Hallazgos ecográficos en trauma ocular

Almendárez, J.E.; Vargas, Deisi Maria; González, Carmen María Padilla; Takane, M.; Koga, Walter

doi:10.1016/j.oftal.2015.07.010

Cited by 8 publications

(3 citation statements)

References 11 publications

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“…In cases with vitreous opacities and obscuration, we judged whether a spontaneous PVD was present or not by ultrasound before the vitrectomy surgery. As described by McNicholas et al and Almendárez et al [5, 6], PVD in cases with ocular trauma was seen as a thin, undulating, mobile line that moved away from the posterior aspect of the globe during eye movements.…”

Section: Methodsmentioning

confidence: 92%

Risk Factors for Residual Vitreous Cortex at the Fovea after Posterior Vitreous Detachment during Vitrectomy in Ocular Trauma

Wang

Zhao

et al. 2019

Journal of Ophthalmology

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Purpose. To investigate the frequency and patterns of the residual vitreous cortex (RVC) at the fovea after posterior vitreous detachment (PVD) during vitrectomy after ocular trauma and the risk factors associated with its occurrence. Methods. A cross-sectional, multicenter, and observational study was conducted in 72 consecutive patients who underwent pars plana vitrectomy after ocular trauma. In patients with PVD after vitrectomy, RVC patterns were visualized using triamcinolone acetonide staining and were classified as diffuse or focal. A multivariate logistic regression analysis was performed to evaluate the association between RVC and various factors, such as the patient’s age, preoperative visual acuity, days after injury, the existence of spontaneous PVD, and the type of injury prior to vitrectomy. Results. Of the 72 eyes with trauma, 35 eyes (48.6%) showed RVC on the macula, of which 19 (54.3%) were of the diffuse type and 16 (45.7%) were of the focal type. A multivariate logistic regression analysis showed that age (OR = 0.933, P=0.025) and days after injury (OR = 0.862, P=0.013) had a significant impact on RVC. Conclusions. RVC at the fovea is very common after spontaneous or surgical PVD during vitrectomy. Younger patients are more likely to show RVC if vitrectomy is performed soon after injury.

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Section: Methodsmentioning

confidence: 92%

Risk Factors for Residual Vitreous Cortex at the Fovea after Posterior Vitreous Detachment during Vitrectomy in Ocular Trauma

Wang

Zhao

et al. 2019

Journal of Ophthalmology

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“…On the other hand, US and ultrasonic biomicroscopy (UBM) are safe and economical methods that can provide valuable information in case of media opacity for the surgical plan elaboration and as predictors for final vision. However, they are operator dependent, and there is a concern of prolapse of the intraocular tissues, so it should be indicated with caution ( 13 , 14 ).…”

Section: Introductionmentioning

confidence: 99%

Relationship of Neutrophil-to-Lymphocyte and Platelet-to-Lymphocyte Ratio With Visual Acuity After Surgical Repair of Open Globe Injury

et al. 2021

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Purpose: To assess the relationship and prognostic value of the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) with poor final best-corrected visual acuity (BCVA) after surgical repair of open globe injuries (OGI) in adults.Design: Retrospective analysis of data from an ongoing prospective cohort of consecutive patients.Methods: In a tertiary university hospital, 197 eyes of 197 patients were included between 2013 and 2017. NLR and PLR were obtained from pre-operative blood tests to analyze its relationship with poor final BCVA.Results: Severe visual impairment (SVI) was defined as ≤20/200, and was observed in 96 (48.7%) patients after surgical repair of OGI. SVI patients had higher NLR (7.4 ± 6.6 vs. 4.0 ± 3.2, p < 0.001), and PLR (167 ± 92 vs. 139 ± 64; p = 0.021) than non-SVI. NLR ≥ 3.47 and PLR ≥ 112.2 were the best cut-off values for SVI, were univariate risk factors for SVI, and had sensitivity: 69.0, 71.4, and specificity: 63.6, 44.8, respectively. In multivariate analysis, only OTS, athalamia, and hyphema remained as risk factors. NLR had significant correlation with ocular trauma score (OTS) (r = −0.389, p < 0.001) and final BCVA (r = 0.345, p < 0.001).Limitations: Simultaneous trauma in other parts of the body that could influence the laboratory findings.Conclusion: Patients with SVI after a repaired OGI had increased pre-operative NLR and PLR levels. High NLR and PLR are risk factors for SVI in univariate analysis. It is confirmed that low OTS is a risk factor for SVI. High NLR and PLR could be used as a prognostic tool to identify patients at higher risk for SVI after repair of OGI.

