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The aim of the study is to look into the epidemiology and outcomes of open globe injury (OGI) in geriatric age group at tertiary hospital (rural) in the Vidarbha region of Maharashtra. Materials and method: a prospective study was done on 46 eyes of 46 patients of more than 60 years of age with OGI who presented to Shalinitaimeghe Hospital & Research Centre (SMHRC), Nagpur, from 20th Dec. 2019 to 20th Dec. 2020. The following data was gathered: patient’s profile, cause of injury and mechanisms, visual acuity (va) at presentation, clinical characteristics, and final va. Results: a total of 46 eyes of 46 patients were included. Of these, 32 (70%) were male and 14 (30%) were female. Conclusion: There is a need to highlight socio-economic and the medical problems that are faced by elderly people in India. Poor visual acuity, rupture globe, Zone 3 injuries, history of penetrating keratoplasty, retinal detachment, vitreous haemorrage, and dislocation of crystalline lens were found to be poor prognostic factors.