TRAFFIC ACCIDENT-RELATED OPEN GLOBE INJURIES

Area of Science:

• Ophthalmology
• Trauma Surgery
• Public Health

Background:

• Open globe injuries are severe ocular emergencies.
• Traffic accidents represent a significant cause of traumatic eye injuries.
• Understanding injury mechanisms and outcomes is crucial for prevention and treatment.

Purpose of the Study:

• To analyze clinical features and visual results of open globe injuries from traffic accidents.
• To compare outcomes with general open globe injuries.
• To identify preoperative factors affecting visual prognosis after pars plana vitrectomy.

Main Methods:

• Retrospective analysis of patients with open globe injuries undergoing pars plana vitrectomy.
• Data collection included demographics, injury details, and visual acuity.
• Statistical analysis to determine factors influencing visual outcomes.

Main Results:

• 14 traffic accident-related open globe injuries were identified among 355 total cases.
• Ruptures (64.3%) were more common than lacerations (35.7%).
• Initial visual acuity strongly correlated with final visual acuity (P = 0.003).
• Traffic accident injuries had significantly better final visual acuity than the overall group (P = 0.01).
• No cases of endophthalmitis were reported in the traffic accident group.

Conclusions:

• Traffic accident-related open globe injuries generally have better visual prognoses.
• Initial visual acuity is a critical determinant of visual outcome.
• Pars plana vitrectomy is an effective treatment, with low complication rates like endophthalmitis in this cohort.