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R. Kapur, H. Bhatt, N. P. Blair, J. I. Lim; Comparison of Adult Open Globe Injuries and Outcomes in an Inner City Population: 1998-2003 Compared With 2003-2008. Invest. Ophthalmol. Vis. Sci. 2009;50(13):2069.
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© ARVO (1962-2015); The Authors (2016-present)
To determine whether there are changing epidemiologic patterns of traumatic open globes of inner city adults.
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).
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.
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.
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