Predictors of Long-term Ophthalmic Complications after Closed Globe Injuries Using the IRIS® Registry (Intelligent Research in Sight)

Batchelor, Ashley; Lacy, Megan; Hunt, M. L.; Lu, Randy; Lee, Aaron; Lee, Cecilia S.; Saraf, Steven S.; Chee, Yewlin E.

doi:10.1016/j.xops.2022.100237

Cited by 6 publications

(7 citation statements)

References 44 publications

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“…We presented a case of an elderly metalworker suffering from closed globe injury, a subset of ocular trauma. Ocular trauma is an important cause of visual impairment and preventable blindness that can significantly impact quality of life [ 6 , 7 ]. Moreover, associated penetrating injuries can cause lacerations to the palpebra, intraocular hemorrhage, retained foreign bodies, or tractive retinal detachment [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…With an incidence of 3.5 eye injuries per 100,000 person, ocular injuries pose significant socioeconomic impact [ 2 ]. In an Australian study, the annual socioeconomic cost of closed globe and adnexal injuries is estimated to reach USD 60.1 million [ 6 ]. This is related to the fact that closed globe injury disproportionately affect workers, thus directly impacting the economy [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…In light of our case findings, we emphasize the importance of directing primary efforts towards prevention. Although found to be the most cost-effective ways to address ocular trauma [ 6 ], Indonesia is still struggling with disregard for essential eye protection measures among the workers and the absence of mandated, quality, eye protection policies in Indonesian companies. Furthermore, we strongly advocate for the implementation of a comprehensive global surgery package that include essential tools for ophthalmic surgery, an imperative step, especially in the context of the burgeoning workforce populations within developing nations [ 10 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Closed-globe injury due to metallic foreign body in an elderly worker: A case report

Sumual,

Lukandy,

Sutanto

2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Closed-globe injury due to metallic foreign body in an elderly worker: A case report

Sumual,

Lukandy,

Sutanto

2023

International Journal of Surgery Case Reports

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“…Registries which are specialised for ophthalmic pathologies collect and code clinically relevant data and generally avoid these limitations. Examples of these include the Research in Sight (IRIS®) Registry which was established in 2014 and has produced important data with outcomes not routinely recorded in trauma registries [45][46][47] , and more recently, the International Globe and Adnexal Trauma Epidemiology Study (IGATES) Registry which has been established as an specialist registry with a focus on ocular trauma 48 .…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Trends in ocular injuries among major trauma patients in England and Wales from 2004 to 2021

Bashir,

Bouamra,

Kirwan

et al. 2023

Preprint

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Background Ocular trauma is a major cause of vision loss and injuries are often missed in multiply injured patients. Major trauma demographics in the UK have changed but no contemporary studies report ocular injuries in this cohort. We aimed to investigate ocular injury epidemiology and trends amongst major trauma patients in England and Wales from 2004–2021. Methods A retrospective analysis of prospectively collected Trauma Audit and Research Network (TARN) registry data was conducted. Major trauma was defined as injury severity score > 15, and ocular injuries were identified using AIS codes. Demographics, injury profiles, and outcomes were extracted. Descriptive statistics and 3-yearly trend data are reported. Results Of 287 267 major trauma cases, 2368 (0.8%) had ocular injuries, decreasing significantly from 1.87% (2004/06) to 0.66% (2019/21) (P < 0.0001). Males comprised 72.2% and median age was 34.5 years which increased (p < 0.0001). Road traffic collisions declined from 43.1–25.3% of ocular injury cases while falls increased and became the predominant mechanism (37.6% in 2019/21). Nonaccidental injuries increased from 15% (2004/06) to 26.5% (2016/18) (p < 0.0001). Concomitant head injury was present in 86.6% of cases. Ophthalmic procedures increased from 1.2% (2004/06) to 5% (2019/21) (p < 0.0001). Compared to previous TARN data, retinal injuries increased 3-fold to 18.6% and corneal injuries decreased from 31–6.6%. Conclusions Identifying sight-threatening injuries in polytrauma is challenging. Ocular injury epidemiology has changed significantly, though overall incidence is low. These findings may inform guideline development, resource allocation, and training priorities.

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“…The current literature also describes factors that predict the final visual acuity (VA), including delays in time to surgery, age of patient, preoperative VA, and modality of injury (12)(13)(14)(15)(16)(17). Poor prognostic factors including globe rupture, zone III injuries, multimorbidity, history of PKP, retinal detachment (RD), vitreous hemorrhage (VH), and lens dislocation have shown similar results (16,18,19). Despite these in-depth findings, there has been increased recognition of the need to evaluate the VA outcomes for patients who undergo secondary surgeries (15).…”

Section: Introductionmentioning

confidence: 99%

Visual outcomes of the surgical rehabilitative process following open globe injury repair

Sather,

Molleti,

Moon

et al. 2024

Front. Ophthalmol.

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BackgroundThe path of rehabilitation of an eye after open globe injury (OGI) may require multiple additional secondary surgeries after the initial repair. Although much has been studied regarding the outcomes of secondary surgeries after open globe repair, it can be challenging to understand the possible implications of the surgical rehabilitative process. This retrospective study considers the benefits of the required additional secondary surgeries for a consecutive series of OGI patients.MethodsOGI patients who had at least one additional surgery after the initial open globe repair (OGR) were studied retrospectively. Additional inclusion criteria included: follow up of at least 12 months since the initial injury and at least 3 months since their most recent surgery, and no additional planned interventions. Preoperative visual acuity was compared to final visual acuity. Additionally, the odds of achieving ambulatory vision (≥20/800) and reading vision (≥20/40) were calculated after each indicated consecutive surgery.ResultsA cohort of 74 eyes from 73 patients met our inclusion criteria. These patients underwent a mean of two additional surgeries. The mean logMAR VA improved from 2.3 (HM) at presentation to 1.4 (20/150), or a 9-line Snellen equivalent improvement. Upon reaching their final visit status, 50% of patients had achieved ambulatory vision and 30% of patients had achieved reading vision. The odds of achieving ambulatory vision after completion of all the rehabilitative surgical process compared to the vision prior to the secondary rehabilitative surgery were higher (OR: 19.1, 95% CI: 7.9 – 30.4, p = 0.0008) as were the odds of achieving reading vision (OR: 4.6, 95% CI: 0.2 – 9.0, p = 0.04). With subsequent second, third, and fourth additional surgeries, the odds of achieving either ambulatory or reading vision at the final visit compared to their preoperative visual acuities were not significant (p > 0.05) but the visual acuity continued to trend toward visual improvement.ConclusionApproximately 50% of individuals who required additional surgery at UMN achieved ambulatory vision and 30% achieved reading vision. The odds of visual improvement through the surgical rehabilitative process were very high, with the greatest gains generally achieved after the first surgery.

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Predictors of Long-term Ophthalmic Complications after Closed Globe Injuries Using the IRIS® Registry (Intelligent Research in Sight)

Cited by 6 publications

References 44 publications

Closed-globe injury due to metallic foreign body in an elderly worker: A case report

Closed-globe injury due to metallic foreign body in an elderly worker: A case report

Trends in ocular injuries among major trauma patients in England and Wales from 2004 to 2021

Visual outcomes of the surgical rehabilitative process following open globe injury repair

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