Risk factors for poor visual outcome in traumatic hyphema: Jakarta eye trauma study

Simanjuntak, Gilbert W S; Farinthska, G.; Simanjuntak, G. A.M. M; Artini, Widya; Natali, Roberto

doi:10.4103/njcp.njcp_251_17

Cited by 10 publications

(4 citation statements)

References 8 publications

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“…The primary objective of early intervention in traumatic hyphema is to stabilize the anterior chamber, facilitate the absorption of the hemorrhage, prevent re-bleeding, and mitigate other potential complications such as the onset of low vision [3] . This study aims to investigate the risk factors associated with low vision in patients suffering from traumatic hyphema, providing critical insights that could guide clinical practices to prevent the condition and enhance patient prognosis Our ndings corroborate existing research, such as Simanjuntak et al [4] , showing that initial VA, timing of hospital visits, and the degree of hyphema are primary risk factors for low vision in patients with traumatic hyphema. Notably, the gender disparity observed aligns with prior studies, indicating a higher incidence rate among males (2.93:1), attributed to greater exposure to high-risk activities and occupations [5][6][7] .…”

Section: Discussionsupporting

confidence: 79%

A retrospective study on risk factors for low vision in patients with traumatic hyphema

Hao,

Zhou,

Wang

et al. 2024

Preprint

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Background: This study examines the risk factors associated with low vision following traumatic hyphema to enhance prognosis evaluation. Methods: A retrospective analysis was performed on medical records of 58 patients diagnosed with traumatic hyphema at Tangdu Hospital, Air Force Medical University, from January 2017 to December 2022. Factors such as age, sex, cause of injury, time since injury, initial visual acuity, hyphema grade, intraocular pressure, and complications were evaluated using multivariate logistic regression with SPSS software. Results: The patient cohort was predominantly male (81%), with the majority of injuries occurring during occupational activities (38%). Other significant causes included altercations (19%), recreational activities (19%), traffic accidents (8.6%), sports injuries (8.6%), and fireworks (6.8%). Poor vision outcomes were primarily linked to vitreous hemorrhage, traumatic cataract, and iridodialysis, with significant risk factors being the time since injury, initial visual acuity, and hyphema grade. Conclusions: Traumatic hyphema is most common in males and frequently results from occupational incidents. The most critical predictors of adverse visual outcomes are the grade of hyphema, initial visual acuity, and elapsed time since injury, with initial visual acuity serving as an independent predictor of vision impairment. Trial registration: Not applicable. This retrospective study did not require trial registration.

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Section: Discussionsupporting

confidence: 79%

A retrospective study on risk factors for low vision in patients with traumatic hyphema

Hao,

Zhou,

Wang

et al. 2024

Preprint

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“…The proportion of occupational eye injuries aligned with studies reported in 2018 from India 30 (21% vs. 19.9%) and in Indonesia (9.2% vs. 12%). 31 Domestic eye injuries represent an increasing proportion of eye injuries 32 and this was reinforced by our data set with 45% of injuries reported to have occurred in a domestic environment except for in Singapore, Iran and Indonesia. Singapore and Iran, the proportion of work-related injuries has been reported as 79.5% 28 and 49.5% 33 respectively, compared to our cohort, 49% and 45% respectively.…”

Section: Discussionmentioning

confidence: 53%

“…A total of 5557 eyes, representing 5350 patients, from 12 countries were included in the analysis. Patients included in the analysis were from: India (3500 patients, 18 centres), Indonesia (356, 1), Nepal (502, 3), Guatemala (344, 1), USA (92, 1), Colombia (165, 1), Mexico (37, 1), Singapore (39, 1), Pakistan (35,1), Iran (201, 1), Bosnia and Herzegovina (40, 1) and Thailand (31,1).…”

Section: Demographic Characteristicsmentioning

confidence: 99%

Geographical Differences in Ophthalmic Trauma Outcomes and Risk Factors: The International Globe and Adnexal Trauma Epidemiological Eye Study (IGATES)

