Abstract
Purpose: :
To report the location of open globe wounds in patients with prior intraocular surgery.
Methods: :
A review of 1182 consecutive cases of open globe injuries presenting to Wills Eye Hospital between 1990 – 2001 was performed. One hundred fifty–seven patients who had a history prior ocular surgery which involved full thickness penetration were identified, and the characteristics of these patients were analyzed, including the type of trauma, type of prior intraocular surgery, and location of the open globe wound.
Results: :
The types of prior intraocular surgery included cataract extraction, penetrating keraoplasty, open globe repair, trabeculectomy, scleral buckle with drainage, and goniotomy. One hundred fifty–three patients (98%) with prior intraocular surgery have an open globe wound involving their prior surgical site. Patients who did not have wound dehiscence either had prior scleral buckling with drainage, or goniotomy, or trauma caused by a sharp objects.
Conclusions: :
Prior full–thickness surgical wounds are nearly always the site of open globe injuries.