Clinical predictors of retinal detachment after open globe injury

Background: A retinal detachment after open globe injury has important prog nostic and therapeutic implications. Material and Methods: To determine whether retinal detachment following ope n globe injury could be predicted by clinical factors, we retrospectively e valuated 52 patients (52 eyes) with open globe injury admitted to our depar tment. The Birmingham Eye Trauma Terminology System was used. Only patients wich open eye injuries were evaluated. The results were registrated during the 7 days after the accident. Results: In the week after the open globe injury, retinal detachment was pr esent in 40.3%. 100% of the patients with previous cataract operation (with IOL) developed a retinal detachment (p < 0.01). Retinal detachment also co rrelated significantly with visual acuity less than hand mouvement and reta ined intraocular foreign bodies. 19 (95%) of the 20 patients with a visual acuity less than hand mouvement had retinal detachment versus only 2 (9%) p atients with visual acuity of hand mouvement or better (p < 0.01). 6 (66.6% ) of the 9 patients with intraocular foreign bodies had retinal detachment compared to 15 (34.8%) of the 46 patients without intraocular foreign bodie s (p = 0.01). Logistic regression analysis confirmed this variables as inde pendent predictors of retinal detachment. Conclusion: We conclude that previous cataract operation, visas less than h and mouvement and the presence of intraocular foreign bodies are predictive to retinal detachment.