{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T08:11:19Z","timestamp":1776586279425,"version":"3.51.2"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,6,19]],"date-time":"2015-06-19T00:00:00Z","timestamp":1434672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Clinical Characteristic Application Research Project of Capital Beijing","award":["Z121107001012045"],"award-info":[{"award-number":["Z121107001012045"]}]},{"DOI":"10.13039\/501100012166","name":"National Basic Research Program of China","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The objective of the study was to delineate clinical characteristics, surgical interventions, anatomic and visual outcomes of ruptured eye balls after trauma, and establish the prognostic indicators, which can assist clinicians in making correct surgical decisions during globe exploration for ruptured eyes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The study design used was a multicentre prospective cohort study, including six university\u2010affiliated tertiary hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>We selected 242 cases of ruptured globe from the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>ye <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>njury <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>itrectomy <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tudy database, until 31\u2009<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember\u20092012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All selected cases underwent vitreoretinal surgery, enucleation or evisceration, and were followed up for at least 6 months. Age, visual acuity (<jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content>) after injury, ocular trauma zone, time to surgery, corneal laceration, scleral wound, extrusion of iris or lens, ciliary body damage, intraocular haemorrhage, retinal detachment or defect, proliferative vitreoretinopathy (<jats:styled-content style=\"fixed-case\">PVR<\/jats:styled-content>) and choroidal damage were the predisposing factors evaluated by logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>We compared the pre\u2010surgical indicators between cases of anatomically restored eyes with <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> of 4\/200 or better, or eyes with initial no light perception restored light perception or better, and cases of <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> worse than 4\/200, silicone oil\u2010sustained eyes, phthisis or enucleation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nearly 40% of cases with ruptured globe were anatomically restored through vitreoretinal surgery. The closed\u2010funnel retinal detachment or extensive retinal loss (odds ratio [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>]\u2009=\u20093.38, <jats:italic>P<\/jats:italic>\u2009=\u20090.026), <jats:styled-content style=\"fixed-case\">PVR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20093.45, <jats:italic>P<\/jats:italic>\u2009=\u20090.008), and choroidal damage (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20094.20, <jats:italic>P<\/jats:italic>\u2009=\u20090.004) were correlated with poor outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The closed\u2010funnel retinal detachment or extensive retinal loss, <jats:styled-content style=\"fixed-case\">PVR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>, and choroidal damage are the risk factors for unfavourable outcomes in globe ruptures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.12534","type":"journal-article","created":{"date-parts":[[2015,4,9]],"date-time":"2015-04-09T03:40:53Z","timestamp":1428550853000},"page":"629-636","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study"],"prefix":"10.1111","volume":"43","author":[{"given":"Kang","family":"Feng","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Ministry of Education's Key Laboratory of Vision Loss and Restoration Peking University Third Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang\u2010guan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Ministry of Education's Key Laboratory of Vision Loss and Restoration Peking University Third Hospital  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