Abstract Purpose Open globe injuries (OGIs) impose a significant burden on patients and the healthcare system. This study reports outpatient visits and secondary surgeries associated with OGIs Methods A retrospective chart review of OGI repairs at a Level 1 Trauma Center from 2015-2023 was conducted. Two areas of resource utilization, outpatient office visits and secondary surgeries required within a year of the injury were recorded and predictors were identified Results Of 619 patients (mean age 46±22 years; 76.7% male), most had OGIs from blunt traumatic etiology (57.0%) with injury in zone I (65.9%). On average, patients had 5.3±4.7 office visits, where 8% of patients had no follow-up, 76% had 1–9 visits, and 16% had 10 or more visits. Thirty-five percent required at least one secondary surgery (mean 0.5±0.8). Clinical factors, including presenting best-corrected visual acuity (BCVA), predicted utilization. Predictors for office visits included injury zone ( p =0.02), retinal detachment ( p <0.001), vitreous hemorrhage ( p =0.014), and traumatic cataract ( p =0.011). Retinal detachment ( p <0.001), and traumatic cataract ( p <0.001) were predictive of secondary surgeries. The most common surgeries were pars plana vitrectomy (n=124), cataract extraction (n=46), enucleation (n=33), and corneal transplant (n=21) Conclusion OGI management often requires additional procedures with significant follow-up. Overall trends suggest greater utilization among eyes with significant injury that still maintain potential for visual recovery.
Vought et al. (Sat,) studied this question.
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