Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, 110 Intavaroros Road, Maung, Chiang Mai, 50200, Thailand.
Sci Rep. 2020 Nov 5;10(1):19139. doi: 10.1038/s41598-020-76121-2.
Globe rupture is one of the severe mechanisms of eye injury. This study aimed to describe an epidemiologic patterns and visual outcomes of the open globe injury from globe rupture at a tertiary referral centre. Medical records of 167 patients (173 eyes) were retrospectively reviewed. Overall, males were predominant (82%). Road traffic- (26.3%) and work- (23.4%) were the major contributors. However, falling was the main mechanism in the elderly aged over 60 years. At presentation, 91.4% of eyes had initial visual acuity (VA) of worse than 20/200. The mean (SD) VA in logarithm of the minimum angle of resolution (LogMAR) unit at final [1.8 (1.1)] was significantly improved from presenting VA [2.4 (0.6)] (p ˂ 0.001). Predictors for final VA of worse than 20/400 included poor initial VA, presence of relative afferent pupillary defect, and endophthalmitis. In conclusion, this study observed the peak incidence of globe rupture in young teen to early adult patients, with unique characteristics in each age group. Even with significant visual improvement following the treatments, profound visual loss was still a common consequence. Thus, the role of effective prevention along with a multidisciplinary team together with timely and prompt ophthalmic management should be emphasised.
眼球破裂是眼外伤的严重机制之一。本研究旨在描述一家三级转诊中心眼球破裂所致开放性眼球损伤的流行病学模式和视力结果。回顾性分析了 167 例（173 只眼）患者的病历。总体而言，男性占主导地位（82%）。道路交通伤（26.3%）和工作伤（23.4%）是主要原因。然而，60 岁以上的老年人主要损伤机制是摔倒。就诊时，91.4%的眼初始视力（VA）差于 20/200。最终 [1.8（1.1)]对数最小角分辨率（LogMAR）单位的平均（SD）VA 明显优于就诊时的 VA [2.4（0.6)]（p ˂ 0.001）。最终 VA 差于 20/400 的预测因素包括初始 VA 差、相对传入瞳孔缺陷和眼内炎。总之，本研究观察到眼球破裂的高发年龄在青少年至成年早期，每个年龄段都有其独特的特征。尽管经过治疗后视力显著改善，但严重视力丧失仍然是常见的后果。因此，应强调有效预防以及多学科团队的作用，同时需要及时进行眼科治疗。
