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Risa Abe, Fumiki Okamoto, Shohei Morikawa, Yoshifumi Okamoto, Tetsuro Oshika; Surgical outcomes of fall-related open globe injuries. Invest. Ophthalmol. Vis. Sci. 2019;60(9):6567.
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To investigate clinical characteristics and surgical outcomes in patients with fall-related open globe injuries (OGIs) and to evaluate differences between fall-related and non-fall-related OGIs in Japan.
A retrospective review of patients with OGIs who presented to Japan-Clinical Research of Study (JCREST) hospitals between 2005 and 2015 was enrolled. Clinical information including age, gender, initial and final visual acuity, type of injury, status of lens, zone of injury, wound length, presence of retinal detachment, proliferative vitreoretinopathy, expulsive hemorrhage, and endophthalmitis were recorded.
A total of 374 eyes were enrolled, of which 120 (32.1%) suffered from fall-related injury with average age of 73.7 ± 15.9 years (range, 11 - 101 years). A majority of patients were female (55.8%). Of 120 patients with fall-related injury, 109 (90.8%) presented with rupture and 11 (9.2%) with laceration. A multiple regression analysis revealed that final visual acuity was significantly associated with initial visual acuity (p < 0.001). Compared to non-fall-related OGIs, fall-related OGIs were associated with elderly age, female, poorer initial and final visual acuity, rupture, absence of lens, larger wound size, retinal detachment, expulsive hemorrhage, and absence of endophthalmitis (p < 0.01).
Fall-related OGIs were more frequent in elderly female and accompanied by larger wound lengths and severer ocular complications. Visual outcomes in patients with fall-related OGIs were related to initial visual acuity.
This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.
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