Related Experiment Videos
Open globe injuries in children: a retrospective analysis
A K Farr1, R J Hairston, M U Humayun
1Wilmer Eye Institute, The Johns Hopkins Hospital, Baltimore, MD, USA.
Insights
Outcomes for pediatric open globe injuries remain consistent over 30 years. Key factors influencing visual prognosis in children include injury type and age, with no significant changes observed in visual acuity or enucleation rates between historical and recent patient cohorts.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Open globe injuries in children present unique challenges.
- Understanding long-term outcomes is crucial for effective management.
- Comparing historical and recent data can reveal treatment evolution.
Purpose of the Study:
- To evaluate outcomes of open globe injuries in pediatric patients.
- To compare outcomes between two distinct time periods (approx. 30 years apart).
- To identify prognostic factors influencing visual acuity and enucleation rates.
Main Methods:
- Retrospective analysis of 180 pediatric eyes with open globe injuries (1970-1993).
- Patients divided into two groups based on treatment period: Group A (1970-1981) and Group B (1985-1993).
- Key outcome measures: final visual acuity and enucleation rates; risk factors analyzed.
Main Results:
- Final visual outcomes and enucleation rates showed no significant difference between Group A and Group B.
- Age, injury type, wound size, initial visual acuity, and retinal detachment were associated with visual outcomes.
- Prognostic significance of lenticular damage, injury location, posterior extent, and intraocular foreign bodies diminished in the recent series.
Conclusions:
- The nature of the open globe injury and patient's age are primary determinants of outcome in pediatric cases.
- Despite advancements, core prognostic factors remain critical.
- No significant change in overall outcomes or enucleation rates observed over three decades.
Purpose:
To study the outcome of open globe injuries in patients aged <14 years and compare the results between patients who presented approximately 30 years ago and a recent series.
Methods:
Between January 1970 and January 1993, 180 eyes of children who presented with an open globe injury were retrospectively analyzed. Patients were divided into two groups. One group of children underwent treatment of an open globe injury between January 1970 and December 1981 (group A) and another between December 1985 and January 1993 (group B). Main outcome measures studied were final visual acuity and enucleation rates. Risk factors studied included age, race, sex, visual acuity, type of trauma, and various injury characteristics at presentation.
Results:
The factors associated with visual outcomes included: age, type of injury, wound size, initial visual acuity, and retinal detachment. Final visual outcome and enucleation rates were not significantly different between the older series (group A) and the recent series (group B). Lenticular damage, location, posterior extent of the injury, and presence of an intraocular foreign body had been significant prognostic factors in the older series, but were not statistically associated with the prognosis in the recent series.
Conclusion:
The nature of the injury and the patient's age are the main determining factors in the outcome of open globe injuries in children.