Vision-related quality of life in patients after ocular penetrating injuries

Yüksel, Harun; Türkçü, Fatih Mehmet; ahin, Muhammed; Çınar, Yasin; Cingü, Abdullah Kürşat; Özkurt, Zeynep; Bez, Yasin; Çaça, hsan

doi:10.5935/0004-2749.20140024

Cited by 16 publications

(14 citation statements)

References 19 publications

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“…Many patients must either reorient themselves professionally, or obtain a certificate of disability, which has a significant negative impact on their QoL [ 23 ]. A study conducted by Yuksel et al assessed the impact of penetrating ocular injuries on the quality of life and psychological status among patients with penetrating ocular trauma and demonstrated that they have increased psychological symptoms and poor QoL compared to healthy subjects [ 24 ]. Schrader et al also reported a decrease in QoL and economic condition, particularly in cases with retinal involvement, and mentioned that some patients were forced to discontinue social activities and hobbies such as motorcycling, squash, soccer or driving [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Outcomes and Prognostic Factors Following Pars Plana Vitrectomy for Intraocular Foreign Bodies—11-Year Retrospective Analysis in a Tertiary Care Center

Hapca

Muntean

Drăgan

et al. 2022

JCM

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Aim: To evaluate the visual outcome of penetrating ocular injuries with a retained intraocular foreign body (IOFB) managed by pars plana vitrectomy (PPV) and to describe the risk factors associated with poor visual acuity and retinal detachment (RD) development. Methods: Medical records of 56 patients with IOFB that were removed by PPV over a period of 11 years (1 January 2010–31 December 2020) were reviewed. We extracted the demographic data, initial and final best corrected visual acuity (BCVA) using standard Snellen chart, IOFB characteristics, complications and surgical details. Outcome was evaluated according to the final BCVA: poor <0.1, good 0.1–<0.5 or excellent ≥0.5. Results: The mean age was 36.1 ± 14.1 (range, 16–71) years and the majority of patients were males (55 out of 56, 98.2%). IOFB was retinal in 27 (48.2%) cases and intravitreal in 29 cases (51.8%). IOFB size was ≤3mm in 26 (46.4%) cases and >3mm in 30 (53.6%) cases. Preoperative RD was identified in 12 (21.4%) cases and endophthalmitis in 17 cases (30.4%). IOFBs larger than 3 mm and retinal location were associated with RD development. Poor visual outcome was associated with initial BCVA, retinal location, RD and endophthalmitis. Conclusion: Initial BCVA, retinal foreign body, RD and endophthalmitis were risk factors for poor visual outcome.

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Section: Discussionmentioning

confidence: 99%

Outcomes and Prognostic Factors Following Pars Plana Vitrectomy for Intraocular Foreign Bodies—11-Year Retrospective Analysis in a Tertiary Care Center

Hapca

Muntean

Drăgan

et al. 2022

JCM

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“…It has been demonstrated previously that patients with a history of ocular trauma have been shown to have higher rates of depression and anxiety when compared to the general population. 2–4 While extra time between injury and enucleation/evisceration in patients who undergo secondary enucleation/evisceration may give patients more time to come to terms with their expected visual and cosmetic outcomes, an advantage of primary enucleation/evisceration is that it both prevents potential complications from repeated globe-sparing procedures on a blind eye and may also shorten the emotional distress that these patients endure.…”

Section: Discussionmentioning

confidence: 99%

“…1 Traumatic injuries have been associated with long-term sequelae, including reduced quality of life and loss of productivity for patients. 2–4 Severe and devastating injuries may ultimately require removal of the affected eye with enucleation or evisceration. When patients arrive at the emergency department (ED) with no light perception, the ophthalmologist must decide whether to proceed with surgeries to salvage the eye or consider primary enucleation or evisceration.…”

Section: Introductionmentioning

confidence: 99%

<p>Clinical Characteristics and Outcomes in Patients Undergoing Primary or Secondary Enucleation or Evisceration After Ocular Trauma</p>

