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Visual Prognosis and Treatment of Ruptured Eyes after Blunt Globe Rupture
Lea Osterried1, Daniel Böhringer1, Hansjürgen Agostini1
1Eye Hospital, University Hospital Freiburg, Germany.
Klinische Monatsblatter Fur Augenheilkunde
|February 26, 2026
Summary
Ruptured globes have poor visual outcomes, but younger age and better initial vision improve prognosis. The Ocular Trauma Score (OTS) accurately predicts outcomes in blunt globe trauma cases.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Ruptured globes, despite technological advancements, present significant challenges to visual prognosis.
- Understanding factors influencing outcomes is crucial for improving patient care.
Purpose of the Study:
- To analyze surgical approaches for globe ruptures.
- To identify factors impacting visual outcomes in blunt globe trauma.
Main Methods:
- Retrospective analysis of 172 blunt globe ruptures from 2000-2021.
- Evaluation of surgical records and patient data.
- Correlation analysis of various factors with visual prognosis.
Main Results:
- Younger age and better initial visual acuity correlated with improved outcomes.
- Work accidents were associated with worse visual prognosis.
- The Ocular Trauma Score (OTS) showed a positive association with visual prognosis.
Conclusions:
- The OTS is a valid tool for predicting visual prognosis in globe ruptures.
- Younger age and work-related trauma are significant negative prognostic factors.
- Further multicentric studies are recommended for more robust data.
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