Certain factors shown to predict OHT after open-globe injury

Increased age, hyphema, lens injuries and zone II injuries can help physicians predict whether or not patients will develop ocular hypertension after open-globe injury, according to a new study in the Journal of Glaucoma.

In a study to assess predictive factors and outcomes of ocular hypertension (OHT) following an open-globe injury, Turalba and colleagues also found that in patients who developed traumatic OHT, their visual acuity improved and intraocular pressure became normal over time.

Researchers reviewed records of 382 patients who were treated for open-globe injuries at Massachusetts Eye and Ear Infirmary over a period of 8 years. All patients had at least 2 months of follow-up treatment and data on visual acuity, IOP and type of glaucoma.

Results showed that 17% of patients developed ocular hypertension, and that zone II injury, lens injury, increased age and hyphema proved to be risk factors in developing the condition after open-globe injury.

"Ocular hypertension is a significant complication after open-globe injury that sometimes requires surgical intervention," the authors concluded. "Predictive factors can alert physicians to monitor for elevated IOP in the first month after trauma. Most patients with traumatic ocular hypertension had improved visual acuity and IOP normalization over time."

Published by:

Sources/Disclosures

Collapse

Source:

J Glaucoma. 2014; doi: 10.1097/IJG.0b013e318265bb4a.