Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review
Abstract Background To identify prognostic factors determining final visual outcome following open globe injuries. Methods Retrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected inc...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-04-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-021-01929-z |
| _version_ | 1818970618094157824 |
|---|---|
| author | Haochi Ho Jane Foo Yi-Chiao Li Samantha Bobba Christopher Go Jaya Chandra Adrian T. Fung |
| author_facet | Haochi Ho Jane Foo Yi-Chiao Li Samantha Bobba Christopher Go Jaya Chandra Adrian T. Fung |
| author_sort | Haochi Ho |
| collection | DOAJ |
| description | Abstract Background To identify prognostic factors determining final visual outcome following open globe injuries. Methods Retrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected included demographic information, ocular injury details, management and initial and final visual acuities. Results A total of 104 cases were identified. Predictors of poor final visual outcomes included poor presenting visual acuity (p < 0.001), globe rupture (p < 0.001), retinal detachment (p < 0.001), Zone III wounds (p < 0.001), hyphema (p = 0.003), lens expulsion (p = 0.003) and vitreous hemorrhage (p < 0.001). Multivariate analysis demonstrated presenting visual acuity (p < 0.001), globe rupture (p = 0.013) and retinal detachment (p = 0.011) as being statistically significant for predicting poor visual outcomes. The presence of lid laceration (p = 0.197) and uveal prolapse (p = 0.667) were not significantly associated with the final visual acuity. Conclusions Poor presenting visual acuity, globe rupture and retinal detachment are the most important prognostic factors determining final visual acuity following open globe injury. |
| first_indexed | 2024-12-20T14:39:20Z |
| format | Article |
| id | doaj.art-ec94e9985cd842588feccb893691a269 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-20T14:39:20Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-ec94e9985cd842588feccb893691a2692022-12-21T19:37:23ZengBMCBMC Ophthalmology1471-24152021-04-012111610.1186/s12886-021-01929-zPrognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year reviewHaochi Ho0Jane Foo1Yi-Chiao Li2Samantha Bobba3Christopher Go4Jaya Chandra5Adrian T. Fung6Department of Ophthalmology, Westmead HospitalDepartment of Ophthalmology, Westmead HospitalWestmead and Central Clinical Schools, Discipline of Ophthalmology and Eye Health, The University of SydneyDepartment of Ophthalmology, Westmead HospitalDepartment of Ophthalmology, Westmead HospitalDepartment of Ophthalmology, Westmead HospitalDepartment of Ophthalmology, Westmead HospitalAbstract Background To identify prognostic factors determining final visual outcome following open globe injuries. Methods Retrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected included demographic information, ocular injury details, management and initial and final visual acuities. Results A total of 104 cases were identified. Predictors of poor final visual outcomes included poor presenting visual acuity (p < 0.001), globe rupture (p < 0.001), retinal detachment (p < 0.001), Zone III wounds (p < 0.001), hyphema (p = 0.003), lens expulsion (p = 0.003) and vitreous hemorrhage (p < 0.001). Multivariate analysis demonstrated presenting visual acuity (p < 0.001), globe rupture (p = 0.013) and retinal detachment (p = 0.011) as being statistically significant for predicting poor visual outcomes. The presence of lid laceration (p = 0.197) and uveal prolapse (p = 0.667) were not significantly associated with the final visual acuity. Conclusions Poor presenting visual acuity, globe rupture and retinal detachment are the most important prognostic factors determining final visual acuity following open globe injury.https://doi.org/10.1186/s12886-021-01929-zOpen globe injuryGlobe ruptureRetinal detachment |
| spellingShingle | Haochi Ho Jane Foo Yi-Chiao Li Samantha Bobba Christopher Go Jaya Chandra Adrian T. Fung Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review BMC Ophthalmology Open globe injury Globe rupture Retinal detachment |
| title | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
| title_full | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
| title_fullStr | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
| title_full_unstemmed | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
| title_short | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
| title_sort | prognostic factors and epidemiology of adult open globe injuries from western sydney a twelve year review |
| topic | Open globe injury Globe rupture Retinal detachment |
| url | https://doi.org/10.1186/s12886-021-01929-z |
| work_keys_str_mv | AT haochiho prognosticfactorsandepidemiologyofadultopenglobeinjuriesfromwesternsydneyatwelveyearreview AT janefoo prognosticfactorsandepidemiologyofadultopenglobeinjuriesfromwesternsydneyatwelveyearreview AT yichiaoli prognosticfactorsandepidemiologyofadultopenglobeinjuriesfromwesternsydneyatwelveyearreview AT samanthabobba prognosticfactorsandepidemiologyofadultopenglobeinjuriesfromwesternsydneyatwelveyearreview AT christophergo prognosticfactorsandepidemiologyofadultopenglobeinjuriesfromwesternsydneyatwelveyearreview AT jayachandra prognosticfactorsandepidemiologyofadultopenglobeinjuriesfromwesternsydneyatwelveyearreview AT adriantfung prognosticfactorsandepidemiologyofadultopenglobeinjuriesfromwesternsydneyatwelveyearreview |