Pediatric open-globe injuries: clinical characteristics and factors associated with poor visual and anatomical success

Purpose. To analyze the clinical characteristics and visual prognoses of patients with ocular trauma treated in Shandong Eye Hospital. Methods. The inpatient data of patients with eye injuries hospitalized in our institution from January 2014 to December 2018 were retrospectively reviewed, including demographic information, types of trauma, causes of injury, treatment, and initial and final visual acuities. Results. A total of 1,425 patients (1,622 eyes), aged 39.5 ± 18.5 years, were included. The ratio of male to female was 5.3 : 1. Of the mechanical eye injuries, there were 490 (34.4%) open-globe injuries and 454 (31.9%) closed-globe injuries. Nonmechanical eye injuries had 426 patients (29.9%), while 55 patients (3.9%) had adnexal injuries. Over a half of the traumas were work-related (51.1%, 728 patients). Most patients were treated with surgical intervention (1,404 eyes, 87.9%). There were significant differences in the final visual acuities between open-globe injuries and closed-globe injuries (P<0.001), as well as between mechanical injuries and nonmechanical injuries (P<0.001). The final visual acuity was closely correlated with the initial visual acuity (Spearman’s correlation coefficient = 0.618, P<0.001) and the OTS score (Spearman’s correlation coefficient = 0.691, P<0.001). Conclusion. Ocular trauma usually occurs in young and middle-aged men and in the workplace in Shandong Province. The proportion of nonmechanical injuries is high, and the prognosis is poor. A comprehensive understanding of the characteristics of ocular trauma is useful for blindness prevention and treatment.

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Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment

Journal of Ophthalmology ◽

10.1155/2016/4978973 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Molly Orban ◽

Yasmin Florence Khodeja Islam ◽

Luis J. Haddock

Keyword(s):

Retinal Detachment ◽

Proliferative Vitreoretinopathy ◽

Vitreoretinal Surgery ◽

Complication Rates ◽

Success Rates ◽

Improved Outcomes ◽

Open Globe ◽

Evidence Based Guidelines ◽

Anatomical Success ◽

Open Globe Injuries

Traumatic retinal detachments are a significant cause of morbidity. There are currently no evidence-based guidelines on the appropriate time to perform vitreoretinal surgery to repair a traumatic retinal detachment. Early intervention, within seven days of the inciting trauma, may decrease proliferative vitreoretinopathy and postoperative endophthalmitis. Later intervention may yield a reduced risk of inflammation and hemorrhage, particularly in cases of concomitant open globe injuries. This article reviews the literature on the management of retinal detachments associated with ocular trauma from the years 2006 to 2016. Particular focus was placed on the timing of surgery, concomitant open globe injury, anatomical success rates, visual acuity, and complication rates. In this review, anatomical success was not significantly related to timing of intervention when compared between early and delayed intervention in eyes with and without concomitant open globe injuries. Visual acuities postoperatively varied widely despite timing of intervention due to the large variation in mechanism and extent of ocular injuries. Proliferative vitreoretinopathy was a common complication. Preliminary data indicate that endophthalmitis rates may be lower when early vitreoretinal surgery is performed. There is insufficient data to conclude whether early or delayed surgery leads to improved outcomes, highlighting the need for further research in this domain.

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Clinical characteristics and visual outcomes of sport-related open globe injuries

Acta Ophthalmologica ◽

10.1111/aos.13704 ◽

2018 ◽

Vol 96 (7) ◽

pp. e898-e899 ◽

Cited By ~ 2

Author(s):

Shohei Morikawa ◽

Fumiki Okamoto ◽

Yoshifumi Okamoto ◽

Naoki Inomoto ◽

Hiroto Ishikawa ◽

...

