Open globe eye injury characteristics and prognostic factors in southern Israel: a retrospective epidemiologic review of 10 years experience

• Published in: The Israel Medical Association journal 2013-03, Vol.15 (3), p.158-162
• Main Authors: Knyazer, Boris, Bilenko, Natalya, Levy, Jaime, Lifshitz, Tova, Belfair, Nadav, Klemperer, Itamar, Yagev, Ronit
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Eye - pathology; Eye - physiopathology; Eye Injuries - diagnosis; Eye Injuries - epidemiology; Eye Injuries - etiology; Eye Injuries - physiopathology; Eye Injuries - surgery; Female; Humans; Israel - epidemiology; Male; Middle Aged; Ophthalmologic Surgical Procedures - adverse effects; Ophthalmologic Surgical Procedures - methods; Ophthalmologic Surgical Procedures - statistics & numerical data; Outcome Assessment (Health Care); Prognosis; Retrospective Studies; Vision, Ocular; Visual Acuity
• ISSN: 1565-1088

Open globe injury (OGI) is a common cause of unilateral visual loss in all age groups. To describe and identify clinical characteristics, prognostic factors and visual outcome in a group of patients with OGI in southern Israel. We conducted a retrospective review of all cases of OGI examined in the ophthalmology department at Soroka University Medical Center, Beer Sheva, Israel, from 1996 to 2005. A total of 118 eyes with OGI were detected and analyzed statistically. We recorded demographic data, cause of injury, initial visual acuity (VA), associated globe morbidity and injuries, Ocular Trauma Score (OTS), surgical procedures, postoperative complications, and final VA. The mean age of the study group was 36.1 years and included 84% males. The median follow-up was 13.3 months (range 6-66 months). The annual incidence of open globe injuries was 3.1 cases/100,000. In 84 cases (71%) the mechanism of open eye injury was laceration. Most of the injuries were work related (45%). Bilateral injury was observed in two patients. An intraocular foreign body was observed in 45 eyes (38%). Primary surgical repair was performed in 114 eyes. Six patients (5.1%) had complications with posttraumatic endophthalmitis and 12 patients (10.1%) underwent evisceration or enucleation. Clinical signs associated with poor visual outcomes included reduced initial VA, eyelid injury, and retinal detachment at presentation. In our study population the most important prognostic factors in open globe injury were initial VA, eyelid injury and retinal detachment.