Prognostic indicators of open globe injuries in children

Determination of visual prognosis in children with open globe injuries

“…1,9 Gupta et al mentioned in a child-based study that the absence of the red reflex could reflect the severity of the injury, and hyphema was the main reason of the absence of a red reflex. 7 We found that eyes with hyphema at the time of the initial examination were not prone to achieve a satisfactory VA.…”

“…Many studies have confirmed the association between RD and poor prognostic features. 1,9,11,12 Photoreceptor cells are seriously injured when RD occurs, and proliferative vitreoretinopathy after RD is another factor that may cause limited postoperative vision.…”

“…6 Of the different age groups, the causes and locations of trauma together with other conditions (such as an intraocular foreign body, VH, and so on) are different, but all these factors are reported to be predictive factors of pediatric OGI. 3,6,9 Amblyopia is also a main reason of the poor visual outcome in young children with OGI. 7 The visual prognosis should not depend merely on the age of onset, but it should be combined with a comprehensive analysis.…”

“…6,7 Relatively little is known regarding the visual prognostic factors in children. 8,9 Despite the high incidence and probability of causing blindness, it is a preventable and controllable disease.…”

Vitrectomy in Open Globe Injuries

“…Several factors have been reported to contend a poor visual prognosis in these injuries including: poor initial VA 60,62,63 , initial relative afferent pupillary defect 60 , site 63,64 and large size of laceration 60,62,65 , presence of intraocular foreign bodies, perforating eye injuries, associated posterior segment injuries 63,64 , delay in primary repair 66 , and endophthalmitis 62 . This book is a comprehensive and systematic introduction to the basic theory, surgical techniques and the latest advances in vitrectomy.…”