Hoskin,

Ng,

Blanch

et al. 2024

Preprint

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Objectives: characterize the international variation in ophthalmic trauma and validate prognostic markers for low-, middle- and high income countries. Subjects/Methods:.Observational Multicentre cohort study using International Globe and Adnexal Trauma Epidemiological Eye Study (IGATES) to collect data on acute presentations with ophthalmic injury including open/closed globe injury, and/or Adnexal/orbital involvement, and/or Intraocular/ Intraorbital foreign body from April 2014 to August 2023. 5350 patients (5557 eyes) from 31 centers in 12 countries. Main outcome measures included demographics, mechanism and setting of injury, and presenting and final visual outcomes. Results: Male to female ratio of 3.6:1 and mean age 30.7 years-old (range 0.1 to 103 years-old, standard deviation 18.5). Age, gender, presenting and final best corrected visual acuity were strongly associated with country (p<0.005). Poor final visual outcomes were strongly associated with Ocular Trauma Score (p<0.005) and type of injury (p<0.005). Median BCVA LogMAR of open globe injuries (1 LogMAR) compared to closed globe injuries (0.2 LogMAR). Duration between injury and presentation and improvement in BCVA LogMAR were strongly associated with countries income classification with high-income countries (HIC) showing reduced duration to presentation (HIC 5 hours, LIC 28 hours) and increased improvement (-0.40 HIC, -0.19 LIC) when compared to low income countries (LIC’s). Conclusion: Country of injury, ocular trauma score and age were associated with presenting and final visual outcomes. IGATES provides an opportunity to collect global data on ophthalmic trauma to facilitate management and prevention strategies aimed towards improving outcomes.

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“…The mechanism of ocular trauma can be mechanical, chemical, or thermal, among other possibilities [1]. Ocular trauma is one of the most important causes of ocular morbidity and inadequate visual acuity in children and young adults in developed [3] and developing countries [4]. In some countries, such as the United States, eye injuries represent the leading cause of monocular blindness [2].…”

Section: Introductionmentioning

confidence: 99%

Ocular Trauma Characterization in a Reference Emergency Eye Centre in Colombia (FOSCAL)

