title: Open-globe injuries with motor vehicle accidents: a 12-year review.
abstract: OBJECTIVE
  To evaluate demographics, characteristics, and outcomes of open-globe injuries (OGIs) in motor vehicle accidents (MVAs).
  
  
  METHODS
  Retrospective chart review of patients with OGIs related to MVAs that presented to University Hospital, Newark, from 2000 to 2012.
  
  
  RESULTS
  Twenty-five patients were identified; the average age of the patients was 33.3 years old (range, 5-75). The majority of patients (64 %) were males. The 25 vehicles comprised 24 automobiles and one motorcycle. Ten patients (40 %) wore seatbelts, and five (20 %) did not wear seatbelts. The seatbelt status was not documented in the remaining cases. Ethanol was documented as a contributing factor in five of the accidents. In terms of open-globe classification, 15 OGIs (60 %) were ruptures, and five (20 %) were penetrating injuries; three (12 %) had intraocular foreign bodies. Ten eyes (40 %) had a final VA of 20/400 or worse. Fourteen eyes (56 %) achieved a final VA of 20/200 or better; seven eyes (28 %) achieved a final VA of 20/40 or better.
  
  
  CONCLUSIONS
  Fifty-six percent of eyes with an open-globe injury related to MVAs achieved a final VA of 20/200 or better in this series. No eyes developed endophthalmitis.
authors: Institute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, DOC-6100; 90 Bergen Street, Newark, NJ, 07103, USA.
authors: Christopher K
authors: CK
authors: Orr
authors: Alain
authors: A
authors: Bauza
authors: Paul D
authors: PD
authors: Langer
authors: Marco A
authors: MA
authors: Zarbin
authors: Neelakshi
authors: N
authors: Bhagat
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D005129:Eye Foreign Bodies / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D012189:Retrospective Studies; D012421:Rupture; D012622:Seat Belts; D014792:Visual Acuity / Q000502:physiology
references: Injury. 2012 Sep;43(9):1462-5
references: 21496818
references: Graefes Arch Clin Exp Ophthalmol. 2011 Dec;249(12):1765-70
references: 20931217
references: Eur J Ophthalmol. 2013 Mar-Apr;23(2):242-8
references: 23112040
references: Ophthalmology. 2008 Jan;115(1):202-9
references: 17588667
references: Br J Ophthalmol. 1986 Jun;70(6):460-2
references: 3718911
references: Indian J Ophthalmol. 2010 Jul-Aug;58(4):321-3
references: 20534923
references: Ophthalmic Epidemiol. 1998 Sep;5(3):143-69
references: 9805347
references: Clin Exp Ophthalmol. 2002 Feb;30(1):15-8
references: 11885788
references: Injury. 2006 Jul;37(7):633-7
references: 16769311
references: Arch Ophthalmol. 2005 Jan;123(1):89-95
references: 15642817
references: Surv Ophthalmol. 2001 Nov-Dec;46(3):234-42
references: 11738430
references: Br J Ophthalmol. 2010 Jan;94(1):111-4
references: 19692359
references: Eye (Lond). 2012 Feb;26(2):212-7
references: 22134598
references: JAMA. 1997 Nov 5;278(17):1437-9
references: 9356003
references: Arch Ophthalmol. 1993 Oct;111(10):1333-4
references: 8216012
references: Br J Ophthalmol. 2003 Jan;87(1):75-8
references: 12488267
references: Am J Ophthalmol. 1997 Jun;123(6):820-31
references: 9535627
references: Ophthalmology. 2008 Mar;115(3):573-576.e1
references: 17765310
references: J Adolesc Health. 2009 Jul;45(1):84-90
references: 19541254
references: Ophthalmology. 1999 Sep;106(9):1847-52
references: 10485561
references: Accid Anal Prev. 1994 Jun;26(3):385-90
references: 8011051
references: Graefes Arch Clin Exp Ophthalmol. 2013 Mar;251(3):653-9
references: 22910792
references: Br J Ophthalmol. 1987 Jun;71(6):436-40
references: 3620423
references: J AAPOS. 1998 Aug;2(4):234-8
references: 10532742
references: Eur J Trauma Emerg Surg. 2012 Dec;38(6):647-50
references: 26814551
references: Graefes Arch Clin Exp Ophthalmol. 2000 Feb;238(2):153-7
references: 10766285
references: Retina. 2006 Sep;26(7 Suppl):S65-8
references: 16946683
references: Alcohol Alcohol. 2007 Sep-Oct;42(5):474-9
references: 17341518
references: Am J Ophthalmol. 2012 May;153(5):856-60
references: 22265150
references: Eye (Lond). 2010 Jan;24(1):84-9
references: 19229267
references: Clin Exp Ophthalmol. 2008 Dec;36(9):836-41
references: 19278478
references: J Trauma. 2007 Mar;62(3):746-9
references: 17414358
references: Ophthalmol Clin North Am. 2002 Jun;15(2):139-43, v
references: 12229228
references: Curr Opin Ophthalmol. 1995 Jun;6(3):38-44
references: 10150868