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L. Koo, R.P. Singh, M.K. Kapadia, M.P. Hatton; Evaluation of Uveal Prolapse as a Prognostic Factor in Open Globe Injuries . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5030.
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Purpose: Few reports in the literature exist regarding prognostic indicators of visual outcome following open globe injuries. The objective of this study was to correlate the presence of uveal prolapse at the time of open globe injury with visual outcome after surgical repair. Methods: A retrospective review of 220 patients with open globe injuries presenting to the Massachusetts Eye and Ear Infirmary during a three year period was performed. The presence of uveal prolapse at initial presentation was evaluated and correlated with initial visual acuity and visual acuity 3 months after surgical repair. Results: 56% of the reviewed cases had the presence of uveal prolapse at the time of presentation while 44% of the cases did not. In the cohort of cases without uveal prolapse, 68.8% had improved visual acuity at 3 month follow up, 22.1% had no change in acuity, and 9.1% had worsened visual acuity. In the cohort with uveal prolapse, 65.3% had improved acuity, 28.6% had no change, and 6.1% had worsened acuity. There was no statistically significant difference between the two study cohorts. Conclusions: Previous studies in the literature have suggested uveal prolapse as a risk factor for poor visual prognosis. At our institution, the presence of uveal prolapse at the time of presentation of open globe injury did not indicate any worse visual outcome after open globe repair at 3 month follow up.
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