Clinical characteristics and outcomes of fall-related open globe injuries in Japan

Morikawa, Shohei; Okamoto, Yoshifumi; Okamoto, Fumiki; Inomoto, Naoki; Ishikawa, Hiroto; Harimoto, Kozo; Ueda, Takahiro; Sakamoto, Taiji; Oshika, Tetsuro

doi:10.1007/s00417-018-3959-z

Cited by 15 publications

(15 citation statements)

References 26 publications

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“…Male predominance at younger age may be associated with occupational exposure and risk-taking behavior (higher incidence of assault, sport, and traffic accident-related ocular injuries) [ 15 ]. However, a change in male/female proportion was observable in older ages, as we found a female predominance (69.2%) in people older than 70 years, similar to the study by Vidne-Hay et al [ 16 ], which may be related to the suggestion that elderly women with osteoporosis have an increased risk of falling and sustaining injuries [ 17 ].…”

Section: Discussionsupporting

confidence: 91%

Clinical Review of Ocular Traumas Resulting in Enucleation or Evisceration in a Tertiary Eye Care Center in Hungary

Tóth

Pluzsik

Csákány

et al. 2021

Journal of Ophthalmology

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Purpose. To analyse the demographic and clinical characteristics of ocular traumas resulting in enucleation/evisceration in a large tertiary referral center in a developed country (Hungary) over a period of 15 years. Patients and Methods. A retrospective review of enucleated/eviscerated eyes that underwent surgery between 2006 and 2020 at the Department of Ophthalmology of Semmelweis University, Budapest, Hungary, due to ocular trauma as the primary indication for enucleation/evisceration. For each subject, clinical history, B-scan ultrasound report, and histopathology results were reviewed. Results. There were 124 enucleated/eviscerated eyes from 124 patients (91 males (73.4%)). The mean age at the time of trauma was 37.3 ± 26.0 years while the mean age at the time of enucleation/evisceration was 46.9 ± 20.3 years. The main clinical diagnoses after ocular trauma were open globe injury (n = 96; 77.4%), ocular burns (n = 6; 4.8%), traumatic optic neuropathy (n = 4; 3.2%), bulbar avulsion (n = 3; 2.4%), traumatic cataract (n = 2; 1.6%), retinal ablation (n = 1; 0.8%), and traumatic carotid-cavernous fistula (n = 1; 0.8%). Among the 124 patients, 98 (79.0%) underwent enucleation and 26 (21.0%) evisceration. Patients who underwent primary enucleation/evisceration (n = 24 19.4%) were significantly older at the time of the injury (57.7 ± 22.7 years) than people who underwent secondary eye removal (32.4 ± 24.4 years) ( p < 0.0001 ). The mean time interval between trauma and enucleation/evisceration was 114.9 ± 163.5 months. The main clinical indications for anophthalmic surgery were atrophia/phthisis bulbi (n = 56, 45.2%), acute trauma (n = 25, 20.2%), painful blind eye due to glaucoma (n = 17, 13.7%), endophthalmitis (n = 10, 8.1%), and cosmetic reasons (n = 7, 5.6%). One patient (0.8%) had sympathetic ophthalmia. Conclusions. Primary enucleation/evisceration was performed in one-fifth of all ocular trauma-related anophthalmic surgeries in our tertiary eye care center with enucleation being the most common procedure. Atrophia/phthisis bulbi was the most frequent immediate clinical indication for enucleation/evisceration.

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Section: Discussionsupporting

confidence: 91%

Clinical Review of Ocular Traumas Resulting in Enucleation or Evisceration in a Tertiary Eye Care Center in Hungary

Tóth

Pluzsik

Csákány

et al. 2021

Journal of Ophthalmology

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“…In this study, road traffic, work, and falling were the major circumstances at risk, however, distinct patterns can be observed in different age groups. Additionally, a study of Morikawa et al demonstrated a significantly higher proportion of globe rupture (91%) in fall-related OGI patients, predominantly in the elderly women group, compared to the non-fall-related group (38%) 23 . Our study also confirmed that falling was the situation with a high susceptibility of globe rupture, particularly in the elderly 23,[26][27][28] .…”

