2İzmir Atatürk Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Klinigi, İZMİR, Türkiye
3University of Kyrenia Hospital, Eye Clinic, Girne, Kuzey Kıbrıs TC DOI : 10.37845/ret.vit.2024.33.28 PqPurpose: To assess clinical outcome and visual progression of open globe traumas at the tertiary hospital in western Turkey.
Materials and Methods: From January 2015 to October 2019, patients referred to us from the Emergency Unit at our hospital for ophthalmologic surgery were evaluated retrospectively. The patients were divided into four groups based on age: 0?14 years as group 1, 15?34 years as group 2, 35?59 years as group 3, and ? 60 years as group 4. Initial and final best corrected visual acuity (BCVA) were converted into logarithm of the minimum angle of resolution (LogMAR) units to make an analysis.
Results: Eighty-two (75.9%) male and 26 (24.1%) female 108 patients were included in the study. The mean age of the patients was 40.42 ± 17.79. Visual improvement in group 1; 0.42 ± 0.40 LogMAR (p= 0.021), in group 2; 0.70 ± 0.50 LogMAR (p<0.01), in group 3; 0.40 ± 0.45 LogMAR (p < 0.01) and in group 4; 0.25 ± 0.38 LogMAR (p= 0.036). Visual improvement statistically significantly correlated with the patient?s age (p=0.003), initial vision (p=0.007) and retinal disorder (p=0.002).
Conclusion: The OTS has not been prospectively validated yet. In our study, the prognosis is worse for elderly patients with an extensive injury size, posterior segment disorders and intraocular foreign body. Injury size, which can be one of the crucial indicators, adding into the calculation of OTS can be beneficial to predict visual prognoses in the future.
Keywords : Intraocular foreign body, trauma, ocular globe injury, retinal injury