April 19, 2010
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Study: Age not predictive factor of visual outcome after pediatric open-globe injury

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ORLANDO, Fla. — Open-globe injuries in children with uveal prolapse and wounds through the visual axis, as well as eyes that required more than one surgery, were associated with a worse outcome than age, mechanism of injury or wound type, a study found.

David Weakley, MD, and colleagues performed a retrospective chart review of 143 eyes of 143 consecutive patients who had open-globe injuries that were evaluated and treated from 2000 to 2009. Factors recorded in the study included age, gender, mechanism of injury, wound type, uveal prolapse, development of amblyopia and cataract formation.

They presented results of the study in a poster at the American Association for Pediatric Ophthalmology and Strabismus meeting here.

"Traumatic ocular injuries can be devastating and result in a lifelong impact on both the patients and their families," they said.

Both cornea and sclera wound involvement did not result in worse outcomes than only cornea or sclera wounds. A 14.16% enucleation rate and a 16.81% amblyopia rate were found in the study.

No cases of endophthalmitis or sympathetic ophthalmia were reported.

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