What is the prognosis of globe rupture?

Updated: Sep 03, 2019
  • Author: John R Acerra, MD; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Answer

The prognosis depends largely on the extent of injury and the time from injury until appropriate surgical treatment.

In a study by Lee et al, the charts of 62 patients aged 16 years and younger who had been treated for open globe injuries were reviewed. [8] In addition to location and extent of injury, unfavorable outcomes were also related to the initial presentation of hyphema, vitreous hemorrhage, retinal detachment, cornea wound across the pupil, and endophthalmitis.

In a retrospective review, Esmaeli et al studied 176 cases of ruptured globe to identify clinical and histopathologic factors that may predict ocular survival and final visual acuity after penetrating ocular trauma. Predictors of excellent final visual acuity (20/60 or better) were initial visual acuity of 20/200 or better, wound location anterior to the plane of insertion of the 4 rectus muscles, wound length 10 mm or less, and sharp mechanism of injury. Poor visual acuity at first visit, rupture globe, zone III injuries, history of penetrating keratoplasty, retinal detachment, vitreous hemorrhage, and dislocation of crystalline lens were found to be poor prognostic factors. [6]

The prognosis should be guarded until after surgical evaluation.


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