Case 42: Open Globe Rupture and Retinal Detachment with Retinal Incarceration from Baseball Injury

2018 ◽  
pp. 487-497
Author(s):  
Avni P. Finn ◽  
Catherine J. Choi ◽  
Dean Eliott
Keyword(s):  
Retinal Detachment ◽  
Globe Rupture ◽  
Open Globe

Limitation of computed tomography scan in ocular trauma in diagnosing posterior globe rupture and retinal detachment

Trauma ◽  
2016 ◽  
Vol 20 (1) ◽  
pp. 72-76
Author(s):  
AR Munirah ◽  
MK Safinaz ◽  
ZMZ Aida ◽  
A Malisa ◽  
MI Hazlita
Keyword(s):  
Computed Tomography ◽  
Retinal Detachment ◽  
Ocular Trauma ◽  
Silicone Oil ◽  
Primary Repair ◽  
Computed Tomography Scan ◽  
Penetrating Eye Injury ◽  
Globe Rupture ◽  
Open Globe ◽  
Tomography Scan

Ocular trauma with penetrating eye injury or globe rupture is an ophthalmic emergency. Immediate but gentle ocular assessment is mandatory to diagnose the extent of the injury. Imaging modalities are valuable in aiding diagnosis and management in open globe injury due to the difficulty of full eye assessment in the presence of multiple head and facial injuries. This report presents a case of an elderly man with ocular trauma of the left only seeing eye where computed tomography scan showed anterior globe rupture and the possibility of posterior globe rupture due to discontinuity of the posterior sclera. Primary repair and exploration of the left eye revealed no posterior globe rupture. Post-operative B-scan revealed a total retinal detachment with intact posterior globe. Vision of the left eye after pars planar vitrectomy and tamponade of the retina detachment with heavy silicone oil improved to 1/60. Computed tomography scan in ocular trauma has limitations especially in diagnosing retinal detachment and posterior globe rupture.

scholarly journals Prognostic Factors and Epidemiology of Open Globe Injuries from Western Sydney: A Twelve-Year Review

2021 ◽  
Author(s):  
Haochi Ho ◽  
Jane Foo ◽  
Yi-Chiao Li ◽  
Samantha Bobba ◽  
Christopher Go ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Prognostic Factors ◽  
Retinal Detachment ◽  
Case Series ◽  
Final Visual Acuity ◽  
Ocular Injury ◽  
Visual Outcomes ◽  
Globe Rupture ◽  
Open Globe ◽  
Open Globe Injuries

Abstract BackgroundTo identify prognostic factors determining final visual outcome following open globe injuries.MethodsRetrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected included demographic information, ocular injury details, management and initial and final visual acuities.ResultsA total of 104 cases were identified. Predictors of poor final visual outcomes included poor presenting visual acuity (p < 0.001), globe rupture (p < 0.001), retinal detachment (p < 0.001), Zone III wounds (p < 0.001), hyphema (p=0.003), lens expulsion (p = 0.003) and vitreous hemorrhage (p < 0.001). Multivariate analysis demonstrated presenting visual acuity (p < 0.001), globe rupture (p = 0.013) and retinal detachment (p = 0.011) as being statistically significant for predicting poor visual outcomes. The presence of lid laceration (p = 0.197) and uveal prolapse (p = 0.667) were not significantly associated with the final visual acuity. ConclusionsPoor presenting visual acuity, globe rupture and retinal detachment are the most important prognostic factors determining final visual acuity following open globe injury.

scholarly journals Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haochi Ho ◽  
Jane Foo ◽  
Yi-Chiao Li ◽  
Samantha Bobba ◽  
Christopher Go ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Prognostic Factors ◽  
Retinal Detachment ◽  
Case Series ◽  
Final Visual Acuity ◽  
Ocular Injury ◽  
Visual Outcomes ◽  
Globe Rupture ◽  
Open Globe ◽  
Open Globe Injuries

