Clinical characteristics and prognostic factors of scleral rupture due to blunt ocular trauma

Yücel, Özlem Eşki; Demir, Selim; Niyaz, Leyla; Sayın, Osman; Gül, Adem; Arıtürk, Nurşen

doi:10.1038/eye.2016.194

Cited by 25 publications

(26 citation statements)

References 23 publications

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“…In eyes with scleral rupture limited to zone II and zone III, Yucel et al observed that as high as 42.6% of eyes resulted in final vision of NPL. Poor final VA was significantly associated with poor presenting VA, horizontal midline wound, longer wound length, presence of hyphema, vitreous hemorrhage or retinal detachment, and no cataract surgery 29 . In this study, approximately one-fourth (26%) of eyes had NPL.…”

Section: Discussionmentioning

confidence: 95%

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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Section: Discussionmentioning

confidence: 95%

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

Choovuthayakorn

Chokesuwattanaskul

Upaphong

et al. 2020

Sci Rep

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“…Due to the distinct features of ocular injuries, children with penetrating injuries tend to experience a more obvious deterioration in visual acuity 16 , making it easier for parents to notice the penetrating injury and take the child to the hospital at that time. However, the onset of traumatic cataract due to blunt injury tends to be gradual, which might delay proper treatment and result in an unsatisfactory prognosis in many children 20 . In children who mention being hit in the eye, regardless of whether there is immediate vision loss or wounds around the eyeball, parents should closely observe the child’s eye for timely detection of injuries requiring surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Cataract in Children in Eastern China: Shanghai Pediatric Cataract Study

Sun

et al. 2018

Sci Rep

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Traumatic cataract is a main cause of visual impairment in pediatric populations and is preventable. Awareness of the causes and consequences of pediatric eye trauma play roles in health education and prevention of blindness. We conducted a retrospective chart review based on 5-year clinical data of pediatric traumatic cataract cases treated at the Eye and Ear, Nose and Throat Hospital of Fudan University, Shanghai, China. Clinical features including demographic data, injury mechanism, and causative agents were analyzed. A total of 321 eyes of 321 children (male, 74.1%) were included. Penetrating injury accounted for 76.6% of all injuries; 65% of children with such injuries underwent their first surgery on the day of injury. The average age at injury was 6.3 ± 3.7 years, while the peak age was from two to eight years. The main causes of ocular injury were sharp metal objects, toys, and wooden sticks. The causative agent changed with increasing age; however, scissors were the leading cause within almost all age groups. Cataract surgery significantly improved visual acuity in children with traumatic cataract. These findings add information regarding the characterization of pediatric traumatic cataract in China and can help guide safety education and preventative measures.

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“…Severe trauma is one of the main causes of evisceration [11, 12]. Analysis of the aforementioned factors may help to develop targeted prevention procedures to reduce the frequency of resorting to this devastating ocular treatment option.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Trauma-Related Eviscerations: Analysis of 821 Cases

Jiang

Yang

et al. 2019

Journal of Ophthalmology

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Evisceration is the end therapeutic approach for the treatment of severe ocular trauma cases, and it is a tremendous loss for patients. In this study, we explored the changing trends in the number of surgeries performed, demographic data and ocular features, and risks for early evisceration, aiming to provide more data for the additional prevention and management strategies for this catastrophic problem. This was a retrospective study that included patients who underwent ocular evisceration at the Zhongshan Ophthalmic Center between January 2013 and December 2017. A total of 1229 evisceration cases were reviewed, and only trauma-related eviscerations were analyzed. Etiology, demographic data, ocular features, and hospitalization time were evaluated. The total number of trauma-related eviscerations recorded in the past five years was 821 cases. The number of surgeries performed was almost constant each year (164 ± 17 cases); 35% of the patients were less than ten years old at the time of the original ocular injury and 69% of them were male. Endophthalmitis led to significantly early evisceration compared with cases without endophthalmitis (P < 0.05). The group with a history of silicone oil tamponade showed a significantly longer surgical interval between trauma and evisceration than did the nonsilicone oil tamponade group (P < 0.05). Day-case hospitalization for evisceration increased from 0% to 32% over the past five years. The results of the present study show that the number of ocular trauma-related eviscerations performed in the past five years was almost unchanged and boys under ten are highly susceptible. This study also demonstrates that endophthalmitis leads to significantly early evisceration, and silicone oil tamponade may postpone ocular atrophy. Based on the study data, day-case surgery is safe for evisceration management.

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Clinical characteristics and prognostic factors of scleral rupture due to blunt ocular trauma

Cited by 25 publications

References 23 publications

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

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

Traumatic Cataract in Children in Eastern China: Shanghai Pediatric Cataract Study

Risk Factors for Trauma-Related Eviscerations: Analysis of 821 Cases

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