Purpose: To describe long-term outcome, prognosis, and complications of eyes with open globe injury (OGI) at a level-1 trauma center.  

Methods: Retrospective case series of all patients with OGIs who presented to the Institute of Ophthalmology and Visual Science, Rutgers-New Jersey Medical School between 2011 to 2014 with at least 3 years follow-up after OGI repair.

Results: 36 patients were identified (mean age 36 ± 29 years; 13 (36%) African American, 5 (14%) Caucasian, 18 (50%) Hispanic, 30 (86%) male, and 21 (58%) OS. Mean presenting logMAR VA was 2.0 ± 0.8 (~CF to HM). Mean logMAR VA at 3 years was 1.4 ± 0.9 (~20/400 to CF). On average, these eyes underwent 1.7 ± 1.3 additional intraocular surgeries after the initial open globe repair (OGR). Eight eyes were diagnosed with cataract and retinal detachments within the first month of OGR. The initial OGI was in zone 1, 2, or 3 in 17, 16, and 3 eyes, respectively. Twenty-one eyes (58%) required pars plana vitrectomy. Eight eyes (22%) underwent penetrating keratoplasty for central corneal scar or graft failure. Traumatic glaucoma developed in 7 eyes (19%) at an average of 12 months. Two eyes (6%) required subsequent tube shunt glaucoma surgery for uncontrolled intraocular pressure. Sixteen eyes (44%) underwent cataract extraction.

Conclusion: Overall, 50% of eyes had better than finger counting visual acuity at 3-year follow-up. Over three-fourths of the eyes required cornea, glaucoma, or retina surgery within 1 year after the initial OGR.

Endophthalmitis, intraocular lens placement, open globe injuries, pars plana vitrectomy, retinal detachment