Abstract Background To identify prognostic factors determining final visual outcome following open globe injuries. Methods Retrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected included demographic information, ocular injury details, management and initial and final visual acuities. Results A total of 104 cases were identified. Predictors of poor final visual outcomes included poor presenting visual acuity (p < 0.001), globe rupture (p < 0.001), retinal detachment (p < 0.001), Zone III wounds (p < 0.001), hyphema (p = 0.003), lens expulsion (p = 0.003) and vitreous hemorrhage (p < 0.001). Multivariate analysis demonstrated presenting visual acuity (p < 0.001), globe rupture (p = 0.013) and retinal detachment (p = 0.011) as being statistically significant for predicting poor visual outcomes. The presence of lid laceration (p = 0.197) and uveal prolapse (p = 0.667) were not significantly associated with the final visual acuity. Conclusions Poor presenting visual acuity, globe rupture and retinal detachment are the most important prognostic factors determining final visual acuity following open globe injury.

scholarly journals An Uncommon Meridional Globe Rupture due to Blunt Eye Trauma

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Krishan Kumar ◽  
Rick Figurasin ◽  
Swati Kumar ◽  
Muhammad Waseem
Keyword(s):  
Ocular Trauma ◽  
Severe Form ◽  
Open Globe Injury ◽  
Unique Case ◽  
Pertinent Literature ◽  
Eye Trauma ◽  
Globe Rupture ◽  
Open Globe ◽  
Blunt Eye Trauma ◽  
Blunt Ocular Trauma

Open globe injury (OGI) is a severe form of eye trauma. It is an important cause of monocular blindness worldwide. Ruptures from blunt trauma are most common at the sites where the sclera is thinnest, at the insertions of the extraocular muscles, and at the limbus. Most often, rupture is equatorial. We present a unique case of open globe injury due to blunt ocular trauma from a thrown rock that resulted in a meridional rupture of the eye. The pertinent literature is reviewed.

scholarly journals Open Globe Injury related to Road Traffic Accident: a Retrospective Study

2019 ◽  
Author(s):  
Phit Upaphong ◽  
Pongsant Supreeyathitikul ◽  
Janejit Choovuthayakorn
Keyword(s):  
Road Traffic ◽  
Visual Outcome ◽  
Considerable Proportion ◽  
Similar Proportion ◽  
Safety Education ◽  
Open Globe Injury ◽  
Eye Injuries ◽  
Globe Rupture ◽  
Open Globe ◽  
High Prevalence

Abstract BackgroundTo evaluate epidemiology, clinical characteristics and outcomes of patients who sustained road traffic-related open globe injury (OGI)MethodsMedical records of all road traffic-related OGI patients who were admitted to the hospital from January 2006 to December 2016 were retrospectively reviewed. Data including age, gender, vehicle type, initial ocular presentation, and final visual outcome were extracted.ResultsAmong the overall causes of OGI, road traffic-related accidents comprised 92/978 (9%) of cases. Of these, ten (11%) patients acquired bilateral eye injuries and 72 (78%) were male. Nearly half of the injuries (51%) occurred in the 20-39 years old age group and the majority of cases (59%) involved automobile transportation. Globe rupture, 48 (47%) eyes, occurred in a similar proportion of penetration, 46 (45%) eyes. Following treatments, LogMAR visual acuity (VA) significantly improved from a median (interquartile range) of 2.3 (1.9 - 2.3) to 1.7 (0.3 - 3.0), at the final follow-up appointment. Presence of relative afferent pupillary defect and presence of retinal detachment were predictors for poor final visual outcomes.ConclusionsThis study provides information regarding road traffic-related OGI that had a high prevalence in young. The risky transportation mode were motorcycles in teenager and automobiles in young adult. A considerable proportion of impaired final VA might have a significant impact on the socio-economic system. Establishing effective safety education and encouraging regular adherence to road safety behaviors are challenging issues that need more action.

