Open‐globe injuries: A global issue of protection

Colyer, Marcus H.

doi:10.1111/ceo.13562

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…Prevention is important and strict safety with ocular protection measures should be adhered to whenever possible. The issue of eye protection has been highlighted previously[ 24 ]; yet, these devastating injuries continue to occur both in the workplace and at home.…”

Section: Discussionmentioning

confidence: 99%

Open globe injuries from projectile impact: Initial presentation and outcomes

Scanzera

Leiderman²,

Cortina³

et al. 2022

Indian Journal of Ophthalmology

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Purpose: To describe the characteristics and correlates of open globe injuries secondary to projectile injury and outcomes following surgical open globe repair at an urban tertiary referral center. Methods: Records of all patients with a history of open globe injury secondary to projectile injury and surgical open globe at a tertiary referral hospital between January 1, 2010 and December 31, 2016 were reviewed. Demographics, type of trauma, wound extent, presence of foreign body, and presenting clinical findings are reported. Outcomes for patients with greater than 6 months of follow-up included additional surgeries, final visual acuity, and clinical findings. Results: Of 214 patients who underwent open globe repair, 73 (34.1%) were due to projectile impact. Mean age was 37.9 years and patients were primarily male ( n = 66, P < 0.001). Most injuries resulted in globe laceration (68.5%, P < 0.001), and wound extent was zone 1 (45.2%), zone 2 (20.5%), zone 3 (27.4%), or unknown (6.8%). Associated findings included foreign body (35.6%) and orbital fracture (15%). Of 41 patients with at least 6 months of follow-up, 70% had additional surgeries following their initial surgical repair. Laceration injuries tended to be more anterior ( P = 0.002) with better visual outcomes ( P = 0.045) than those with globe rupture, and concomitant orbital fracture associated with poor visual outcomes. Overall, 58.5% of patients had 20/40 or better final best-corrected visual acuity. Conclusion: This is the largest report of open globe injury due to projectile impact. Visual prognosis in this population is very good, with most patients achieving better than 20/40 vision in our study.

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Section: Discussionmentioning

confidence: 99%

Open globe injuries from projectile impact: Initial presentation and outcomes

Scanzera

Leiderman²,

Cortina³

et al. 2022

Indian Journal of Ophthalmology

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“…Eye protection should be a global issue. 14 Prevention with protective eyewear can certainly reduce the numbers of eye injuries, particularly in work-related activities. AlMahmoud et al found that workers who wore safety goggles and safety glasses had less significant eye injuries.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Visual Outcome after Primary Repair of Open-Globe Injury by Ophthalmology Residents in Training in a Tertiary Eye Center

Tirakunwichcha¹,

Pongsachareonnont²

2021

OPTH

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were retrospectively reviewed. Preoperative, intraoperative, and postoperative outcomes (day 1, month 1, and month 6 postoperation) were analyzed. Results: A total of 78 OGIs presented in a 10-year period. A biphasic pattern was found among the young and the elderly. Approximately 73.6% of the cases had had surgical repair outside office hours. A majority of cases had been caused by machinery and hammers, and had visual acuity (VA) <20/200. Three cases were reported as having been unsuccessful intraoperatively for globe repair. A fifth of the cases required evisceration/enucleation within 2 weeks of presentation. Presenting VA worse than hand motion was associated with the risk of evisceration/ enucleation (OR 14.5, P=0.013). VA improved at 6 months postoperation to the range of counting fingers and 20/200 (OR 15.6, P<0.01). High ocular trauma scores (OTSs) was associated with lower risk of evisceration/enucleation, and 12% retinal detachment (RD) was discovered, of which 90% occurred within 1 month after OGI repair. Conclusion: Most OGIs were efficiently managed by the trainees, seldomly requiring assistance from subspecialists. Poor initial VA was associated with high risk of visual loss, whereas higher OTSs were inversely related to lower risk of evisceration or enucleation. There was a higher percentage of participants with final VA of 20/100-20/20 than the preoperative period. Precaution and careful evaluation of RD in the early postoperative period is recommended.

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“…OGIs occur in 1.6 to 4.5 per 100,000 individuals and involve a variety of mechanisms including falls, assault, and motor vehicle collisions among others [7,9]. While the overall incidence of OGIs is decreasing in the United States, the incidence of fall-related OGIs is increasing [7,10].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Open Globe Injuries Associated with Accidental Falls in the Older Population (Ages 65-89)

K Shah,

Uppuluri,

Uppuluri

et al. 2023

Act Sci Oph

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Open‐globe injuries: A global issue of protection

Cited by 6 publications

References 11 publications

Open globe injuries from projectile impact: Initial presentation and outcomes

Open globe injuries from projectile impact: Initial presentation and outcomes

Factors Associated with Visual Outcome after Primary Repair of Open-Globe Injury by Ophthalmology Residents in Training in a Tertiary Eye Center

Epidemiology of Open Globe Injuries Associated with Accidental Falls in the Older Population (Ages 65-89)

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