Visual outcome in open globe injuries

Thevi, Thanigasalam; Mimiwati, Z; Reddy, Sagili Chandrasekhara

doi:10.3126/nepjoph.v4i2.6542

Cited by 8 publications

(12 citation statements)

References 17 publications

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“…In our study, patients with wounds that were smaller than 5 mm had a good prognosis for the visual outcome compared to patients with wounds that were larger than 5 mm ( p = 0.0078), which is in accordance with several previous reports [ 14 , 17 , 18 , 24 , 25 ]. A larger wound reflects more extensive ocular tissue damage and a higher likelihood of posterior involvement.…”

Section: Discussionsupporting

confidence: 93%

“…In line with our results, the previous literature has also reported that the most frequently associated cause of trauma was occupational injury [ 11 , 13 , 18 , 19 ]. Other studies have confirmed that the majority of open-globe injuries occur in the home, ranging from 38 to 71% of the cases [ 20 , 21 ].…”

Section: Discussionsupporting

confidence: 93%

“…However, work-related trauma remains an important cause of avoidable and predominantly monocular visual morbidity, due to the fact that the majority of injuries are the result of not following proper safety precautions. Although the use of safety precautions had no effect on the final visual acuity, safety precautions are advised for all practical purposes as a means of preventing injuries, ocular or otherwise [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although one of the important causes of open-globe is related to car accidents, our current study found that only 2 (3.4%) cases were due to an automobile accident. Thevi et al confirmed that road accidents are the second cause of open-globe injuries ( n = 17, 32.7%) [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

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Visual outcomes and prognostic factors in open-globe injuries

et al. 2018

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BackgroundOcular trauma is an important cause of visual loss worldwide. Improvements in our knowledge of the pathophysiology and management of ocular trauma during the past 30 years, in conjunction with advances in the instrumentation and techniques of ocular surgery, have improved the efficacy of vitreoretinal surgery in injured eyes. The aim of the current study was to determine the visual outcomes and prognostic factors of open-globe injuries in the Japanese population.MethodsRetrospective study of 59 eyes of 59 patients presented with open globe injuries between September 2008 and March 2014 at Nagasaki University Hospital was conducted.Demographic factors including age, gender, and clinical data such as cause of injury, presenting visual acuity (VA), location of injury, type of injury, lens status, presence of intraocular foreign body, types of required surgeries, and final VA were recorded. According to the classification of Ocular Trauma Classification Group, wound location was classified into three zones. Chi-square test was used to compare presented data.ResultsOut of the 59 patients, 46 were placed in the Light Perception (LP) group, and 13 were placed in the No Light Perception (NLP) group. Work-related trauma was the most common cause (27 eyes) followed by falls (19eyes). Work-related trauma was common in males (P = 0.004), while falls was significantly common in females (P = 0.00001). Zone III injuries had statistically significantly poor prognostic factor compared to other zones (P = 0.04). All cases of NLP group (100%) presented with rupture globe. Poor VA at first visit (P = 0.00001), rupture globe (P = 0.026), history of penetrating keratoplasty (PK) (P = 0.017), retinal detachment (RD) (P = 0.0001), vitreous hemorrhage (VH) (P = 0.044), and dislocation of crystalline lens (P = 0.0003) were considered as poor prognostic factors.ConclusionPoor VA at first visit, rupture globe, zone III injuries, history of penetrating keratoplasty, RD, VH, and dislocation of crystalline lens were found to be poor prognostic factors. PPV had a good prognostic value in open globe injuries associated with posterior segment involvement.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Visual outcomes and prognostic factors in open-globe injuries

et al. 2018

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“…Penetrating injury by sharp tools is the major type of the ocular traumas in our study, which is consistent with previous studies showing that traumas are frequently caused by sharp objects following collisions [18,19,22,23]. Importantly, we found that penetrating injury is a major type of occupation related ocular traumas, as we observed a significant difference in several occupation groups regarding the types of ocular traumas.…”

Section: Discussionsupporting

confidence: 92%

Ocular Trauma Pattern in the North Bund Area of Shanghai Pinpoints Risk Factors and Predicts Visual Outcomes

Zhang

Chen

Sai

et al. 2019

Preprint

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Background To identify the ocular trauma pattern in the north Bund area of Shanghai. Methods This is a retrospective, cross-sectional study. Patients between January 2016 and December 2018 with trauma in one eye and being hospitalized for at least one day in Shanghai General Hospital were selected in this study. All patients received first evaluation at the emergency room, followed by careful eye examination by one of attending ophthalmologists and reevaluation by one of the authors. Demographics and related patient’s clinical data at the time when trauma occurred were recorded, including age, gender, occupation, cause and type of trauma, location and size of injury, type of surgery, and hospitalization time. Results 206 patients were reviewed. We found that gender and age are two mutually correlated risk factors for ocular trauma. We also identified occupation as a major risk factor, which is closely associated with penetrating injury. Moreover, season change adds an additional layer of risk factor for ocular trauma, showing a significantly higher peak of ocular trauma incidence in hot summer months. Furthermore, RD and VH were identified as two prevailed types of complications. Importantly, we found that complications, along with location and/or size of injuries, determine the visual outcomes. Conclusions We identified a clear ocular trauma pattern in the north Bund area of Shanghai. Importantly, complications, location and/or size of injuries determine the visual outcomes. Our findings pinpoint risk factors for ocular trauma, which predict visual outcomes and might be further applied in eye injury prevention.

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Two kinds of ocular trauma score for paediatric traumatic cataract in penetrating eye injuries

Zhu

Dong

et al. 2015

Injury

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Visual outcome in open globe injuries

Cited by 8 publications

References 17 publications

Visual outcomes and prognostic factors in open-globe injuries

Visual outcomes and prognostic factors in open-globe injuries

Ocular Trauma Pattern in the North Bund Area of Shanghai Pinpoints Risk Factors and Predicts Visual Outcomes

Two kinds of ocular trauma score for paediatric traumatic cataract in penetrating eye injuries

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