scholarly journals Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Katarzyna Nowomiejska ◽  
Tomasz Choragiewicz ◽  
Dorota Borowicz ◽  
Agnieszka Brzozowska ◽  
Joanna Moneta-Wielgos ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Silicone Oil ◽  
Vitreoretinal Surgery ◽  
Eye Injuries ◽  
Primary Vitrectomy ◽  
Eye Trauma ◽  
Open Globe ◽  
Pars Plana ◽  
23 Gauge

Purpose.To evaluate functional and anatomical results of pars plana vitrectomy (PPV) in the retinal detachment (RD) followed by severe eye trauma.Methods.Retrospective analysis of medical records of forty-one consecutive patients treated with 23-gauge PPV due to traumatic RD. Age, gender, timing of PPV, visual acuity, and presence of intraocular foreign body (IOFB) and proliferative vitreoretinopathy (PVR) were included in the analysis.Results.Mean age of patients was 47 years; the majority of patients were men (88%). Closed globe injury was present in 21 eyes and open globe injury in 20 eyes (IOFB in 13 eyes, penetration injury in 4 eyes, and eye rupture in 3 eyes). Mean follow-up period was 14 months; mean timing of PPV was 67 days. Twenty-seven (66%) eyes had a functional success; 32 eyes (78%) had anatomical success. As a tamponade silicone oil was used in 33 cases and SF6 gas in 8 cases.Conclusions.Severe eye injuries are potentially devastating for vision, but vitreoretinal surgery can improve anatomical and functional outcomes. Among analysed pre- and intra- and postoperative factors, absence of PVR, postoperative retinal attachment, and silicone oil as a tamponade were related to significantly improved visual acuity.

scholarly journals A case of complex macula-off retinal detachment following traumatic globe rupture

2017 ◽  
Vol 6 ◽  
pp. 33-34
Author(s):  
Daniel Arkfeld ◽  
William Rhoades ◽  
Andrew Baldwin ◽  
Diana V. Do
Keyword(s):  
Retinal Detachment ◽  
Globe Rupture

Traumatic aniridia in spared-lens open-globe rupture eye trauma

2011 ◽  
Vol 249 (12) ◽  
pp. 1783-1784 ◽  
Author(s):  
William Gualtieri ◽  
David Cauchi ◽  
Maria Agius
Keyword(s):  
Eye Trauma ◽  
Globe Rupture ◽  
Open Globe

scholarly journals Outcome of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment

1970 ◽  
Vol 6 (1) ◽  
pp. 21-24
Author(s):  
MI Hossain ◽  
MK Hasan ◽  
MSM Ali
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Armed Forces ◽  
Scleral Buckling ◽  
Scleral Buckle ◽  
Medical College ◽  
Open Globe ◽  
Retinal Reattachment ◽  
History Of

A longitudinal study was carried out in the vitreo-retina clinic of the National Institute of Ophthalmology andHospital (NIO&H) on 30 eyes of 25 patients who were treated with scleral buckle (SB) surgery during theperiod of October 2004 to September 2005 of either sex. The aim of this study was to determine the outcome ofSB surgery in Rhegmatogenous retinal detachment (RRD). The main entry criteria for this study wereprimary RRD treated with SB and for which 12 weeks of follow-up were available. The eyes with proliferativevitreoretinopathy or with history of SB surgery, vitrectomy, posterior segment open-globe trauma orsignificant concurrent eye disease e.g. amblyopia, macular disease etc were excluded from this study. Overalltwenty-four eyes (80%) achieved retinal reattachment with one SB procedure (encircling or segmental); themedian 12-week visual acuity was 6/12. Three additional eyes (10%) achieved retinal reattachment with onevitreoretinal procedure; the median 12-week visual acuity was 6/9. Three eyes (10%) never achieved retinalreattachment despite one additional vitreoretinal procedure, and 12-week visual acuity was no perception oflight. It can be concluded that SB for primary RRD achieves anatomical efficacy and preservation of centralvision in the majority of eyes.Key words: Scleral buckle; Rhegmatogenous retinal detachment outcome.DOI: 10.3329/jafmc.v6i1.5987Journal of Armed Forces Medical College, Bangladesh Vol.6(1) 2010 p.21-24

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