Open Globe Injury in Hospital Serdang - An 8-year Retrospective Review
- Author:
Nazri Omar
;
Maimunah Abdul Muna’aim
;
Rafidah Md. Saleh
- Publication Type:Original Article
- Keywords:
Open globe injury, Ocular injury, Cornea laceration, Sclera laceration, Globe rupture
- From:Malaysian Journal of Medicine and Health Sciences
2017;13(2):17-28
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Open globe injury may lead to devastating visual outcome. Urgent management and subsequent
follow-up is important to maximise recovery. More data on open globe injury in Malaysia is needed to identify risk
groups and prognostic factors. This study was carried out to investigate open globe injury, the socio-epidemic profile,
clinical characteristics and outcome of the open globe injury in the Hospital Serdang, Malaysia. Methods: All
patients managed for open globe injury to Hospital Serdang from January 2006 to December 2013 were included in
this retrospective case review. Student’s T-test was used to determine difference between means and chi-square for
categorical data. P value of less than 0.05 was regarded as statistically significant. Results: There were 155 patients
managed for open globe injury with three of them had bilateral involvement. As such, there were 158 cases eligible
for analysis in this study. The average age was 32.2 ± 16.5 years (mean ± standard deviation, SD). Male was at higher
risk for open globe injury. Predictors for poor visual outcome were foreign nationality (p=0.047), lid laceration
(0.008), type of injury (p=0.001), site of injury (p=0.008), RAPD (p<0.001), uveal prolapse (p<0.001), hyphaema
(p=0.008), lens damage (p=0.010), vitreous loss (0.014), retinal detachment (p=0.011), intraocular foreign body
(IOFB) (0.014) and poor presenting uncorrected visual acuity (UCVA) (p<0.001). Conclusions: Occupational injury
was a main cause of open globe injury in Hospital Serdang. Although in general the visual outcome is good, effort
should be put to prevent work-related injury.
