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Anterior Segment Organ Culture Platform for Tracking Open Globe Injuries and Therapeutic Performance
Published on: August 25, 2021
Prognostic factors influencing final visual acuity in open globe injuries
Ozlem Yalcin Tök1, Levent Tok, Elif Eraslan
1Department of Ophthalmology, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey. esattok@yahoo.com
The Journal of Trauma
|December 21, 2011
Summary
Poor initial visual acuity (VA), retinal detachment, and vitreous prolapse significantly impact final VA outcomes in open globe injuries. Understanding these factors is crucial for patient prognosis and treatment planning.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Open globe injuries represent a significant cause of vision loss.
- Identifying factors influencing final visual acuity (VA) is critical for patient management.
Purpose of the Study:
- To investigate key factors affecting final visual acuity in patients with open globe injuries.
- To inform prognosis and guide clinical decision-making for open globe injuries.
Main Methods:
- Retrospective review of 313 patients with open globe injuries followed for over 6 months.
- Data collected included demographics, initial VA, injury characteristics, and final best-corrected VA.
- Statistical analysis employed univariate and multiple logistic regression models.
Main Results:
- Penetrating injuries, often work-related, were most common.
- Univariate analysis identified age, injury zone, blunt/rupture types, poor initial VA, endophthalmitis, retinal detachment, relative afferent papillary defect, hyphema, and prolapse as contributing factors.
- Multiple logistic regression revealed poor initial VA, retinal detachment, and vitreous prolapse as statistically significant predictors of final VA.
Conclusions:
- Initial visual acuity, retinal detachment, and vitreous prolapse are the most critical factors influencing final visual acuity in open globe injuries.
- These findings are vital for accurate prognosis and treatment strategies in managing ocular trauma.
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