Which is a poor prognostic indicator for globe retention?

Hyphema, which is the presence of blood in the anterior chamber of the eye, is a significant concern when evaluating the likelihood of globe retention after ocular injury or disease. The presence of hyphema indicates that there has been trauma or damage to the local structures of the eye, which can compromise the internal integrity of the globe and lead to potential complications such as increased intraocular pressure, secondary hemorrhage, and intraocular inflammation. These factors collectively contribute to a poorer prognosis for retaining the eye.

In contrast, an intact cornea suggests that there has been no significant damage to the front surface of the eye, which is favorable for maintaining globe integrity. Normal owner compliance indicates that the pet's caregiver is likely to follow through with treatment and management, which can positively impact the overall outcome. The absence of orbital fractures supports the structural integrity of the eye and surrounding areas, contributing to a more favorable prognosis for globe retention. Thus, hyphema stands out as a poor prognostic indicator due to its association with serious ocular issues.