Prognostic Factors of Lee et al for Visual Outcome Following an Open Globe Injury in a Pediatric Patient

Description

Lee et al identified prognostic factors for visual outcome following an open globe injury in a pediatric patient. These can help to identify a patient who may benefit from more aggressive management. The authors are from Chang Gung University in Taiwan, ROC.

Patient selection: open globe injury <= 16 years

Outcomes: final visual acuity (VA) >= 20/40 and < 20/200

Prognostic factors:

(1) ocular zone involved (Zone I, Zone II, Zone III) indicating location, 19.07.04

(2) Eagling grade (as a measure of extent of injury)

(3) 5 factors seen at initial presentation

Ocular Zone	Outcome	Percent < 20/200
Zone I	fair	20%
Zone II	guarded	44%
Zone III	poor	75%

Eagling Grade	Outcome	Percent < 20/200
Grade I	good	4%
Grade II	fair	18%
Grade III	guarded	?% (low numbers)
Grade IV	poor	61%

Factors at presentation associated with a poor visual outcome:

(1) hyphema

(2) vitreous hemorrhage

(3) retinal detachment

(4) cornea wound across the pupil

(5) development of endophthalmitis

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Description

Specialty

ICD-10