Characteristics of Open Globe Injury in a Tertiary Hospital of Thailand and Predictive Factors for Visual Outcomes.
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Abstract
Background: Eye injuries are among the leading causes of visual impairment globally. This study investigated the characteristics of patients with open globe injuries and identified factors that may influence poor visual outcomes.
Methods: Retrospective review of 96 patients with open globe injury (OGI) between 2018 and 2023, presenting at Thammasat University Hospital. Demographic data and prognostic factors that influence the final visual outcome were examined. Statistical analysis was conducted using univariate and multiple logistic regression analysis.
Results: Of 96 patients, 85.4% were male, and the mean age was 44.64 ± 19.52 years. The outdoors was the leading place of open globe injury (OGI) (38.5%), followed by the workplace (31.3%). Construction was the most common culprit activity (37.5%). High-velocity metallic objects were the most common cause (42.7%). Penetrating injury is the most common type of injury (51.0%), followed by globe rupture (31.3%) and IOFB (17.7%). In a univariate analysis, factors that statistically affected visual outcome are older age, poor initial VA (2.12 ± 0.41 logMAR), globe rupture as a type of open globe injury, positive RAPD, present of retinal detachment, vitreous hemorrhage, eyelid laceration, and Low Ocular Trauma Score (OTS). In multivariate logistic regression analysis, poor initial VA, presence of retinal detachment, and Low OTS were found to be statistically significant.
Conclusion: In this retrospective study, the majority of patients with open globe injury were male. The mean age of the patients was 44.6 ± 19.5 years. The most important factors influencing final visual outcome were poor initial VA, presence of retinal detachment, and low OTS. This can be used to inform patient prognosis and identify strategies to prevent OGI.
Conflicts of Interest: This study has no conflicts of interest.
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