Characteristics and Outcomes of Delayed Open Globe Repair

¹Matossian Eye Associates, Hopewell, NJ, USA.

²Rutgers New Jersey Medical School, Newark, NJ, USA.

Corresponding Author: Bhagat N. Department of Ophthalmology, Rutgers New Jersey Medical School, Doctors Office Center, Suite 6100, 90 Bergen Street, Newark, New Jersey, 07103, USA, Tel: 973-972-2032;

 E-Mail: [email protected]

Received Date: 01 Feb 2017   
Accepted Date: 09 Feb 2017  
Published Date: 14 Feb 2017
 

Copyright © 2017 Bhagat

Citation: Bhagat N, Li X, Bauza A, Lesniak SP, et al. (2017). Characteristics and Outcomes of Delayed Open Globe Repair. Mathews J Ophthalmol. 2(1): 013.

ABSTRACT

Background: The purpose of this study is to evaluate the demographics, characteristics, and outcomes of delayed open globe repair.
Methods: Retrospective chart review of patients with = 3 days between injury to globe repair that presented to our institution from 2001-2010.
Results: Thirty-six patients with delayed open globe repair were identified; mean delay was 6.3 days (range: 3-21) and was due to delay by patient in seeking treatment (61%), outside referral (31%), unstable medical condition for surgery (6%), and Patient’s initial refusal of surgery (3%). There were 26 accidental injuries, 5 violent assaults, 2 motor vehicle accidents, 2 unspecified injuries, and 1 wound dehiscence. Eighteen injuries were penetrating, 15 were ruptures, and 3 were intraocular foreign bodies (IOFB). All 3 cases of endophthalmitis (8.3%, 1 with IOFB) were diagnosed upon admission for open globe injury; mean duration from injury to surgery was 5.7 days. Eight patients (22.2%) had retinal detachments and underwent pars-plana vitrectomy; five (62.5%) had complete retinal attachment at last follow-up. Mean presenting initial visual acuity was 1.67 logMAR (Snellen:20/929); mean final corrected visual acuity was 1.21 logMAR (Snellen:20/327).
Conclusions: We noted endophthalmitis in 8.33% of eyes with delayed surgical repair by = 3 days. Timely and accurate diagnosis with appropriate referral for surgical intervention may decrease risk of endophthalmitis.

KEYWORDS

Open Globe Injury; Endophthalmitis; Eye Trauma; Delayed Repair; Visual Acuity.