Etiology and Prognosis of Penetrating Eye Injuries in Geriatric Patients in the Southeastern Region of Anatolia Turkey

Yüksel, Harun; Türkçü, Fatih Mehmet; Çınar, Yasin; Cingü, Abdullah Kürşat; Şahin, Alparslan; Şahin, Muhammed; Özkurt, Zeynep; Murat, Mehmet; Çaça, İhsan

doi:10.5505/tjtes.2014.71597

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…12 Higher rates of wood OGIs have been described in rural settings and foreign countries and are ascribed to the predominance of agriculture in these regions. 3,4,13 It was anticipated that there would be a significantly higher rate of IOFBs caused by wood because of its tendency to fragment in orbital injuries, necessitating multiple periorbital 14,18 We also observed that there was no significant difference in endophthalmitis between patients injured by plant or EW materials, but our study might have been underpowered to detect a true difference. Regardless, the porous nature of wood allows for transport of soil contaminant, which has been associated with increased risk.…”

Section: Discussionmentioning

confidence: 67%

“…12 Higher rates of wood OGIs have been described in rural settings and foreign countries and are ascribed to the predominance of agriculture in these regions. 3,4,13…”

Section: Discussionmentioning

confidence: 99%

“…2 Reports from non-US countries attribute up to 20% of OGIs to wood materials. 3,4 There are limited analyses in the ophthalmic literature specifically investigating the visual outcomes in this setting. With prompt surgical intervention, victims of woodrelated ocular injuries can maintain good vision.…”

Section: Introductionmentioning

confidence: 99%

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Wood-Related Open-Globe Injuries

Pfister

Bohnak

Patel

2020

Journal of VitreoRetinal Diseases

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Purpose: This work evaluates the clinical characteristics, visual outcomes, and complications of patients treated for open-globe injuries (OGIs) caused by wooden objects. Methods: A retrospective review of medical records was conducted on patients presenting to a tertiary trauma center with an OGI between January 2005 and December 2017. Medical records were isolated for wounds caused by wooden objects. Patient demographics were recorded, with presenting visual acuity (VA), physical examination findings, and wound characteristics. After primary globe repair, secondary complications, need for additional surgery, and visual outcomes were noted until final examination. Main outcome measures were final VA and secondary complications. The Ocular Trauma Score (OTS) was computed and assessed for clinical relevance related to visual outcomes. Results: Thirty-two patients met the inclusion criteria, with 15 (47%) being injured by plant material. Thirty of the patients were men (94%). A large portion of patients presented with hand motion or worse vision (48%), and there were high rates of hyphema (59%), vitreous hemorrhage (31%), retinal detachment (28%), and endophthalmitis (9%). Two patients eventually required enucleation. At last follow-up, 19 patients achieved 20/100 VA or better (59.4%), which correlated with their OTS ( P < .001). Conclusions: Despite the high clinical severity of wood OGIs, the potential for visual recovery remains high. The OTS appropriately assesses the severity of injuries and the likely prognosis in this cohort of patients.

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Section: Discussionmentioning

confidence: 67%

“…12 Higher rates of wood OGIs have been described in rural settings and foreign countries and are ascribed to the predominance of agriculture in these regions. 3,4,13…”

Section: Discussionmentioning

confidence: 99%

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Wood-Related Open-Globe Injuries

Pfister

Bohnak

Patel

2020

Journal of VitreoRetinal Diseases

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“…[4][5][6] Among geriatric patients, wood strike was the most common reason for penetrating eye trauma in Turkey. 7 Wooden material causing eye and intraorbital injuries have varied from branches and sticks to pencils, bamboo sticks, and corn stalks in previous studies. 4,[8][9][10] As an organic material, untreated wood entails a risk for serious infections.…”

Section: Introductionmentioning

confidence: 99%

“…4 -6 Among geriatric patients, wood strike was the most common reason for penetrating eye trauma in Turkey. 7…”

Section: Introductionmentioning

confidence: 99%

Eye Injuries Caused by Wooden Projectiles in Finland

Haavisto

Sahraravand

Puska

et al. 2022

Wilderness & Environmental Medicine

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Introduction-Eye injuries can cause decreased vision or even blindness, and predispose to future complications. Wood as an independent cause of eye injuries has infrequently been the focus of the studies. The aim of this study is to report the current population-based epidemiology, treatment, use of resources and outcomes of eye injuries caused by sticks, branches, and other wooden projectiles in Finland.Methods-The study included all patients injured by wooden projectiles with ocular or orbital traumas over a 1-y period. Patients were treated at the Helsinki University eye hospital, which covers a population of 1.5 million. The follow-up time was 3 mo.Results-Wooden projectiles caused 67 eye injuries and compromised 6% of all eye traumas during 1 y. Of the patients, males predominated (76%) and 22% were children under 17 y. Injury was most likely in spring (36%) and in males aged 51 to 67 y. The most common activity to cause injury was playing (27%), but in relation to time spent in each activity, the highest risk for eye injury was in gardening. Diagnoses were mild superficial trauma (54%), blunt ocular trauma (37%), eyelid wound (4%), orbital fracture (3%), and open globe trauma (1%). Permanent disability was estimated for 10% and a need for lifelong follow-up was estimated for 37%. Eleven patients needed major surgeries.Conclusions-Wooden projectiles often cause serious eye injuries, permanent disability, and a need for lifelong follow-up. Caution is required to protect the eyes when playing with sticks and during gardening, forest work, and woodwork.

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Eye and Maxillofacial Injuries

Moschos

2021

Hot Topics in Acute Care Surgery and Trauma

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Etiology and Prognosis of Penetrating Eye Injuries in Geriatric Patients in the Southeastern Region of Anatolia Turkey

Abstract: BACKGROUND:The purpose of this study was to evaluate the etiologic and prognostic factors of open eye injuries in geriatric patients in the Southeastern region of Anatolia.

Cited by 6 publications

References 18 publications

Wood-Related Open-Globe Injuries

Wood-Related Open-Globe Injuries

Eye Injuries Caused by Wooden Projectiles in Finland

Eye and Maxillofacial Injuries

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