title: Prognostic indicators of open globe injuries in children.
abstract: OBJECTIVE
  To determine the prognostic indicators of visual outcome in children with open globe injuries.
  
  
  METHODS
  The charts of 62 patients, 16 years of age or younger, who had been treated for open globe injuries were reviewed.
  
  
  RESULTS
  The types of injury included penetrating (30 eyes), rupture (20 eyes), intraocular foreign body (10 eyes), and perforation (2 eyes). Sharp objects, such as knives or scissors, were the most common causes of open globe injuries. A visual acuity (VA) of at least 20/40 was achieved in 80.8% (21/26) of eyes with a corneal injury only, in 45.5% (5/11) of eyes with additional lens damage, and in 17.4% (4/23) of eyes with extensive anterior and posterior injuries.
  
  
  CONCLUSIONS
  Unfavorable outcomes were related to the location of injury, the extent of injury, the initial presentation of hyphema, vitreous hemorrhage, retina detachment, cornea wound across the pupil, and the development of endophthalmitis.
authors.affiliation: Department of Emergency Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kweishan 333, Taoyuan, Taiwan, ROC.
authors.forename: Ching-Hsing
authors.initials: CH
authors.lastname: Lee
authors.forename: Lan
authors.initials: L
authors.lastname: Lee
authors.forename: Ling-Yuh
authors.initials: LY
authors.lastname: Kao
authors.forename: Ken-Kuo
authors.initials: KK
authors.lastname: Lin
authors.forename: Meng-Ling
authors.initials: ML
authors.lastname: Yang
mesh_terms: D000293:Adolescent; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D009877:Endophthalmitis / Q000453:epidemiology / Q000209:etiology; D005129:Eye Foreign Bodies / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D011379:Prognosis; D013624:Taiwan / Q000453:epidemiology; D016896:Treatment Outcome; D014792:Visual Acuity