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J. Son, A. Vaccaro, S. Guo, R. Wagner, M. A. Zarbin, N. Bhagat; Pediatric Ruptured Globes: Characteristics, Demographics, Anatomic and Functional Outcomes. Invest. Ophthalmol. Vis. Sci. 2009;50(13):4689.
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1) To assess the demographics, characteristics, anatomic and functional outcomes in children who underwent surgical repair of ruptured globes (RG) at New Jersey Medical School; 2) To compare the demographics and outcomes of two groups: Group A, ages between 0-9 years and B, between 10-17 years.
Retrospective chart review of pediatric (ages 0-17) patients who underwent RGR between 1997 and 2005.
Forty-eight (n=48) surgical eyes were identified. The mean age was 8.6 years (range: 0-17); 36 patients were males and 12 were females. Analysis of demographic, gender, and age-groups revealed the following: a. Poor post-operative visual acuity, VA (less than or equal to 20/200) was associated with older (10-17 year-old) children. b. The etiology of trauma strongly correlated with final VA. Final VAs of patients with sharp object-related trauma were better than 20/200 in 14 of the 23 of the patients, as opposed to 5 out of 17 for blunt trauma and 1 out of 6 for ballistic object trauma. c. Functional outcome was much better in female patients than male patients.
The results suggest that etiology of eye trauma, age and gender of the patient may have a significant correlation with final visual acuity. These factors along with the ocular trauma score should be taken into consideration when discussing the post-operative visual prognosis in such patients.
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