A 10-year review of assault-related open-globe injuries at an urban hospital

Bauza, Alain; Emami-Naeini, Parisa; Soni, Nishant; Holland, Bart; Langer, Paul D.; Zarbin, Marco A.; Bhagat, Neelakshi

doi:10.1007/s00417-012-2136-z

Cited by 37 publications

(28 citation statements)

References 41 publications

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“…4,16-23 Regarding studies examining risk factors for RD, three reports previously identified anatomic zone as being predictive of RD. 22,24,25 Two other studies from Iran and Germany studied risk of RD after open globe trauma using multiple clinical variables, but their small cohort sizes, 116 and 52 open globe injuries respectively, limit the accuracy of their findings.…”

Section: Discussionmentioning

confidence: 99%

Retinal Detachment after Open Globe Injury

2014

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Purpose To characterize the development of retinal detachment after open globe trauma. Design Case-control study Participants 892 patients comprising 893 open globe injuries, of which 255 were ultimately diagnosed with retinal detachment, with the remaining eyes serving as controls. Methods Retrospective chart review of open globe injuries presenting to the Massachusetts Eye and Ear Infirmary between 1999 and 2011. Kaplan-Meier analysis was used to estimate time to detachment and multivariable logistic regression was used to define clinical factors associated with retinal detachment after open globe injury. Main Outcome Measures Demographic and clinical characteristics at the time of presentation after open globe injury, date of retinal detachment diagnosis, and last date of follow-up. Results Primary repair of the open globe was typically undertaken within hours of presentation. 255 eyes were ultimately diagnosed with retinal detachment after open globe trauma, yielding an incidence of 29% (95% confidence interval: 26%-32%). For eyes that developed retinal detachment, 27% (69/255) detached within 24 hours of primary open globe repair, 47% (119/255) detached within one week, 72% (183/255) within one month. Multivariable regression analysis revealed presence of vitreous hemorrhage (odds ratio: 7.29, p<0.001), higher zone of injury (odds ratio: 2.51 per integer increase in zone number, odds ratio: 1.00-6.30, p<0.001), and poorer Logarithm of the Minimum Angle of Resolution visual acuity at the time of presentation after open globe injury (odds ratio: 2.41 per integer increase in Logarithm of the Minimum Angle of Resolution visual acuity, odds ratio: 1.00-81.30, p<0.001) to be associated with retinal detachment. A screening tool, named herein the Retinal Detachment after Open Globe Injury (RD-OGI) score, was created. Conclusions Retinal detachment is common after open globe trauma, though often not appearing until days to weeks after the initial traumatic event. Several clinical variables at the time of initial presentation can predict the future risk of detachment.

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Section: Discussionmentioning

confidence: 99%

Retinal Detachment after Open Globe Injury

2014

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“…Stryjewski, C.M. 8 Although assault-related open-globe injuries have been shown to be more severe with worse presenting VA, the 39.9% incidence rate was not substantially higher than another large study that included open-globe injuries from all causes; Schmidt and colleagues published a series of 214 open-globe patients, of whom 34.1% presented with retinal detachment. 34 The vast majority of open-globe studies have included the presence or absence of retinal detachment at the time of initial presentation, but few have evaluated the incidence afterwards, and even fewer have described the timing of detachment when it does occur.…”

Section: Incidence and Timing Of Retinal Detachment In Open-globe Injurymentioning

confidence: 97%

“…[5][6][7][8][9][10][11][12][13][14][15][16] Many studies have demonstrated that retinal detachment both at the time of initial presentation and in the postoperative course after open-globe repair is associated with poor vision, phthisis, and enucleation. 1 Defined as any fullthickness wound of the eye wall, open-globe injuries can result in significant damage to the anterior and posterior segments of the eye and necessitate multiple surgical interventions over the course of years.…”

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confidence: 99%

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Open-globe injuries are a major cause of vision loss worldwide, with over 200,000 such injuries occurring each year. 3,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] This review will examine the pathogenesis, incidence, predictors, repair, possible prophylaxis, and prognosis of retinal detachments after open-globe injuries.

' PathogenesisAny disruption of the normal mechanical and metabolic forces of adhesion between the neurosensory retina and the underlying retinal pigment epithelium will result in a retinal detachment. 2,3 Although visual outcomes with surgical repair of open globes have improved over the past several decades, many severely damaged eyes continue to have poor visual potential.

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confidence: 99%

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Retinal Detachment After Open-globe Injury

Chee¹,

Patel²,

Vavvas³

2013

International Ophthalmology Clinics

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Open-globe injuries are a major cause of vision loss worldwide, with over 200,000 such injuries occurring each year. 1 Defined as any fullthickness wound of the eye wall, open-globe injuries can result in significant damage to the anterior and posterior segments of the eye and necessitate multiple surgical interventions over the course of years. 2,3 Although visual outcomes with surgical repair of open globes have improved over the past several decades, many severely damaged eyes continue to have poor visual potential. 4 Multiple predictors of visual outcome after open-globe injury have been identified, including the presence of relative afferent pupillary defect, preoperative visual acuity (VA), mechanism of injury, location of rupture site, and retinal detachment. [5][6][7][8][9][10][11][12][13][14][15][16] Many studies have demonstrated that retinal detachment both at the time of initial presentation and in the postoperative course after open-globe repair is associated with poor vision, phthisis, and enucleation. 3,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] This review will examine the pathogenesis, incidence, predictors, repair, possible prophylaxis, and prognosis of retinal detachments after open-globe injuries. ' PathogenesisAny disruption of the normal mechanical and metabolic forces of adhesion between the neurosensory retina and the underlying retinal pigment epithelium will result in a retinal detachment. 26 Open-globe injuries can be categorized into 3 zones by wound location; zone 1 and 2 injuries are more anterior, whereas zone 3 injuries are posterior to the anterior 5 mm of sclera and therefore consist of scleral wounds overlying

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“…It was 10.1% in 118 cases of open eye injuries in southern Israel from 1996 to 2005 44 . According to the 2001–2010 report by the Trauma Center, at University Hospital, Newark, New Jersey, 6.0% of 183 work-related injured eyes underwent enucleation, 45 and 45.9% of 148 assault-related injured eyes with NLP and 31.1% received enucleation 46 . According to the 2001–2012 report of the Trauma Center in Queens, New York, there were 441 cases of eye injuries, with the enucleation rate of 5.0% 47 .…”

Section: Comprehensive Development Of Medical Treatment For Eye Injurmentioning

confidence: 99%

Development of medical treatment for eye injuries in the mainland of China over the past decade

Wang

2016

Chinese Journal of Traumatology

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In the article, the development of medical treatment for eye injuries in the mainland of China was reviewed. According to the data provided in Eye Injury Vitrectomy Study (EIVS), 27% of 72 eyes with no light perception (NLP) gained recovery in term of antomy and visual function. Vitrectomy initiated at more than 4 weeks after open eye injury is an independent risk factor for developing PVR. Prognosis of anatomy and visual function of the injured eye with PVR is markedly worse than that without PVR. Serious injuries of ciliary body, choroid and retina are three key parts of the eye with NLP. The concept that the treatment of the eye injury gradually focus on the whole globe is embodied. The data from 13575 in patients with traumatic eyes in 14 hospitals revealed that the rate of immediate enucleation was remarkable reduced with comparison of 20 years ago.

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A 10-year review of assault-related open-globe injuries at an urban hospital

Cited by 37 publications

References 41 publications

Retinal Detachment after Open Globe Injury

Retinal Detachment after Open Globe Injury

Retinal Detachment After Open-globe Injury

Development of medical treatment for eye injuries in the mainland of China over the past decade

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