Characteristics and visual outcomes of open globe injuries in children of amblyogenic age in Hong Kong / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

AIM:To evaluate the demographics, characteristics and visual outcomes of open globe injuries in children of amblyogenic age in Hong Kong. METHODS: All medical records of children aged between 0 to 8y old who sustained open globe injuries between Jan. 1st, 2005 and Jan. 1st, 2015 were reviewed retrospectively. The demographics, clinical features ( laterality, etiology and zone of injury, other associated ocular injuries ) , type of primary and secondary operations performed, preoperative and postoperative best spectacle corrected visual acuity ( BSCVA ) complications were collected and analysed. RESULTS: A total of 7 cases, 2 males and 5 females were identified. The median age of presentation was 5 years old. All suffered from penetrating injuries (100%). Four cases ( 57%) had improvement of visual acuity compared with preoperative visual acuity. Final visual acuity was hand movement in one (14%) patient, 20/200-20/50 in four ( 57%) patients, and 20/40 or better in two (29%) patients. CONCLUSION: There is a relative low rate of open globe injuries in young children in Hong Kong. Good visual outcomes may be obtained depending on the location and severity of the open globe injury together with prompt surgical management to restore the integrity of the globe and aggressive management of amblyopia.