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Related Experiment Video

Updated: Sep 11, 2025

Anterior Segment Organ Culture Platform for Tracking Open Globe Injuries and Therapeutic Performance
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Traumatic Retinal Detachment: A Comparative Study in Closed and Open Globe Injuries.

Jae Hyup Lee1,2, Chang Ki Yoon2, Un Chul Park2

  • 1Department of Ophthalmology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

Korean Journal of Ophthalmology : KJO
|August 12, 2025
PubMed
Summary

Traumatic retinal detachment (TrRD) from open globe injuries presents differently but has similar anatomical outcomes to closed globe injuries. However, open globe injuries lead to poorer functional vision outcomes.

Keywords:
Closed globe injuryOcular trauma; Open globe injuryTraumatic retinal detachment

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Trauma Care

Background:

  • Traumatic retinal detachment (TrRD) can result from various ocular injury mechanisms.
  • Understanding the differences in clinical presentation and prognosis between open and closed globe injuries is crucial for patient management.

Purpose of the Study:

  • To compare clinical characteristics and prognosis of TrRD based on injury mechanism (open vs. closed globe).
  • To identify prognostic factors for anatomical and functional success in TrRD patients.

Main Methods:

  • Retrospective study of 98 eyes with TrRD undergoing surgery.
  • Categorization into closed globe injury (37 eyes) and open globe injury (61 eyes) groups.
  • Evaluation of clinical presentations, anatomical success, and functional success over 6 months post-op.

Main Results:

  • Open globe injuries showed higher rates of vitreous hemorrhage, subretinal hemorrhage, and retinal incarceration.
  • No significant difference in anatomical success rates between open and closed globe injury groups.
  • Closed globe injuries had significantly better functional success rates (45.9%) compared to open globe injuries (25.9%).

Conclusions:

  • While anatomical outcomes are similar, open globe injuries result in poorer functional vision in TrRD.
  • Absence of giant retinal tears, retinal incarceration, and proliferative vitreoretinopathy predicts anatomical success.
  • Good baseline vision, intraoperative IOL implantation, and no retinectomy are linked to functional success in TrRD.