VISUAL OUTCOME AND OCULAR SURVIVAL IN PATIENTS WITH RETINAL DETACHMENTS SECONDARY TO OPEN-GLOBE OR CLOSED-GLOBE INJURIES

BACKGROUND AND OBJECTIVE: A retrospective study was undertaken to esta blish predictive clinical features for final visual outcome and ocular survival for patients who have sustained traumatic retinal detachment s (RDs). PATIENTS AND METHODS: The authors reviewed 191 cases of RD fo llowing open-or closed-globe trauma. The clinical features that were a nalyzed included the initial visual acuity, the location of the wound, the mechanism of injury (blunt, sharp, or projectile), and the number of quadrants of RD. RESULTS: The significant predictive factors for g ood visual outcome (1/200 or better) included an initial visual acuity of hand motions or better, wounds located anterior to the equator, cl osed-globe injuries, sharp injury in open globes, and three or fewer q uadrants of RD. The factors that predicted enucleation included an ini tial visual acuity of light perception or no light perception, wounds located posterior to the equator, and four quadrants of RD. CONCLUSION : The significant predictive factors for final visual outcome in patie nts with traumatic RD were the initial visual acuity, the location of the wound, the mechanism of injury, and the number of quadrants of RD.