title: Fourteen-year review of open globe injuries in an urban Korean population.
abstract: OBJECTIVE
  To review the epidemiology and prognostic factors related to visual outcome after open globe injuries.
  
  
  METHODS
  A retrospective case review during a 14-year period.
  
  
  RESULTS
  The study was based on a sample of 321 patients (321 eyes) with open globe injuries. Gender of the sample was predominantly male (76.6%) and the average age was 38.8 years. Injuries occurred most frequently in autumn (37.7%) and in the work place (45.8%). The anatomic site of the wound was corneal (zone I) in 148 eyes, corneoscleral (zone II) in 61 eyes, and scleral (zone III) in 92 eyes. Initial visual acuity was 4/200 or worse in 77.9% of patients and was significantly correlated with the zone of injury (linear by linear association p = 0.000). The elapsed time from injury to surgery was shorter than 48 hours in 90.7%. Primary repair was performed in 301 eyes and, subsequently, pars plana vitrectomy in 165 eyes, and cataract extraction in 67 eyes. Anatomic success was achieved in 91% of eyes and evisceration was performed in 7.8% (25 eyes). Final visual acuity of 5/200 or better was achieved in 58.3% of patients, and vision of 20/40 or better in 36.5%. The zone of injury was the most significant predictor of functional outcome (linear by linear association p = 0.000) as well as anatomic outcome (chi p = 0.000). Associated injuries such as retinal detachment, vitreous hemorrhage, uveal prolapse, and adnexal injury were also important prognostic factors (linear by linear association, p = 0.000).
  
  
  CONCLUSIONS
  In this study, we identified the epidemiology and prognostic factors of open globe injuries in a Korean urban community. The visual as well as anatomic outcome for open globe injury was shown to be reasonably favorable when prompt and appropriate surgical management was applied.
authors.affiliation: Department of Ophthalmology, University of Ulsan, College of Medicine, Asan Medical Center, Korea.
authors.forename: Jae-Hyung
authors.initials: JH
authors.lastname: Kim
authors.forename: Sung Jae
authors.initials: SJ
authors.lastname: Yang
authors.forename: Deok Soo
authors.initials: DS
authors.lastname: Kim
authors.forename: June-Gone
authors.initials: JG
authors.lastname: Kim
authors.forename: Young Hee
authors.initials: YH
authors.lastname: Yoon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005131:Eye Injuries / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014792:Visual Acuity