Open Globe Injuries with Concurrent Orbital Fractures - Clinical Settings and Factors Predicting Outcomes.

Area of Science:

• Ophthalmology
• Trauma Surgery

Background:

• Open globe injuries and orbital fractures present complex clinical challenges.
• Predicting outcomes in these severe injuries is crucial for patient management.

Purpose of the Study:

• To identify clinical settings and predictive factors for outcomes in open globe injuries with concurrent orbital fractures.
• To analyze factors influencing both functional and anatomic recovery.

Main Methods:

• Retrospective study of 91 patients with concurrent open globe injuries and orbital fractures (Jan 2014-Jan 2021).
• Data collected via electronic medical records using a standardized template.
• Multivariate logistic regression analyzed demographic, clinical factors, and fracture type against outcomes.

Main Results:

• Favorable functional outcome in 11% (10/91 eyes), favorable anatomic outcome in 49.5% (45/91 eyes).
• Absence of retinal detachment significantly improved functional (OR 6.12) and anatomic (OR 9.94) outcomes.
• Intact orbital rim (OR 16.3) and single-wall involvement (OR 7.83) predicted better anatomic outcomes.

Conclusions:

• Open globe injuries with orbital fractures are associated with poor functional outcomes.
• Retinal detachment is a significant negative predictor for both functional and anatomic recovery.
• Orbital rim involvement increases the risk of globe loss, emphasizing the severity of such injuries.