Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (2): 26-33.doi: 10.6040/j.issn.1673-3770.0.2023.085

• Original Article • Previous Articles     Next Articles

Epidemiological characteristics and prognostic factors associated with 4 526 cases of open globe injuries: a retrospective study

FU Qingyu, LIU Tiantian, WANG Pingping, LIU Longqian   

  1. Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China
  • Online:2024-03-20 Published:2024-03-29

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Abstract: Objective To study the epidemiological features and prognostic factors of open globe injuries(OGI). Methods A retrospective study was conducted, focusing on OGI treated at West China Hospital, Sichuan University, between January 2009 and December 2020. Univariate analysis was used to determine the impact of various factors, including general patient information, causes of injury, complications, and the interval between injury and presentation to the hospital, on the visual outcomes at discharge. Factors that showed statistically significant differences were further analyzed using a multivariate binary Logistic regression model. Results Multivariate binary Logistic regression analysis revealed that, ethnic minorities, age groups of(45, 60)years, age groups of(60, 75)years, blunt object resulting in injury, falls resulting in injury, rehospitalization, prolonged hospital stay, complications included intraocular hemorrhage, dislocated lens, and orbital fractures are risk factors for discharge visual acuity <0.05(OR=1.355, 1.380, 2.387, 1.716, 1.601, 2.013, 1.889, 1.983, 1.857, 3.311; 95%CI=1.050-1.748, 1.140-1.670, 1.632-3.490, 1.290-2.282, 1.066-2.403, 1.668-2.429, 1.581-2.258, 1.627-2.417, 1.351-2.553, 2.109-5.198; all P<0.05). Conclusion OGI predominantly affect young and middle-aged males, with many injuries related to the workplace. Visual prognosis of OGI is generally poor, emphasizing the need for targeted preventive interventions.

Key words: Open globe injury, Ocular rupture injury, Mechanical eye injury, Intraocular hemorrhage, Dislocated lens, Orbital fractures

CLC Number: 

  • R779.1
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