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Open globe injuries in children.

K Rostomian1, A B Thach, A Isfahani

  • 1Department of Ophthalmology, Los Angeles County-University of Southern California Medical Center, USA.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|October 26, 1999
PubMed
Summary
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Pediatric open globe injuries, often caused by sharp objects at home, have a better visual prognosis with primary surgical repair. Factors like retinal detachment and vitreous hemorrhage indicate a poorer outcome.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Trauma Care

Background:

  • Open globe injuries are a significant cause of vision loss in children.
  • Understanding injury patterns and treatment outcomes is crucial for improving pediatric eye care.

Purpose of the Study:

  • To identify common types of pediatric open globe injuries.
  • To correlate injury features and surgical management with visual prognosis.

Main Methods:

  • Retrospective review of 70 pediatric patients' hospital records.
  • Analysis of demographic data, injury characteristics, surgical procedures, and visual outcomes.

Main Results:

  • Majority of injuries (67%) caused by sharp objects, often at home (72%).

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  • Corneal involvement was high (92%); 46% required only primary repair.
  • 45% of primary repair eyes achieved 20/40 or better vision; only 19% with secondary procedures did.
  • Retinal detachment, afferent pupillary defect, vitreous hemorrhage, and hyphema predicted poor outcomes.

    • Conclusions:

    • Prognosis for pediatric open globe injuries depends on injury nature and initial damage.
    • Primary surgical repair is associated with better visual outcomes.