Prognostic Factors for Open Globe Injuries and Correlation of Ocular Trauma Score in Tianjin, China

Meng, Yu; Yan, Hua

doi:10.1155/2015/345764

Cited by 45 publications

(73 citation statements)

References 33 publications

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“…For the young-adult and middle-aged males in our study, activity risk factors for major ocular trauma were metal-working, driving, social behaviours such as fighting, and participation in dangerous sports or hobbies, similar to findings from previous reports 7 , 8 , 11 – 14 , 17 , 19 . In contrast, women in our study were most often injured at home and the workplace.…”

Section: Discussionsupporting

confidence: 90%

Major ocular trauma in Taiwan: 2002–2004 versus 2012–2014

Chang

Teng

Huang

et al. 2018

Sci Rep

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We investigated the temporal changes in major eye injuries in Taiwan by reviewing the medical records of all patients with ocular trauma hospitalized at the National Cheng Kung University Hospital during 2002–2004 and 2012–2014. A total of 169 eyes (161 patients) during 2002–2004 and 121 eyes (120 patients) during 2012–2014 were enrolled (mean ± SD age: 41.9 ± 20.8 years in 2002–2004, and 51.8 ± 19.3 years in 2012–2014). Males accounted for ~75% of patients. The most frequent injury-causing object was metallic material (~24%), and blunt traumas were most frequently attributable to traffic accidents and falls. The most common locations of injuries for males and females were the workplace and home, respectively. Open-globe injuries occurred in ~70% of eyes, requiring primary repair, cataract extraction, and/or intraocular lens implantation. The frequencies of fall injury, lacrimal system laceration, lens injury, corneal/scleral foreign bodies, and use of intracameral antibiotics increased from 2002–2004 to 2012–2014, while those of closed-globe injury, vitreous haemorrhage, optic nerve injury, and medical treatment decreased. The final visual acuity remained poor (≤20/200) in >1/3 of injured eyes. Despite therapeutic advancements, major eye injuries still pose a high risk for poor visual outcome.

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Section: Discussionsupporting

confidence: 90%

Major ocular trauma in Taiwan: 2002–2004 versus 2012–2014

Chang

Teng

Huang

et al. 2018

Sci Rep

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“…Those eyes with final VA of NLP all occurred in cases with initial VA of LP/HM or worse. Meng and Yan [27] have demonstrated that initial VA was found to correlate significantly with final VA in eye injuries. Our study showed the same result that initial VA correlated with final VA (Spearman's test, r = 0.703, p = 0.001), which was consistent with that of Man and Steel [28] and Weichel et al [29].…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Study on Clinical Features and Visual Outcome of Patients Hospitalized for Ocular Trauma in Cangzhou, China

Zhang

Liu

et al. 2017

Journal of Ophthalmology

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Purpose. To describe clinical features and to analyze visual outcome of ocular trauma in Cangzhou in 2012–2015, China. Methods. A retrospective study of ocular trauma cases admitted to Cangzhou Central Hospital from January 2012 till December 2015 was performed. Results. This study included a total of 507 eyes from 478 patients. Four hundred (83.7%) patients were male, with a male-to-female ratio of 5.1 : 1. Mean age was 43.6 ± 18.3 years (5–95 years). The largest age group was 45–59 years old, followed by 30–44 years old, presenting two peaks of the age distribution and accounting for 28.5% and 27.2%, respectively. The most frequent type of injuries was work-related (194, 40.6%) followed by home-related (123, 25.7%). Initial visual acuity (VA) correlated with final VA (Spearman's test, r = 0.703, p = 0.001). The Ocular Trauma Score also correlated with the final VA significantly (Spearman's test, r = 0.802, p = 0.001). Conclusions. Susceptible population of eye injuries were middle- and young-aged working groups, and the proportion of males was higher. The leading two types of ocular trauma were work-related and home-related. Initial VA was a significant predictor of the final VA and the OTS possibly had predictive value in the final VA.

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“…Relative pupillary afferent defect is used to calculate the ocular trauma score and has been also shown among the factors suggesting unfavourable visual outcome in children as well as in adult population in open globe injuries [ 26 – 28 ]. However, it is difficult to show the presence of relative pupillary defect in young children as it is difficult to cooperate during examination.…”

Section: Discussionmentioning

confidence: 99%

An Important Cause of Blindness in Children: Open Globe Injuries

Yıldız

Kıvanç

Budak

et al. 2016

Journal of Ophthalmology

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Objective. Our aim was to present and evaluate the predictive factors of visual impairment and blindness according to WHO criteria in pediatric open globe injuries. Methods. The medical records of 94 patients younger than 18 years who underwent primary repair surgery were reviewed retrospectively. The initial and final visual acuity, anterior and posterior segment findings, and zone of injury were noted. The patients were classified as blindness in one eye or visual impairment in one eye. Results. Of 412 patients who presented with open globe injury, 94 (23%) were under 18 years old. Fifty-four (16 females, 38 males) children were included. The mean age of the children was 7.1 ± 4.1 years. According to WHO criteria, 19 of 54 patients (35%) had unilateral blindness and 8 had unilateral visual impairment (15%). There was no significant relationship between final visual acuity and gender and injured eye. In visually impaired and blind patients, presence of preoperative hyphema, retinal detachment, and zone 2 and zone 3 injuries was significantly higher. Conclusion. Presence of hyphema and zone 2 and zone 3 injuries and retinal detachment may end up with visual impairment and/or blindness in children.

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Prognostic Factors for Open Globe Injuries and Correlation of Ocular Trauma Score in Tianjin, China

Cited by 45 publications

References 33 publications

Major ocular trauma in Taiwan: 2002–2004 versus 2012–2014

Major ocular trauma in Taiwan: 2002–2004 versus 2012–2014

A Retrospective Study on Clinical Features and Visual Outcome of Patients Hospitalized for Ocular Trauma in Cangzhou, China

An Important Cause of Blindness in Children: Open Globe Injuries

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