyes.
Methods
This was a retrospective, consecutive, non-comparative interventional case series. All cases with scleral and corneoscleral wounds presenting to these centers from January 2014 to January 2021 were included. The cases were defined according to the Birmingham Eye Traumatology Terminology system (BETTs) classification. The Ocular Trauma Score (OTS) was applied to the dataset.
Results
Mean age of presentation was 36.63±19.92 years (median 35 years). Penetrating trauma accounted for 70.92%, rupture for 18.6%, perforation for 4.6% and IOFB in 5.88% eyes. In 76.6% the location of injury involved zone I extending till Zone II while in 23.4% it involved Zone II and/or Zone III. Vision at presentation was logMAR 3.03±0.99 and at the last visit was logMAR 2.47±1.42 (p20/200). Final visual acuity in logMAR correlated with the OTS value calculated at presentation.
Conclusions
In the absence of retinal detachment and orbital fracture, posterior open globe injuries typically have a favorable functional outcome. OTS correlated with the final visual acuity.
S. Karger AG, Basel
Article / Publication Details
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