Twelve-Year Review of Pediatric Traumatic Open Globe Injuries in an Urban U.S. Population

Abstract

The visual prognosis in pediatric open globe injury is poor. The zone of injury may correlate with poor final visual acuity, risk of retinal detachment, and subsequent need for an enucleation. The final predicted visual acuity correlated well with the observed final visual acuity in these patients.

Pediatric open-globe injuries: clinical characteristics and factors associated with poor visual and anatomical success

“…Furthermore, children with an initial VA less than CF had significantly worse final VA than children with better initial VA. Wound localization did not significantly affect functional success, although scleral injuries (i.e., more posterior lacerations) were associated with poorer visual outcomes, as suggested by previous studies [6,15,16,21]. Injuries involving the posterior segment had a significantly worse final VA, as in the reports of Bunting et al and Tok et al [22,23].…”

“…CGI constitute a large proportion of mechanical globe injuries in childhood, but visual and anatomical outcomes seem to be poorer in OGI than CGI [5][6][7][8][9]. There have been limited and conflicting studies on the prognosis of OGI and factors affecting the prognosis [4][5][6][10][11][12][13][14][15][16]. Therefore, there is still a need for detailed reports to increase our understanding of this potentially sightthreatening injury.…”

Ocular Trauma Score as a predictor of final visual outcomes in traumatic cataract cases in pediatric patients

“…Lesniak et al 31 report no significant differences between the final visual acuities and the visual acuities predicted by OTS in children. Sharma et al 32 propose that the OTS calculated at the initial examination may be of prognostic value in children with penetrating eye injuries.…”

Epidemiology of Child’s Ocular Globe Injury: A Retrospective Study at the University Teaching Hospital-Campus of Lomé (Togo)

“…This is why globe injuries are particularly penetrating at 75% but only 10% for rupture in our study. Other authors have come up with different rates such as 54% and 65.7% for penetrating trauma 34% and 22.4% for rupture of the globe [11] [12]. But Gilbert et al [13] in their study have rather found that globe ruptures were more frequent with a varying frequency from 39% to 43.2%.…”