Surgical Results in Ocular Trauma Involving the Posterior Segment

Brinton, Gregory S.; Aaberg, Thomas M.; Reeser, Frederick H.; Topping, Trexler M.; Abrams, Gary W.

doi:10.1016/0002-9394(82)90524-4

Cited by 169 publications

(90 citation statements)

References 17 publications

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“…6,7,11,12 This would be expected clinically, as posterior segment injury can cause irreversible damage to the retina and optic nerve and thus carry a poor visual prognosis, even after the structural integrity of the globe has been repaired. This view is supported by Johnston who found in his review of 376 open globe injuries that posterior wound location was associated with a poor visual outcome.…”

Section: Discussionmentioning

confidence: 99%

“…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: 99%

“…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. They analysed over 2500 eye injuries from the United States and Hungarian Eye Injury Registries, and evaluated more than 100 variables to identify these predictors.…”

Section: Introductionmentioning

confidence: 99%

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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

122

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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

122

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“…A more recent study on 1564 patients with ocular trauma (Cardillo et al 1997) showed that a vitreous haemorrhage, a persistent intraocular inflammation or a posteriorly located wound were independent predictive factors for the development of post-traumatic proliferative vitreoretinopathy. Severe vitreous haemorrhage is associated with intraocular fibroblastic proliferation and traction RD in experimental (Clearly & Ryan 1979a, 1979bWinthrop et al 1980) and clinical studies (Johnston 1971;Percival 1972b;Faulborn et al 1977) and leads to a poor prognosis (Brinton et al 1982;De Juan et al 1983;Ahmadieh et al 1993).…”

Section: Discussionmentioning

confidence: 99%

“…Two multivariate analyses (Hutton & Fuller 1984;Brinton et al 1982) demonstrated that eyes with RD had a worse prognosis in severe ocular trauma. In our study, retinal impact injury, entry site or tissue prolapse did not appear significantly correlated to secondary RD.…”

Section: Discussionmentioning

confidence: 99%

Intraocular foreign bodies. Factors influencing final visual outcome

Chiquet

Zech

Denis

et al. 1999

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To identify the prognostic factors of poor visual outcome (visual acuityAE6/240) in eyes with intraocular foreign bodies. Methods: The records of 95 consecutive patients were retrospectively reviewed for 6 years (1990-1995). All eyes underwent a primary surgical repair and foreign-body removal (electromagnet or vitrectomy). The mean follow-up period was 25 months (6-72 months). Single analysis and multiple logistic stepwise regression analysis were performed to determine predictors of poor vision. Results: Thirty patients (31.6%) showed 6/240 or worse vision at the end of their follow-up period. Three significant predictive factors had independent and combined effects on post-operative visual outcome: a corneo-scleral entry wound (odds ratio (OR)Ω14.5, pΩ0.001), largest diameter of IOFB (ORΩ1.21, pΩ 0.01) and the presence of secondary retinal detachment (ORΩ9.48, pΩ0.0002). Post-operative complications included traumatic cataracts (51%), retinal detachments (28%) and phthisis bulbi (8%).Conclusion: Using multivariate analysis, corneo-scleral entry wound, largest diameter of foreign body and secondary retinal detachment were found to be predictors of poor visual outcome after intraocular foreign body removal. Our results suggest that patients with high-risk intraocular foreign body trauma should be candidates for pars plana vitrectomy rather than electromagnet procedure.

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Evaluation of Vitrectomy in Penetrating Ocular Trauma

Juan¹

1984

Arch Ophthalmol

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Surgical Results in Ocular Trauma Involving the Posterior Segment

Cited by 169 publications

References 17 publications

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

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

Intraocular foreign bodies. Factors influencing final visual outcome

Evaluation of Vitrectomy in Penetrating Ocular Trauma

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