Abstract
Purpose: :
To determine whether there are changing epidemiologic patterns of traumatic open globes of inner city adults.
Methods: :
We retrospectively reviewed charts for demographics, cause of injury, visual acuity (VA) and anatomic outcomes in patients (n=315) seen between 1998-2008, comparing Group 1 (1998-2003) to Group 2 (2003-2008).
Results: :
The average age of presentation was 41 years (range 18-95). 73% were males. 44% were African American, 27% were Caucasian, 26% were Hispanic, and 3% were Asian. No significant difference was noted in the demographics of the two groups. 52% of patients suffered blunt injuries, 30% were sharp, 18% were combined injuries. Group 2 had more intraocular foreign bodies (IOFB) (19.5% vs 10%, Χ2 p<0.02). The mean duration of follow-up was 5.6 months (range 0-43.4 months). In both groups: initial VA best correlated with final VA (r= 0.62, p<0.01); age and vitreous/uveal prolapse inversely correlated with final VA (r=-0.36 & -0.19, p<0.01); IOFB had better VA outcomes (r = 0.20, p<0.01). 44% of these were ≥20/100. Time to surgery did not correlate with final VA.
Conclusions: :
Despite the rise in intraocular foreign bodies, there has been no change in visual outcomes and prognostic associations for open globe injuries over the last decade.
Keywords: trauma • retina