Factors affecting final functional outcomes in open‐globe injuries and use of ocular trauma score as a predictive tool in Nepalese population

Abstract Background Open globe injury (OGI) is one of the most devastating form ocular trauma. The aim study to identify epidemiology and predict visual outcomes in traumatic open injuries using trauma score (OTS) correlate with final acuity (VA) at 3 months. Methods Patients older than 5 years, presenting B.P. Koirala Lions Centre for Ophthalmic Studies (BPKLCOS) from March 2016- 2017 OGI that met inclusion criteria were evaluated. Patient profile, nature cause injury, time presentation recorded. managed accordingly followed up An OTS each patient was calculated raw scores categorized accordingly. VA after months compared predicted values. Results Seventy-three eyes 72 patients examined. 76 % male, mean age 26.17 years (median, 23.5 years). < 6 hours (30 patients, 41 %). Thirty-seven (51 %) had zone I trauma, by twenty (27 II, sixteen (22 III Sixty-five (90 surgically, fifty (68 received intravitreal antibiotics steroid. When compared, projected as per able actual 60 various zones. Conclusions can be an accurate predictive tool even a short follow period months; poor acuity, delayed presentation, posterior zones need injections, endophthalmitis, rupture associated poorer prognosis.