2University of Health Sciences, Gulhane Research and Training Hospital, Department of Ophthalmology, Ankara, Turkey DOI : 10.37845/ret.vit.2022.31.20 Purpose: The aim of this study was to present epidemiological characteristics, surgical management, and predictive variables for favorable (FVO) and poor visual outcome (PVO) in pediatric open-globe injuries (OGI).
Material and Methods: The study included papediatric cases aged <18 years who presented with OGI between December 1996 and January 2021. A record was made of injury characteristics (type, time of injury, time to treatment, cause, trauma scene, hospitalization days), and surgical interventions (initial and subsequent number and type of surgeries). VThe visual acuity at the final visit was categorized as PVO (<20/200) orand FVO (?20/200) . Possible predictive factors for FVO and PVO were explored with logistic regression analyses.
Results: Evaluation was made of 57 eyes of 53 children with a median age of 7 years (range, 1-17 years) and median follow-up period of 74 months (range, 6-180 months). The OGI was terror-related in 6 eyes (11%). The primary repair surgeries were performed to most cases (90%) within six hours. Patients mostly underwent phakic lens removal and lens replacement combined with pars plana vitrectomy (PPV) surgery (37%). In the regression analyses, the independent factors for PVO were determined to be initial and additional PPV surgery, initial retinal detachment (RD), and terror-related trauma.
Conclusion: This study presents a detailed epidemiological perspective of pediatric OGI in Turkey. This study adds new variables (initial and additional PPV surgery, baseline RD and terror-related trauma) to forecast the likelihood of PVO in pediatric OGI cases. This is the first report presenting terror-related pediatric OGI cases.
Keywords : Pediatric, Open-globe injury, Surgery, Visual outcome