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Related Experiment Videos

Open globe injuries in children.

C Jandeck1, U Kellner, N Bornfeld

  • 1University Eye Clinic, Klinikum Benjamin Franklin, Berlin, Germany.

Graefe'S Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie
|July 20, 2000
PubMed
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Pediatric open globe injuries can be successfully treated, preserving vision in most cases. Even severe injuries offer good visual outcomes, with macula salvage achieved in all patients.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Trauma Surgery

Background:

  • Eye injuries represent a significant cause of monocular blindness in children.
  • Limited follow-up studies are available on pediatric open globe injuries.

Purpose of the Study:

  • To evaluate the outcomes of open globe injuries in children.
  • To assess visual acuity and macula status following treatment.

Main Methods:

  • Retrospective review of 38 pediatric patients (≤16 years) with open globe injuries.
  • Classification of injury type (rupture, penetrating, perforating) and severity (four grades).

Main Results:

  • Penetrating injuries were most common (79%). Macula remained attached in all eyes.

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  • Final visual acuity ranged from light projection to 1.0; 47% achieved ≥0.5, 74% achieved ≥0.1.
  • In severe injuries (posterior segment involvement), 44% achieved ≥0.5 visual acuity.
  • Early vitrectomy in severe injuries (grade 2-4) resulted in ≥0.5 visual acuity in 58%.

    • Conclusions:

    • Successful salvage of injured eyes with attached macula was achieved in all cases.
    • Good visual acuity is attainable in approximately 50% of severely injured eyes.