Fujikawa A, et al. - Authors ascertained the visual outcomes and prognostic factors of open-globe injuries in the Japanese population. The poor prognostic factors included poor visual acuity (VA) at first visit, rupture globe, zone III injuries, history of penetrating keratoplasty, retinal detachment (RD), vitreous hemorrhage (VH), and dislocation of crystalline lens. Experts noted a good prognostic value of PPV in open globe injuries related to posterior segment involvement.

Methods

• Researchers conducted a retrospective study of 59 eyes of 59 patients presented with open globe injuries between September 2008 and March 2014 at Nagasaki University Hospital.
• They recorderd the demographic factors including age, gender, and clinical data such as cause of injury, presenting visual acuity (VA), location of injury, type of injury, lens status, presence of intraocular foreign body, types of required surgeries, and final VA.
• They classified the wound location into three zones according to the classification of Ocular Trauma Classification Group.
• In order to compare presented data, chi-square test was used .

Results

• As per data, out of the 59 patients, 46 were placed in the Light Perception (LP) group, and 13 were placed in the No Light Perception (NLP) group.
• Findings suggested that the most common cause was the work-related trauma (27 eyes) followed by falls (19eyes).
• Results demonstrated that in males work-related trauma was common (P=0.004), while in females falls was significantly common (P=0.00001).
• Statistically significantly poor prognostic factor was seen in zone III injuries compared to other zones (P=0.04).
• Rupture globe was presented in all cases of NLP group (100%).
• They considered poor VA at first visit (P=0.00001), rupture globe (P=0.026), history of penetrating keratoplasty (PK) (P=0.017), retinal detachment (RD) (P=0.0001), vitreous hemorrhage (VH) (P=0.044), and dislocation of crystalline lens (P=0.0003) as poor prognostic factors.