title: A 10-year review of open-globe trauma in elderly patients at an urban hospital.
abstract: BACKGROUND
  To describe the demographics, characteristics, and outcomes of open-globe injuries (OGIs) in elderly patients.
  
  
  METHODS
  Retrospective chart review.
  
  
  RESULTS
  Ninety cases (26 men) were identified. The average age was 80 years (range, 65-96 years). The types of OGIs included rupture (83.3%) and penetrating (16.7%) injuries. The causes of trauma were falls (64.4%), accidents (20%), motor vehicle accidents (5.5%), and assault (3.33%). Types of lacerations included corneal (44.4%), corneoscleral (26.7%), and scleral (28.9%). Forty-six cases were OGIs because of dehiscence of previous ocular surgical wound. Ten eyes had concurrent orbital fractures. Approximately 81.1% of cases underwent primary OGI repair within 24 hours of injury, and all cases underwent primary OGI repair within 24 hours of admission. The average visual acuity at presentation was 20/4,375 (SD, 0.64). Although 22 patients presented with no light perception, only 10 remained no light perception after OGI repair. Complications at presentation included uveal prolapse (70%), hemorrhagic choroidal detachment (37.8%), vitreous hemorrhage (51.1%), retinal detachment (20%), and afferent pupillary defect (42.2%). Three patients (3.33%) underwent primary pars plana vitrectomy for retinal detachment and vitreous hemorrhage. Three patients developed endophthalmitis. Overall, retinal attachment was achieved in all eyes that underwent primary pars plana vitrectomy. Primary enucleations were performed in 4 cases (4.44%) for nonsalvageable no light perception eyes.
  
  
  CONCLUSIONS
  The visual prognosis of OGIs in the elderly population is poor; only 14.4% achieved 20/200 or better visual acuity. Precautionary measures should be taken to prevent OGIs in the elderly population.
authors.affiliation: Institute of Ophthalmology and Visual Science, Department of Ophthalmology, Rutgers New Jersey Medical School, Newark, New Jersey.
authors.forename: Iris
authors.initials: I
authors.lastname: Sheng
authors.forename: Alain
authors.initials: A
authors.lastname: Bauza
authors.forename: Paul
authors.initials: P
authors.lastname: Langer
authors.forename: Marco
authors.initials: M
authors.lastname: Zarbin
authors.forename: Neelakshi
authors.initials: N
authors.lastname: Bhagat
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015353:Eye Enucleation; D015807:Eye Injuries, Penetrating / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D005260:Female; D006786:Hospitals, Urban / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009515:New Jersey / Q000453:epidemiology; D012163:Retinal Detachment / Q000175:diagnosis / Q000601:surgery; D012189:Retrospective Studies; D014505:Urban Population / Q000706:statistics & numerical data; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000175:diagnosis / Q000601:surgery