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Abstract
Purpose: To investigate the clinical characteristics and visual outcomes of patients with work-related open globe injuries (OGIs) and compare them with patients with non-work-related OGIs. Design: Retrospective, observational, multicentre, case-control study. Methods: A total of 374 patients with work-related OGIs and 170 patients with non-work-related OGIs who presented to hospitals that belong to the Japan-Clinical Research of Study group from 2005 to 2015 were included in this study. Clinical data including age, sex, initial and final visual acuity, type of open globe injury, lens status, zone of injury, wound length, and presence of proliferative vitreoretinopathy, retinal detachment, expulsive haemorrhage, and endophthalmitis were recorded. Main Outcome Measures: Visual acuity. Results Work-related OGIs were associated with younger age, male sex, better initial and final visual acuity, more laceration, smaller wounds, presence of retinal detachment, and expulsive haemorrhage, compared with non-work-related OGIs. Multiple regression analysis revealed that final visual acuity is significantly associated with initial visual acuity, wound length, and the presence of proliferative vitreoretinopathy in work-related OGIs. Conclusions: Work-related OGIs showed better visual outcomes than other OGIs. Initial visual acuity, wound length, and the presence of proliferative vitreoretinopathy are predictors of visual outcomes in patients with work-related OGIs.
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1 University of Tsukuba, Department of Ophthalmology, Faculty of Medicine, Tsukuba, Ibaraki, Japan (GRID:grid.20515.33) (ISNI:0000 0001 2369 4728)
2 The University of Tokushima Graduate School, Department of Ophthalmology, Institute of Health Biosciences, Tokushima, Japan (GRID:grid.267335.6) (ISNI:0000 0001 1092 3579)
3 Hyogo College of Medicine, Department of Ophthalmology, Nishinomiya, Hyogo, Japan (GRID:grid.272264.7) (ISNI:0000 0000 9142 153X)
4 National Defense Medical College, Department of Ophthalmology, Saitama, Japan (GRID:grid.416614.0) (ISNI:0000 0004 0374 0880)
5 Nara Medical University, Department of Ophthalmology, Kashihara, Nara, Japan (GRID:grid.410814.8) (ISNI:0000 0004 0372 782X)
6 Department of Ophthalmology Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan (GRID:grid.258333.c) (ISNI:0000 0001 1167 1801)
7 Department of Ophthalmology and Visual Science Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan (GRID:grid.260433.0) (ISNI:0000 0001 0728 1069)
8 Shiga University of Medical Science, Department of Ophthalmology, Otsu, Shiga, Japan (GRID:grid.410827.8) (ISNI:0000 0000 9747 6806)
9 Sapporo City General Hospital, Department of Ophthalmology, Sapporo, Hokkaido, Japan (GRID:grid.415261.5) (ISNI:0000 0004 0377 292X)
10 University of Fukui, Department of Ophthalmology, Faculty of Medical Sciences, Fukui, Japan (GRID:grid.163577.1) (ISNI:0000 0001 0692 8246)