ISSN: 2459-1777 | E-ISSN 2587-0394
Volume : Issue : Year : 2024
Pediatric Open-Globe Injuries: Clinical Characteristics and Outcomes of Repair in a Tertiary Center in Istanbul, Turkey [Beyoglu Eye J]
Beyoglu Eye J. Ahead of Print: BEJ-19577 | DOI: 10.14744/bej.2024.19577

Pediatric Open-Globe Injuries: Clinical Characteristics and Outcomes of Repair in a Tertiary Center in Istanbul, Turkey

Aslı Kırmacı Kabakcı1, BURCU KEMER ATİK2, Elif Hazal Livan1, serap yurttaser ocak1, Mustafa Nuri ELCIOGLU1
1University of Health Sciences, Prof. Dr. Cemil Tascioglu State Hospital, Istanbul, Turkey
2University of Health Sciences Beyoglu Eye Training and Research Hospital, Istanbul, Turkey

OBJECTIVES: To evaluate the epidemiology, etiology, and outcomes of pediatric open-glob injury patients treated at a tertiary medical center in Istanbul, Turkey.
METHODS: The records of 56 pediatric patients who underwent primary open-globe injury repair at our clinic between 2016-2021 were retrospectively reviewed. Data about demographics, date-setting of the injury, type of the traumatizing object, injury size and zone were collected. The initial and final best-corrected visual acuities (VA), associated features, the trauma-hospital admission and hospital admission-surgery durations were also recorded. The Pediatric Penetrating Ocular Trauma Score (POTS) was calculated in order to evaluate its effect on the final VA.
RESULTS: Fifty six eyes of 56 patients with a median age of 8 years who were followed-up for at least 6 months were included. The majority of the injuries took place at home (62.5%), while the most common traumatizing object was knife (10.7%). The mean size of injury was 4.73±2.92 mm; of which 60.7% (34) cases were zone 1, 33.9% (19) cases zone 2, and 5.4% (3) cases zone 3 injury according to the Ocular Trauma Classification group. The mean VA of 1.48±1.21 logMAR at presentation was improved to 0.83±1.13 logMAR at the last visit (p< 0.001). The POTS was significantly correlated with the final VA (p= 0.001; r=-0.473). Iris prolapse was observed in 31 patients (55.4%), whereas the lens was injured in 26 (46.4%) cases and displayed significant influence on the postoperative visual outcome (p=0.019). The mean duration between trauma-hospital admission was 18.9±43.8 hours; while hospital admission-surgery was 8.6±3.7 hours.
DISCUSSION AND CONCLUSION: Our study demonstrated that the visual acuity at presentation and the presence of lens injury are visual prognostic factors for pediatric open-globe injuries.

Keywords: Open Globe Injury, Pediatric Trauma, Primary Repair, Visual Prognosis, Ophthalmic Surgical Emergency

Corresponding Author: Aslı Kırmacı Kabakcı, Türkiye
Manuscript Language: English
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