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“…Установлено также, что ОТГ занимает лидирующую позицию как причина удаления глаза (62,12 %), при этом закрытая травма глаза -в 33,95 % с преобладанием бытового характера повреждений (55,2 %), криминального (15,7 %) и автодорожной травмы 9,93 % [11][12][13]. Наличие тяжелой травмы огнестрельного характера (17,1 %) определяет изначально тяжелый прогноз и приводит к инвалидизации наиболее работоспособной части мужского населения (от 26 до 55 лет), тем более что при внедрении в полость глаза инородного тела (40,5 %) у 30,8 % из них в момент оказания специализированной помощи по месту жительства попытка удаления осколка была безуспешной [8,9,14], Открытая травма глаза характеризуется полиморфизмом клинических проявлений, сочетанностью поражений и развитием тяжелых осложнений, исход которых во многом определяется своевременностью диагностики и уровнем оказания рациональной хирургической помощи. Однако в одном сообщении нельзя подробно отразить все вопросы данной проблемы, и мы решили остановиться на тех из них, которые в последнее время наиболее дискутабельны и актуальны.…”

Section: Introductionunclassified

Cases of Undiagnosed Open Eye Injury: Clinical Features, Diagnosis and Surgical Treatment

Chentsova¹,

Alekseeva²,

Verigo³

et al. 2019

Oftalʹmologiâ

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Open eye injury (OTG), in the structure of eye damage is up to 35.0–85.0 %, the level of disability among the working part of the male population from 26 to 55 years ranges from 25.0–47.5 %, and the removal of the eyeball due to traumatic pathology is 6.5–26.3 % of cases. The aim of the work is to demonstrate the consequences of undiagnosed cases of open injury, successfully treated in the Department of traumatology and reconstructive surgery. Attention is focused on some diagnostic techniques that contribute to the correct diagnosis, especially in undiagnosed and unoperated timely sub — conjunctival sclera ruptures that occur in 1.0–2.6 % of cases of OTG. This pathology leads to the development of severe complications with a persistent decrease in visual functions, detachment of the inner shells, with the formation of staphylomatous, cystic changes, as a rule, along the upper limb in 0.5–1.0 mm from it. There are 3 clinical cases with the description of surgical restoration of the integrity of the scleral capsule in combination with intraocular surgery, which led to good anatomical, cosmetic and functional results. In the first case, the patient with the consequence of injury with wooden shavings 6 months ago was performed a delayed revision of vascular staphyloma after separation of the conjunctiva and plastic defect sclera cadaver scleral flap. Visual acuity of OD increased from 0.4 to 0.8. The second case is the consequences of an open eye injury, dislocation of the lens under the conjunctiva. The patient underwent a delayed revision of the scleral wound with removal of the lens, microinvasive vitrectomy with removal of hemophthalmos, iris plasty and secondary IOL implantation. Visual acuity improved with pr.l.certae up to 0.7. The third case is a patient with the consequences of open trauma, staphyloma vascular, complete coloboma of the iris, traumatic cataract. Were facoaspiration traumatic cataract with IOL implantation and plasticity of the iris, delayed revision of the scleral wound plasty of the defect cadaverous sclera. Visual acuity improved with pr.l.certae to 0.2 n/K. Conclusion. Thus, thanks to the use of clinical and diagnostic methods of research and high-tech surgical technique of treatment, it was possible to achieve optimal anatomical, cosmetic results in patients with long-term consequences of complicated open eye injury. Despite the severe anatomical consequences, good functional results were obtained in all cases. In our opinion, this can be explained by the absence of damage to the choroid during the injury, which, according to the literature, mainly leads to massive bleeding into the inner shells and cavities of the eye, the development of ischemia and is the trigger for the development of vitreoretinal proliferation.

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Hallazgos ecográficos en trauma ocular

Cited by 8 publications

References 11 publications

Risk Factors for Residual Vitreous Cortex at the Fovea after Posterior Vitreous Detachment during Vitrectomy in Ocular Trauma

Risk Factors for Residual Vitreous Cortex at the Fovea after Posterior Vitreous Detachment during Vitrectomy in Ocular Trauma

Relationship of Neutrophil-to-Lymphocyte and Platelet-to-Lymphocyte Ratio With Visual Acuity After Surgical Repair of Open Globe Injury

Cases of Undiagnosed Open Eye Injury: Clinical Features, Diagnosis and Surgical Treatment

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