Surgical management and outcomes of pediatric open globe injuries requiring vitrectomy

Liu, Xin; Wang, Lufei; Yang, Fengjuan; Xie, Jia’nan; Zhao, Jinsong; Liu, Zaoxia; Su, Guanfang; Yang, Longfei

doi:10.1177/11206721211000648

Cited by 6 publications

(2 citation statements)

References 31 publications

(43 reference statements)

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“…While the rate of second surgery in Shah MA, et al 2013 [48] study was 30%. While Liu, X et al 2022 [49] reported that traumatic cataract was found in 29 (60.4%). 8.3% had one operation (vitrectomy to remove IOFB with self-sealing wound), 14.2% underwent two operations, 22.8% underwent three operations, and 16.7% underwent four or more.…”

Section: Discussionmentioning

confidence: 94%

Pediatric lens trauma in Tanta University eye hospital

Hag,

Almaria,

Seht

et al. 2023

Int. J. Med. Ophthalmol.

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Background: Lens trauma is commonly found among school-children (mainly boys) aged 5-15 years. The timing of surgery is important for visual rehabilitation, it is also important to consider in a child, in whom amblyopia is a concern. Ultrasound Biomicroscopy (UBM) can be used as an effective diagnostic tool. The biometry of the anterior segment can be measured by UBM systems that encompass the entire anterior segment. This allows preoperative evaluation of the position of the sulcus plane before cataract surgery, facilitating estimation of postoperative intraocular lens position. Aim of the Work:The purpose of the current work is to investigate the causes, clinical aspects and outcome of pediatric lens trauma. Patients and Methods: This prospective, randomized study included 40 eyes of 40 patients with eye trauma coming to Tanta University Eye Hospital. During the period from September 2018 to August 2019. Their age ranged between 2 to 18 years old. All patients in this study subjected to the following: Full history taking, general examinations and precautions if polytrauma, full ophthalmic examination. Investigation were done if indicated (Orbital imaging, Ultrasound Biomicroscopy) and examination of the contralateral eye. Results: Our prospective study included 40 eyes of 40 patients with eye trauma (25 males and 15 females). The majority of our patients (67.5%) were more than 6 years. The most prevalent cause was blunt trauma which represented 62.5%. Ocular trauma in street was the most prevalent site (50%). Early detection and seeking medical advice for ocular trauma represented 62.5% of cases. Right eye was affected in 22 (55%) patients. 85% of our patients had rupture globe and 15% of patients had closed globe lesions. 70% of cases had 2 sessions of surgery. By using UBM to evaluate the cases, most of cases (42.5%) had cataract, followed by rupture of posterior capsule which was found in 8 cases. With slit lamp examination, the most prevalent status of the lens was cataract in 52% of patients, then free lens matter in anterior chamber and clear lens with the same percentage (12.5% of patients). There was a statistically significance difference between lens examination by slit lamp and UBM (P= 0.032) and there wasn't a statistically significance between AC examination by slit lamp and UBM. There wasn't a statistically significance association between the causative agents and both of the type of injury and the number of surgery sessions. Also there wasn't a statistically significance with place of trauma. While There was a statistically significance association between time of presentation and type of injury p = 0.001. Conclusion:This study reported maximum incidence of paediatric ocular trauma at school age children with blunt objects as the most common cause of injury. UBM is a very helpful tool in assessment of lens status after trauma also in decision making for surgery.

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Section: Discussionmentioning

confidence: 94%

Pediatric lens trauma in Tanta University eye hospital

Hag,

Almaria,

Seht

et al. 2023

Int. J. Med. Ophthalmol.

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“…Statistical analyses were performed using the SPSS Statistics version 19 (SPSS Inc., Chicago, IL, USA). A chi-squared test or Fisher test for categorical variables was applied to compare the differences among subjects 8 . Univariate logistics regression was applied to evaluate the associations between risk factors and final BCVA 3 .…”

Section: Methodsmentioning

confidence: 99%

Clinical and imaging characteristics, outcomes and prognostic factors of intraocular foreign bodies extracted by vitrectomy

Liu,

Bai,

Song

2023

Sci Rep

Self Cite

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To investigate the clinical and computer tomography (CT) features and visual prognostic factors of pars plana vitrectomy (PPV) for management of retained posterior segment intraocular foreign body (IOFB). Medical records of 96 patients with IOFB removed by PPV between July 2017 and June 2021 were retrieved. The medical records, including demographic data, initial and final best corrected visual acuity (BCVA) using standard Snellen chart, characteristics of IOFB, CT findings, and surgical details, were reviewed. Outcome was evaluated according to the final BCVA and prognostic factors were obtained. The mean age was 42.31 ± 12.05 years (range 13–71 years) with 94 males (97.9%) and two females (2.1%). CT was sensitive of IOFB in 93.75% (90 eyes) and the locations were consistent with that found during PPV: 20 foreign bodies were located in vitreous, 6 near ciliary body, and 70 on or in retina. Mean diameter of IOFB removed by PPV is 3.52 mm ± 3.01 mm (range 1–22; median 3), and mean area is 6.29 ± 6.48 mm2 (range 0.5–40; median 3), which was statistically associated with the initial VA < 0.1 and endophthalmitis. Endophthalmitis was found in 24 (25.0%) eyes and large wound together with scleral entry site might be related to the endophthalmitis. Visual outcome < 0.1 was associated with relative afferent pupillary defect, initial VA < 0.1, and presence of endophthalmitis. Initial VA ≥ 0.1 was independent predictive factor for a better final BCVA. Relative afferent pupillary defect, initial BCVA < 0.1, and presence of endophthalmitis are poor visual prognostic factors.

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Management of Proliferative Vitreoretinopathy in Pediatric Trauma Related Vitreoretinal Surgery

Güreli̇k

2023

Pediatric Vitreoretinal Surgery

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Surgical management and outcomes of pediatric open globe injuries requiring vitrectomy

Cited by 6 publications

References 31 publications

Pediatric lens trauma in Tanta University eye hospital

Pediatric lens trauma in Tanta University eye hospital

Clinical and imaging characteristics, outcomes and prognostic factors of intraocular foreign bodies extracted by vitrectomy

Management of Proliferative Vitreoretinopathy in Pediatric Trauma Related Vitreoretinal Surgery

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