Prognostic Factors in Corneoscleral Lacerations

Barr, Charles C.

doi:10.1001/archopht.1983.01040010919013

Cited by 131 publications

(86 citation statements)

References 16 publications

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“…6,12,[14][15][16][17][18][19][20][21][22][23][24] (2) Delay in wound closure of 424 hFthere is a fourfold increase in the infection rate when there was a delay of 424 h. 6 (3) Injury in a rural settingFthe incidence of endophthalmitis was reported to be higher when penetrating injury occurred in a rural setting, which was attributed to a higher incidence of soil contamination.…”

Section: Incidence and Risk Factorsmentioning

confidence: 43%

“…5,14 The reported incidence rate of endophthalmitis following open-globe injury ranges from 0 to 16.5% (Table 1), with evidence of a general decline over the past 70 years. 4,6,12,[14][15][16][17][18][19][20][21][22][23][24] Prophylactic factors in the setting of trauma include primary wound repair within 24 h, lack of tissue prolapse into wounds and self-sealing wounds. 20 In a report from the American Trauma Registry, the incidence of endophthalmitis did not significantly differ among various types of foreign bodies.…”

Section: Incidence and Risk Factorsmentioning

confidence: 46%

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Endophthalmitis following open-globe injuries

Ahmed

Schimel

Pathengay

et al. 2011

Eye

192

136

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The incidence of traumatic endophthalmitis may be decreasing due to earlier wound closure and prompt initiation of antibiotics. Risk factors for endophthalmitis include retained intraocular foreign body, rural setting of injury, disruption of the crystalline lens, and a delay in primary wound closure. The microbiology in the post-traumatic setting includes a higher frequency of virulent organisms such as Bacillus species.

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Section: Incidence and Risk Factorsmentioning

confidence: 43%

Section: Incidence and Risk Factorsmentioning

confidence: 46%

Endophthalmitis following open-globe injuries

Ahmed

Schimel

Pathengay

et al. 2011

Eye

192

136

View full text Add to dashboard Cite

show abstract

“…1 The incidence rates of ocular trauma requiring hospitalisation are reported to be 8.1 per 100 000 persons per year in Scotland, 2 12.6 per 100 000 persons per year in Singapore, 3 13.2 per 100 000 persons per year in the United States, 4 and 15.2 per 100 000 persons per year in Australia. 5 Several studies have suggested that the factors that significantly predict visual outcome after open globe injuries are initial visual acuity, 6,7 presence of a relative afferent pupillary defect (RAPD), 7,8 mechanism of injury, 7,9,10 wound location, 7,11,12 adnexal trauma, 8,13 lens damage, 7,12 hyphaema, 14 vitreous haemorrhage, 11,15 and retinal detachment. 11,16 In 2002, Kuhn et al 17 developed a prognostic model, the ocular trauma score (OTS), to predict the visual outcome of patients after ocular trauma.…”

Section: Introductionmentioning

confidence: 43%

Visual outcome after open globe injury: a comparison of two prognostic models—the Ocular Trauma Score and the Classification and Regression Tree

Yu‐Wai‐Man

Steel

2009

Eye

124

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Aims To compare the ocular trauma score (OTS) and the classification and regression tree (CART) as prognostic models of visual outcome after open globe injury. Methods A retrospective review of 100 consecutive open globe injuries at the Sunderland Eye Infirmary was conducted from January 1999 to December 2007. Univariate chi-square analysis was used to identify the variables associated with visual outcome. We compared the CART and OTS predictions with the actual visual outcomes and calculated the sensitivity and specificity of each model. Results The variables most predictive of visual loss were an RAPD, poor initial vision, lid laceration, posterior wound, and globe rupture. The sensitivity to predict visual survival (LP or better) was 97.4% for OTS and 93.5% for CART. The specificity to predict no vision (NPL or enucleation) was 100% for OTS and 73.9% for CART. The sensitivity to predict minimal-to-severe visual loss (3/60 or better) was 90.9% for OTS and 85.7% for CART. The specificity to predict profound visual loss (worse than 3/60) was 100% for OTS and 81.8% for CART. Conclusions We identified several factors that can help in deciding on the prognostic value of primary globe repair. Both the OTS and CART had high predictive accuracy, but the OTS had higher prognostic accuracy and could be used in counselling patients and in management decision-making.

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“…Most studies have shown no significant difference in final visual outcome for repairing emergently versus postponing for a reasonable amount of time so that appropriate operating room personel or medical clearence can be obtained. Barr showed that a delay in repair of up to 36 hours does not impact postoperative visual acuity [6] contrary to Cruvinal-Isaac et al who proposed that a delay in surgical repair may be associated with the reduced vision [5]. It is important to discuss the relative risks so that informed decisions can be made regarding the best timing for surgery.…”

Section: Introductionmentioning

confidence: 39%

Alternative Methods of Anesthesia for the Repair of Open-Globe Injuries: Ophthalmologists’ Perspective

Şekeroğlu¹,

Doğan²,

Anayol³

et al. 2014

J Anesth Clin Res

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Open-globe injury which is defined as a a full thickness defect in the cornea and/or sclera is a common cause of visual loss. It is an ocular emergency and surgical repair should be performed as early as possible in order to restore the structural and functional integrity of the eye. Anesthesia plays a vital role for the success of the surgery for open-globe injuries. Numerous issues must be considered for the selection of anesthesia technique. General anesthesia is the gold standard method of anesthesia and regional anesthesia has conventionally been considered to be contraindicated in patients with open-globe injuries. However, local anaesthetic techniques such as sub-tenon, topical, intracamaral, peribulbar and retrobulbar anesthesia are started to become popular for the surgery of openglobe injuries for selected patients. The aim of the present review is to describe and discuss the ophthalmologists' perspective related to the alternative methods of anesthesia for the repair of open-globe injuries.

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Prognostic Factors in Corneoscleral Lacerations

Cited by 131 publications

References 16 publications

Endophthalmitis following open-globe injuries

Endophthalmitis following open-globe injuries

Visual outcome after open globe injury: a comparison of two prognostic models—the Ocular Trauma Score and the Classification and Regression Tree

Alternative Methods of Anesthesia for the Repair of Open-Globe Injuries: Ophthalmologists’ Perspective

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