Open Globe Injury in Children

Abstract

Aim:To evaluate retrospectively the epidemiologic data and outcomes of pediatric open globe injury (OGI).Materials and Methods:The medical records of all pediatric cases (<16 years old) diagnosed with OGI in İzmir Katip Çelebi University Atatürk Teaching and Research Hospital, Clinic of Ophthalmology between January 2009 and December 2018 were screened. Age, sex, history, cause of trauma, treatment received, visual acuity (VA) at presentation, and final VA were recorded.Results:A total of 48 patients were included in this study. The mean age at the time of injury was 10.72±4.74 years, ranging from 1 to 16 years. Game-related accidents were the most common cause of all pediatric OGI patients with a frequency of 58.3% (n=28). Of the OGIs 56.3% (n=27) were in zone I, followed by zone II (39.5%; n=19), and zone III (4.2%; n=2). Patients with vitreous hemorrhage or retinal detachment at admission were found to have a higher risk of poor prognosis. The principal predictor for a good visual outcome was found to be initial bestcorrected VA over 20/200.Conclusion:To predict the prognosis in the best way, every patient with OGI should be carefully evaluated both at the time of admission and during the follow-up period.

Keywords

• children
• open globe injury
• trauma
• visual acuity