Gauthier

Oduyale

Fliotsos

et al. 2020

OPTH

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Purpose To investigate the frequency of primary versus secondary eye removal, frequency of enucleation versus evisceration, and characteristics and outcomes of patients undergoing these procedures after presenting with severe ocular trauma. Patients and Methods Retrospective chart review of patients presenting to the emergency department (ED) with severe eye trauma necessitating enucleation or evisceration between 2010 and 2018. Results There were 92 eyes from 90 patients included in our study. Twenty-seven percent of eyes underwent primary removal (n=25, 14 enucleation, 11 evisceration), while 73% of eyes underwent secondary removal (n=67, 50 enucleation, 17 evisceration). The mean patient age was 45.2 years (range 4.2–92.6); primary enucleation/evisceration patients were older on average than secondary eye removal patients [53.8 years (range 15.9–91.2) versus 42.2 years (range 4.2–91.6 years), p=0.04]. A median of 34 days passed between ED presentation and secondary enucleation/evisceration. Before undergoing secondary enucleation/evisceration, patients underwent a median of one ocular procedure (range 0–14) for various complications of trauma including orbital infection, choroidal or retinal tear or detachment, and wound dehiscence. Open globe injury repairs comprised 43 of the 92 total procedures (47%) performed prior to secondary enucleation/evisceration. Secondary enucleations/eviscerations required a median of seven clinic visits compared to two clinic visits required after primary surgeries (p<0.01). 10.7% of all patients (n=10) had at least one implant-related complication following enucleation/evisceration, with all but one of these patients being in the secondary enucleation/evisceration group. Conclusion Primary enucleation or evisceration was performed in 27% of all eye removals, and enucleation was performed in 69.6% of all eye removals. Future research is warranted to determine if primary eye removal may be appropriate and when to consider enucleation versus evisceration.

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“…It is known that post-traumatic endophthalmitis is often associated with an unfavorable visual prognosis which is linked to a variety of socioeconomic problems and the impairment of psychological well-being [ 8 , 9 , 10 ]. When compared to healthy subjects, patients with traumatic endophthalmitis and the poor visual outcome had a low quality of life [ 9 , 11 ], economic decline [ 11 ], and increased psychological symptoms [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Visual Outcomes and Prognostic Factors of Traumatic Endophthalmitis Treated by Pars Plana Vitrectomy: 11 Years Retrospective Analysis

Hapca

Vesa

Nicoară

2023

JCM

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Aim: To evaluate the visual outcome of traumatic endophthalmitis and describe the risk factors associated with poor visual acuity and retinal detachment (RD) development over an 11-year period. Methods: Medical records of 34 patients with traumatic endophthalmitis who underwent PPV over a period of 11 years (1 January 2010–31 December 2020) were reviewed. We extracted details regarding demographic data, initial and final best corrected visual acuity (BCVA) using a standard Snellen chart, wound and IOFB characteristics, ocular associated lesions, and treatment. The outcome was evaluated according to the final BCVA which was defined as poor < 0.1 or good ≥ 0.1 Results: Endophthalmitis rate was 29.8% in open globe injuries. The mean age was 43.6 ± 16.5 years and the majority of patients were males (32 out of 34, 94.1%). All patients received systemic (moxifloxacin) and intravitreal antibiotherapy. We performed pars plana vitrectomy (PPV) in all cases. Poor visual outcome was associated with wound size ≥ 3 mm (p = 0.02), the association of IOFB (p = 0.016), and the development of RD (p = 0.00). The presence of IOFB (p = 0.01) and wound size ≥ 3 mm (p = 0.01) were statistically associated with RD development. After treatment, 47.05% of patients achieved final BCVA ≥ 0.1. Conclusion: Wound size ≥ 3 mm, IOFB and RD were risk factors for poor visual outcomes in traumatic endophthalmitis.

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Vision-related quality of life in patients after ocular penetrating injuries

Cited by 16 publications

References 19 publications

Outcomes and Prognostic Factors Following Pars Plana Vitrectomy for Intraocular Foreign Bodies—11-Year Retrospective Analysis in a Tertiary Care Center

Outcomes and Prognostic Factors Following Pars Plana Vitrectomy for Intraocular Foreign Bodies—11-Year Retrospective Analysis in a Tertiary Care Center

<p>Clinical Characteristics and Outcomes in Patients Undergoing Primary or Secondary Enucleation or Evisceration After Ocular Trauma</p>

Visual Outcomes and Prognostic Factors of Traumatic Endophthalmitis Treated by Pars Plana Vitrectomy: 11 Years Retrospective Analysis

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