Pedraza-Concha,

Tello,

Diaz

et al. 2024

Klin Monbl Augenheilkd

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Background Ocular trauma is one of the most important causes of ocular morbidity and inadequate visual acuity in developed and developing countries. In some countries, eye trauma represents the leading cause of monocular blindness. Studies conducted in developing countries like Colombia, a lack of awareness of preventive measures has been questioned. In Colombia there is no countrywide ocular trauma registry. The purpose of the present study is to describe and analyze characteristics of ocular trauma at a tertiary ophthalmology emergency department in Colombia. Patients/methods and material Patients who consulted or were referred to the ophthalmologic emergency department of FOSCAL due to eye injuries between March 1st, 2022, and January 10th, 2023, were included in this cross-sectional study. Results 2,088 eyes of 1,957 patients were included. 78.5% were men, median age was 36 years, and 75.0% lived in urban areas. The median latency between trauma and ophthalmology consultation was 21.8 hours. 1,805 eyes (88.4%) were mechanical or mixed (mechanical plus burn) trauma. 87.5% were unilateral. In terms of the circumstances, 45.9% of injuries occurred during working or educational activities (in 85.6% of these cases, without eye protection), 28.2% in home accidents, and 14.0% in transportation situations. According to BETT, 1,735 eyes (91.1%) were closed globe injuries, and 49 eyes (2.7%) were open globe injuries. Noteworthy, 50 eyes (2.8%) could not be categorized according to BETT at the initial consultation and were classified as “still to be determined”. In OTS, 85.8% were category 5. 93.0% of ocular burn cases were categorized as grade I according to the Roper Hall classification. Conclusions In line with global literature, a much higher proportion of men than women, sought consultation for ocular trauma. The findings suggest a need for improvement in the referral processes from the institutions with the lowest level of care. Lack of awareness about eye protection is an issue. Surgical exploration or additional tests may be necessary for precise injury classification; therefore, we propose adding a "still to be determined" category to the BETT initial classification. These cases may be reclassified later, thus improving the accuracy of OTS calculation. Zusammenfassung Hintergrund Augentrauma ist eine der wichtigsten Ursachen für okuläre Morbidität und unzureichende Sehschärfe in entwickelten Ländern und Entwicklungsländern. In einigen Ländern ist das Augentrauma die Hauptursache für monokulare Erblindung. In Studien, die in Entwicklungsländern wie Kolumbien durchgeführt wurden, wurde ein Mangel an Bewusstsein für Präventivmaßnahmen beanstandet. In Kolumbien gibt es kein landesweites Register für Augentrauma. Ziel der vorliegenden Studie ist die Beschreibung und Analyse der Merkmale von Augenverletzungen in einer tertiären ophthalmologischen Notaufnahme in Kolumbien. Patienten/Methoden und Material In diese Studie wurden Patienten aufgenommen, die zwischen dem 1. März 2022 und dem 10. Januar 2023 die augenärztliche Notaufnahme des FOSCAL wegen Augenverletzungen aufsuchten oder dorthin überwiesen wurden. Ergebnisse 2.088 Augen von 1.957 Patienten wurden eingeschlossen. 78,5 % waren Männer, das Durchschnittsalter betrug 36 Jahre, und 75,0 % lebten in städtischen Gebieten. Der Median der Zeitspanne zwischen Trauma und augenärztlicher Konsultation betrug 21,8 Stunden. Bei 1 805 Augen (88,4 %) handelte es sich um ein mechanisches oder gemischtes Trauma (mechanisch plus Verbrennung). 87,5 % waren unilateral. Was die Umstände betrifft, so ereigneten sich 45,9 % der Verletzungen bei der Arbeit oder in der Ausbildung (in 85,6 % dieser Fälle ohne Augenschutz), 28,2 % bei Unfällen zu Hause und 14,0 % im Verkehr. Laut BETT handelte es sich bei 1.735 Augen (91,1 %) um Verletzungen am geschlossenen Augapfel und bei 49 Augen (2,7 %) um Verletzungen am offenen Augapfel. Bemerkenswert ist, dass 50 Augen (2,8 %) bei der ersten Konsultation nicht nach BETT kategorisiert werden konnten und als "noch zu bestimmen" eingestuft wurden. Bei den OTS waren 85,8 % der Kategorie 5 zuzuordnen. 93,0 % der Fälle von Augenverätzungen wurden nach der Roper-Hall-Klassifikation als Grad I eingestuft. Schlussfolgerungen Im Einklang mit der weltweiten Literatur suchte ein wesentlich höherer Anteil von Männern als von Frauen eine Beratung wegen eines Augentraumas auf. Die Ergebnisse deuten darauf hin, dass die Überweisungsprozesse in den Einrichtungen mit der niedrigsten Versorgungsstufe verbessert werden müssen. Das mangelnde Bewusstsein für den Schutz der Augen ist ein Problem. Für eine genaue Klassifizierung der Verletzungen können eine chirurgische Untersuchung oder zusätzliche Tests erforderlich sein; daher schlagen wir vor, die BETT-Erstklassifizierung um die Kategorie "noch zu bestimmen" zu ergänzen. Diese Fälle können später neu klassifiziert werden, wodurch die Genauigkeit der OTS-Berechnung verbessert wird.

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Risk factors for poor visual outcome in traumatic hyphema: Jakarta eye trauma study

Cited by 10 publications

References 8 publications

A retrospective study on risk factors for low vision in patients with traumatic hyphema

A retrospective study on risk factors for low vision in patients with traumatic hyphema

Geographical Differences in Ophthalmic Trauma Outcomes and Risk Factors: The International Globe and Adnexal Trauma Epidemiological Eye Study (IGATES)

Ocular Trauma Characterization in a Reference Emergency Eye Centre in Colombia (FOSCAL)

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