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Clinical Features and Prognostic Factors in Pediatric Open Globe Injuries.

Victoria Vought1, Peter Khouri2, Christopher Khouri2

  • 1Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, New Jersey.

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Summary

Pediatric open globe injuries (OGIs) are often blunt trauma occurring at home. The modified Pediatric Ocular Trauma Score (POTS) shows potential for predicting visual recovery in children with OGIs.

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Area of Science:

  • Ophthalmology
  • Pediatric Trauma Care
  • Injury Epidemiology

Background:

  • Open globe injuries (OGIs) in children are a significant cause of vision loss.
  • Understanding the characteristics and outcomes of pediatric OGIs is crucial for effective management.

Purpose of the Study:

  • To characterize features of pediatric open globe injuries (OGIs).
  • To evaluate visual outcomes in pediatric patients with OGIs.
  • To assess the prognostic value of a modified Pediatric Ocular Trauma Score (POTS).

Main Methods:

  • Retrospective chart review of pediatric patients with unilateral OGIs (2015-2023).
  • Analysis of demographic data, injury characteristics, clinical findings, surgical timing, and visual outcomes.
  • Calculation of the modified Pediatric Ocular Trauma Score (POTS).

Main Results:

  • 53 pediatric patients analyzed; blunt trauma (69.8%) at home (54.7%) were common.
  • Zone I injuries (83.0%) with uveal prolapse (71.7%) and traumatic cataract (39.6%) were frequent.
  • 76% of patients with follow-up achieved best-corrected visual acuity (BCVA) of 0.1 or better at 3 months.

Conclusions:

  • Pediatric OGIs are predominantly zone I injuries impacting visual acuity.
  • The POTS can serve as a prognostic tool for physicians managing pediatric OGIs.
  • The modified POTS indicates potential for visual recovery in a significant portion of pediatric OGI cases.