Open Globe Injury In Children

INTRODUCTION: To evaluate retrospectively the epidemiologic data and outcomes of pediatric open globe injury (OGI).
METHODS: The medical records of all pediatric cases (<16 years old) diagnosed with OGI in İzmir Katip Çelebi University Atatürk Teaching and Research Hospital, Department of Ophthalmology between January 2009 and December 2018 were screened. Age, sex, history, cause of trauma, treatment received, visual acuity (VA) at presentation, and final VA were recorded.
RESULTS: A total of 48 patients were included into the study. The mean age at the time of injury was 10,72±4,74 years, ranging from 1 to 16 years. Game related accidents were the most common causes of all pediatric OGI patients with a frequency of 58,3% (n=28). Of the OGIs 56,3% (n=27) were in zone I, followed by zone II (39,5%; n=19), and zone III (4,2%; n=2). Patients with vitreous hemorrhage or retinal detachment at admission were found to have higher risk of poor prognosis. The principal predictor for the good visual outcome was found to be initial BCVA over 20/200.
DISCUSSION AND CONCLUSION: To predict the prognosis in a best way, every patient with OGI should be carefully evaluated both at the time of admission and during follow-up period.