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Prognostic factors for open-globe injuries: variables for poor visual outcome
Soner Guven1, Ali Hakan Durukan2, Cuneyt Erdurman2
1Department of Ophthalmology, Kayseri Research and Training Hospital, Kayseri, Turkey. drsonerguven@yandex.com.tr.
Eye (London, England)
|September 28, 2018
Summary
Prognostic factors for open-globe injuries (OGI) were identified. Initial visual acuity, injury zone, and lens damage significantly impact visual outcomes in OGI patients.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Open-globe injuries (OGI) are severe ocular emergencies.
- Identifying prognostic factors is crucial for managing OGI and improving patient outcomes.
Purpose of the Study:
- To determine prognostic factors for open-globe injuries (OGI).
- To identify key variables associated with poor visual outcomes in OGI patients.
Main Methods:
- Retrospective analysis of 633 patients with OGI at a tertiary referral clinic in Turkey (1998-2016).
- Univariate and multivariate logistic regression analyses were used to identify significant prognostic variables.
Main Results:
- The study included 633 patients (average age 24.37 years, male/female ratio 18.6:1).
- Conflict-related injuries were most common (48.2%), followed by work (33.1%) and accidental (17.9%).
- Poor visual outcome was associated with initial visual acuity < 20/200, ocular trauma score category 1, zone 3 injury, additional vitrectomy surgery, and lens damage.
Conclusions:
- Initial visual acuity, ocular trauma score, zone of injury, additional surgeries, and initial lens damage are significant negative prognostic factors in OGI.
- These factors are critical for predicting visual outcomes and guiding treatment strategies for open-globe injuries.
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