January 07, 2014
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Open globe trauma may lead to retinal detachment

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Open globe trauma commonly causes retinal detachment, which may take weeks to appear after the traumatic event, according to a study.

In a retrospective review of 893 open globe injuries at Massachusetts Eye and Ear Infirmary over more than 10 years, investigators measured detachment time and classified clinical factors of retinal detachment after open globe injury using multivariable logistic regression.

Retinal detachment was diagnosed in 255 of 893 eyes (29%). Of these 255 eyes, 27% were detached within 24 hours, 47% were detached within 1 week and 72% were detached within 1 month.

Risk factors for retinal detachment after open globe injury were older age, visual acuity of 20/200 or worse, presence of an afferent pupillary defect and presence of vitreous hemorrhage. Visual acuity, zone of injury and vitreous hemorrhage were among the clinical findings predictive of retinal detachment after open globe injury.

Disclosure: The authors have no relevant financial disclosures.