Section: Discussionmentioning

confidence: 95%

“…Moreover, the inhomogeneous distribution of affected age groups may reflect different daily activities of the at risk populations, therefore the demographic data should be taken into consideration when implementing the safety measurements in each country. www.nature.com/scientificreports/ Some specific circumstances were more likely to cause globe rupture than others [18][19][20][21][22][23] . A study by Feng et al reported that violence, explosion, and traffic were the most frequent causes leading to severe ruptured eyes requiring vitreoretinal surgery 24 .…”

Section: Discussionmentioning

confidence: 99%

Globe rupture: a single-center retrospective study of demographic patterns and outcomes

Choovuthayakorn

Chokesuwattanaskul

Upaphong

et al. 2020

Sci Rep

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Globe rupture is one of the severe mechanisms of eye injury. This study aimed to describe an epidemiologic patterns and visual outcomes of the open globe injury from globe rupture at a tertiary referral centre. Medical records of 167 patients (173 eyes) were retrospectively reviewed. Overall, males were predominant (82%). Road traffic- (26.3%) and work- (23.4%) were the major contributors. However, falling was the main mechanism in the elderly aged over 60 years. At presentation, 91.4% of eyes had initial visual acuity (VA) of worse than 20/200. The mean (SD) VA in logarithm of the minimum angle of resolution (LogMAR) unit at final [1.8 (1.1)] was significantly improved from presenting VA [2.4 (0.6)] (p ˂ 0.001). Predictors for final VA of worse than 20/400 included poor initial VA, presence of relative afferent pupillary defect, and endophthalmitis. In conclusion, this study observed the peak incidence of globe rupture in young teen to early adult patients, with unique characteristics in each age group. Even with significant visual improvement following the treatments, profound visual loss was still a common consequence. Thus, the role of effective prevention along with a multidisciplinary team together with timely and prompt ophthalmic management should be emphasised.

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“…RD occurred within 24 h of open globe injury in only 27% of cases 22 . Retinal detachment and initial VA were also reported as risk factors of poor final VA in studies of open-globe injuries 23 . OTS includes these major risk factors and is a good overall predictor for final VA in our study.…”

Section: Discussionmentioning

confidence: 99%

Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury

Hou

Lu²,

Pu³

et al. 2021

Sci Rep

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Longitudinal trends on traumatic cataract wound dehiscence are scant. In this study, we present the characteristics of traumatic cataract wound dehiscence using 15 years of longitudinal trend in one of the largest medical centers in Taiwan for a period when cataract surgeries were gradually shifting from extracapsular cataract extraction (ECCE) to phacoemulsification. All patients with a prior cataract surgery who suffered from blunt open globe trauma between 2001 and 2015 at a tertiary referral center in Taiwan were included. The number of cases per year; type of prior cataract surgery; visual acuity (VA); mechanism and place of injury were analyzed. The risk factors associated with final VA were investigated in patients followed up for ≥ 1 month. Seventy-six eyes of 75 patients were included and all of them were traumatic cataract wound dehiscence with a prior ECCE (65 eyes) or phacoemulsification. The most common mechanism and place of injury was fall and at home in both cataract surgical types. The mean log of the minimal angle resolution (logMAR) of final VA was 2.15 ± 0.88 (ECCE) and 1.61 ± 0.83 (phacoemulsification) (P = .026). The most significant risk factors associated with worse final VA were retinal detachment at the initial visit and low ocular trauma score (both P < .001). Long-term visual outcome of phacoemulsification wound dehiscence was better than that of ECCE wound after a blunt trauma.

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Clinical characteristics and outcomes of fall-related open globe injuries in Japan

Abstract: Fall-related open globe injuries were more frequent in elderly female and accompanied by larger wound lengths and severer ocular complications. Visual outcomes in patients with fall-related open globe injuries were related to initial visual acuity.

Cited by 15 publications

References 26 publications

Clinical Review of Ocular Traumas Resulting in Enucleation or Evisceration in a Tertiary Eye Care Center in Hungary

Clinical Review of Ocular Traumas Resulting in Enucleation or Evisceration in a Tertiary Eye Care Center in Hungary

Globe rupture: a single-center retrospective study of demographic patterns and outcomes

Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury

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