Prognosis and management of open-globe injuries in children

Esther Bowie, Arman Farr

Research output: Contribution to journalArticle

Abstract

Introduction: Open-globe injuries are defined as "full-thickness wounds of the sclera, cornea or both, and have a high likelihood of progression to blindness." Method: After a MEDLINE search, we reviewed articles about open-globe injuries in children that were published in English from 1966 to the present. Results and Discussion: Factors that are generally associated with a poor prognosis in open-globe injuries in children include age less than 8 years, initial visual acuity of less than 20/800 (6/240), injuries from blunt objects, wounds greater than 5 mm or located in the sclera or corneoscleral, and the presence of a foreign body, lens damage, or retinal detachment. Prophylactic intravitreal antibiotics may be indicated for patients who are at high-risk for infection. The role and timing of vitrectomy and of prophylactic scleral buckling in the absence of retinal detachment, and of intraocular lens implantation remain controversial. Conclusion: Despite several advances in the management of children with open-globe injuries, a number of controversial issues remain.

Original languageEnglish (US)
Pages (from-to)246-250
Number of pages5
JournalOphthalmic Practice
Volume20
Issue number7
StatePublished - Aug 1 2002

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Wounds and Injuries
Sclera
Retinal Detachment
Scleral Buckling
Nonpenetrating Wounds
Intraocular Lens Implantation
Vitrectomy
Blindness
Foreign Bodies
MEDLINE
Cornea
Lenses
Visual Acuity
Anti-Bacterial Agents
Infection

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

Bowie, Esther ; Farr, Arman. / Prognosis and management of open-globe injuries in children. In: Ophthalmic Practice. 2002 ; Vol. 20, No. 7. pp. 246-250.
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Prognosis and management of open-globe injuries in children. / Bowie, Esther; Farr, Arman.

In: Ophthalmic Practice, Vol. 20, No. 7, 01.08.2002, p. 246-250.

Research output: Contribution to journalArticle

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