TO STUDY THE VISUAL OUTCOME AND PROGNOSTIC FACTORS OF OPEN GLOBE INJURIES IN OCULAR TRAUMA

Abstract

Background & Methods: The aim of the present study is to study the common causes, visual outcome and prognostic factors of open globe injuries in ocular trauma. After noting down the name, age, sex, occupation and address etc. Precise history was taken with special reference to the time interval between open globe injury and first treatment, onset of symptoms(sudden or delayed), course of events and treatment first received. Relevant past history of ocular disease or trauma was also noted.
Results: Significance of grade of injury as a prognostic factor (chi-sq. = 7.723) (P = 0.001). Significance of length of wound as a prognostic factor (Pearson's chi-square = 1.233) (P =0.048), we found, maximum 53.3% in Anterior 5 mm from the limbus followed by Confined to cornea and limbus. We found, maximum injuries in 22% with pen, followed by 19% Needle & 18% Glass.
Conclusion: With the advent of a better understanding of the pathology of ocular trauma and advanced surgical techniques, the prognosis of open globe injury is improving. Standardization of the terminology and consensus for a system of classification of these
injuries was accomplished only recently. Our study has prospectively evaluated some of the important prognostic factors of open globe injuries. In general, we found that factors describing the functional status of the eye were more important in predicting the final visual outcome when compared to those related to the anatomy of the injury.