Visual recovery following open globe injury with initial no light perception

Figures & data

Table 1 Characteristics of injury and ocular examination findings

	n (%) of total sample (total n=25)	Patients with final BCVA > NLP (n=4)
Location
Indoor	12 (48)	3
Outdoor	13 (52)	1
Home	4 (16)	1
Outside the home/not specified	21 (84)	3
Mechanism of injury
Penetration	7 (28)	1
Perforation	5 (20)	0
Rupture	13 (52)	3
Relative afferent papillary defect	14 (56)	2
Hyphema	17 (68)	3
100% AC fill	16 (64)	3
50%–99% AC fill	1 (4)	0
<50% AC fill	0 (0)	0
360-degree subconjunctival hemorrhage	20 (80)	3
Iris injury	24 (96)	4
Lens injury	23 (92)	4
Traumatic cataract	9 (36)	2
Subluxation	11 (44)	1
Expulsed IOL	3 (12)	1
Periorbital ecchymosis/edema	19 (76)	3
Facial or lid laceration	13 (52)	1
Orbital fracture	15 (60)	1
Vitreous hemorrhage	25 (100)	4
Retinal detachment	23 (92)	3
Intraocular foreign body	1 (4)	0
Choroidal detachment/rupture	17 (68)	3
EOM dis-insertion or damage	9 (36)	0
Wound location
Zone I	12 (48)	2
Zone II	18 (72)	3
Zone III	17 (68)	2
Wound characteristics
Size >10 mm	20 (80)	3
Uveal prolapse	23 (92)	4
Vitreous prolapse	17 (68)	2
Surgery
Ruptured globe repair	21 (84)	4
Primary enucleation	4 (16)	N/A

Abbreviations: BCVA, best-corrected visual acuity; NLP, no light perception; AC, anterior chamber; IOL, intraocular lens; EOM, extraocular muscle.

Table 2 Follow-up best-corrected visual acuity and complications

	n (%)
6-month BCVA (22 patients)
• NLP/prosthesis	19 (86)
• LP	1 (5)
• HM	2 (9)
12-month BCVA (18 patients)
• NLP/prosthesis	15 (83)
• LP	1 (6)
• HM	2 (11)
Final BCVA (25 patients)
• NLP/prosthesis	21 (84)
• LP	1 (4)
• HM	3 (12)
Phthisis	12 (48)
Enucleation	14 (56)
Retinal detachment s/p treatment	24 (96)
PVR s/p treatment	7 (28)
Endophthalmitis	2 (8)

Abbreviations: BCVA, best-corrected visual acuity; NLP, no light perception; LP, light perception; HM, hand motion; PVR, proliferative vitreoretinopathy; s/p, status-post.

Table 3 Ocular trauma score and wound size

	Ocular trauma score (mean ± SD)	Wound size, mm (mean ± SD)
All patients	16.7±9.3	16.5±7.6
Final BCVA > NLP	21±5.8	14.5±7.6
Final BCVA = NLP	16.15±9.7	17±7.7
	P=0.20	P=0.58

Abbreviations: BCVA, best-corrected visual acuity; NLP, no light perception; SD, standard deviation.