• Kang Feng, Xin Xie, Hui-Jin Chen, Liang Han, Yao Lu, Xue-Feng Feng, Yun-Tao Hu, and Zhi-Zhong Ma.
• Peking University Third Hospital, Peking University Eye Center, Beijing, China; Key Laboratory of Restoration of Damaged Ocular Nerve, Beijing, P.R. China.
• Injury. 2021 Feb 1; 52 (2): 286-291.

PurposeTo delineate anatomic and visual outcomes of injured eye globes with perforating, and to develop the prognostic indicators for perforating eyes.MethodsThe case series study, from a multicenter prospective cohort database. To the date of December 31st, 2018, of 63 perforating globes were selected. All cases underwent vitreoretinal surgeries or enucleations, and were followed up for at least 6 months. Demographic characteristics, basic examination for traumatized eyes, and intraocular tissue damages were recorded by surgery-in-chief. At the follow-up visit, best corrected VA, intraocular pressure, the intraocular tamponade material, retinal anatomic outcome of eye-globes, and phthisis or enucleation were evaluated.ResultsFifty injured eyes (79%) were caused by sharp objects and 13 eyes (21%) were injured by a missiles. Twenty-two injured eyes can be anatomically restored with final vision of more than 4/200 through vitreoretinal surgery. The PVR-C (OR = 5.67, P = 0.01), area of retinectomy more than 2 times of optic disk (OR = 5.16, P = 0.04), and macular damage (OR = 6.38, P = 0.01) were correlated with unfavorable outcomes.ConclusionThe injured eyes with perforation can be saved through vitreoretinal surgery, the PVR-C, retinectomy more than 2 times of optic disk, and macular damage were independent risk factors for poor long-term prognosis.Copyright © 2020. Published by Elsevier Ltd.

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