Psychiatric Sequelae in Adult Open Globe Injury Patients

Area of Science:

• Ophthalmology
• Psychiatry
• Trauma Care

Background:

• Open globe injuries can lead to significant psychiatric sequelae.
• Identifying risk factors for these sequelae is crucial for patient management.

Purpose of the Study:

• To investigate psychiatric sequelae in patients with open globe injuries.
• To identify risk factors associated with these psychiatric outcomes.

Main Methods:

• Ophthalmologic examinations were performed.
• Psychiatric assessments included the Davidson Trauma Scale (DTS), State-Trait Anxiety Inventory (STAI), and Zung Depression Scale (ZDS).
• Patients were grouped by final best-corrected visual acuity (BCVA).

Main Results:

• Higher depression scores (ZDS) were observed in patients with no light perception (NPL) and perception of light/hand movements (PL/HM) compared to those with better vision.
• Depression and trauma scores were associated with younger age and lower final visual acuity.
• Lower final visual acuity remained a significant factor in multivariate analysis.

Conclusions:

• Open globe injury patients frequently experience high levels of anxiety and depression.
• Younger patients and those with poorer visual outcomes require thorough psychiatric screening.
• Addressing psychiatric issues may enhance treatment adherence and clinical success.