{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:45:06Z","timestamp":1790779506360,"version":"4.1.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T00:00:00Z","timestamp":1544572800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>To investigate epidemiology, etiology, and outcomes after repair of pediatric open-globe injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed medical records of patients \u2a7d18\u2009years who underwent primary open-globe repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 213 patients were identified. Male\u2013female ratio was 1.44:1. Type of injury was penetration in 157 (74.4%) cases, rupture in 52 (24.4%) cases, and perforation in 2 (0.9%) cases. Knife injuries were the most common cause, affecting 38\/196 (19.4%), followed by metallic object in 37\/196 (18.9%) patients, glass in 26\/196 (13.3%) patients, and pen or pencil in 24\/196 (12.8%). Predictors of good visual outcome defined as (\u2a7e20\/40) were good initial visual acuity (\u2a7e20\/40; p\u2009&lt;\u20090.0001), time from injury to arrival at the emergency room &gt;24\u2009h (p\u2009=\u20090.038), size of wound less than 10\u2009mm (p\u2009&lt;\u20090.0001), absence of iris prolapse (p\u2009&lt;\u20090.0001), deep anterior chamber at presentation (p\u2009&lt;\u20090.0001), absence of hyphema (p\u2009=\u20090.043), intact lens (p\u2009&lt;\u20090.0001), and no retinal detachment during follow-up (p\u2009&lt;\u20090.0001). A total of 27 (12.7%) cases were documented to have retinal detachment at any time during follow-up period. Predictors of retinal detachment were perforation and rupture (p\u2009&lt;\u20090.0001), whereas penetration was not associated with development of retinal detachment, size of the wound \u2a7e10\u2009mm (p\u2009&lt;\u20090.0001), initial visual acuity \u2a7d20\/200 (p\u2009&lt;\u20090.0001), lens injury (p\u2009&lt;\u20090.0001), and development of endophthalmitis (p\u2009&lt;\u20090.027). Eight (3.7%) eyes had the clinical diagnosis of posttraumatic endophthalmitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The most common type of injury was penetration and the most common tool was knife. Visual outcome was affected by the initial presentation. Retinal detachment was a significant predictor of a worse final visual outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672118818013","type":"journal-article","created":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T06:30:50Z","timestamp":1544596250000},"page":"269-274","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Pediatric open-globe injury in a university-based tertiary hospital"],"prefix":"10.1177","volume":"30","author":[{"given":"Faisal","family":"AlDahash","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, King Abdulaziz University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Mousa","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, King Abdulaziz University Hospital, College of Medicine, King Saud University, 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