Keyword(s):

Clinical Characteristics ◽

Visual Outcomes ◽

Open Globe ◽

Open Globe Injuries

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Clinical characteristics and outcomes of open globe injuries in Japan

Japanese Journal of Ophthalmology ◽

10.1007/s10384-018-0638-x ◽

2018 ◽

Vol 63 (1) ◽

pp. 109-118 ◽

Cited By ~ 1

Author(s):

Yoshifumi Okamoto ◽

Shohei Morikawa ◽

Fumiki Okamoto ◽

Naoki Inomoto ◽

Hiroto Ishikawa ◽

...

Keyword(s):

Clinical Characteristics ◽

Open Globe ◽

Open Globe Injuries

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Clinical characteristics and visual outcomes of work-related open globe injuries in Japanese patients

Scientific Reports ◽

10.1038/s41598-020-57568-9 ◽

2020 ◽

Vol 10 (1) ◽

Cited By ~ 3

Author(s):

Shohei Morikawa ◽

◽

Fumiki Okamoto ◽

Yoshifumi Okamoto ◽

Yoshinori Mitamura ◽

...

Keyword(s):

Clinical Characteristics ◽

Japanese Patients ◽

Visual Outcomes ◽

Work Related ◽

Open Globe ◽

Open Globe Injuries

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Clinical analysis and predictive factors associated with improved visual acuity of infectious endophthalmitis

10.21203/rs.3.rs-21285/v1 ◽

2020 ◽

Author(s):

Zhao Gao ◽

Yunda Zhang ◽

Xiaohong Gao ◽

Ximei Zhang ◽

Tao Ma ◽

...

Keyword(s):

Visual Acuity ◽

Logistic Regression ◽

Predictive Factors ◽

Patient Visit ◽

Visit Time ◽

Factors Associated ◽

Open Globe ◽

Infectious Endophthalmitis ◽

Epidemiological Characteristics ◽

Open Globe Injuries

Abstract Background: To describe the clinical characteristics and analyze the predictive factors associated with improved visual acuity of 359 patients with infectious endophthalmitis. Methods: This study retrospectively analyzed 359 eyes of 359 patients with infectious endophthalmitis from January 2014 to December 2018. The findings summarized some epidemiological characteristics of these patients, including age, sex, occupation, patient visit time, etiology, causative organisms, therapy and best-corrected visual acuity (BCVA). Multivariate logistic regression was performed to predict the relative factors of improved visual acuity (VA). Results: Overall, 283(78.83%) patients were male.The mean age was 48.0 ± 18.27 years. Ocular truma, especially the open globe injuries (246, 68.5%) was the most common etiology of infectious endophthalmitis in this study. The etiologies of infectious endophthalmitis were open globe injuries (68.5%), intraocular surgery (22.6%), cornea ulcer-associated causes (6.7%), and endogenous causes (2.2%). In the etiology classification and visual acuity improvement group, the statistically significant difference in factors such as age, sex, patient visit time, pre-therapy VA,etc. The average Logarithm of the Minimum Angle of Resolution (logMAR) BCVA on pre-therapy was 2.28 ± 0.60, and it had significantly improved to 1.67 ± 0.83 on post-therapy (P<0.05). Logistic regression analysis showed that visit time>7 day (P=0.034, OR=0.522, 95%CI: 0.286-0.953),pre-therapy VA≦logMAR 2.3(P=0.032 ,OR=1.809, 95%CI：1.052-3.110 ), etiology of PS (vs. PT; P=0.023, OR=2.100, 95%CI:1.109-3.974) and etiology of CA(vs. PT; P=0.005, OR=0.202, 95%CI:0.066-0.621) were significantly associated with improved VA after adjusting for possible confounding factors. Conclusion: Among the patients with infectious endophthalmitis, middle-aged males, especially farmers and workers, accounted for a large proportion. Open globe injuries was the main cause and gram-positive bacteria was the major causative organisms. The final visual outcomes seem to vary according to the type of endophthalmitis, but early treatment and good initial visual acuity are important factors for visual acuity improvement.

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