Epidemiology and prognostic factors of open globe injuries in a Tunisian pediatric population

2020 ◽  
Vol 43 (7) ◽  
pp. 604-610
Author(s):  
I. Malek ◽  
J. Sayadi ◽  
N. Zerei ◽  
M. Mekni ◽  
K. El Amri ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Pediatric Population ◽  
Open Globe ◽  
Open Globe Injuries

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 Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year Period

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Simona Delia Nicoară ◽  
Iulian Irimescu ◽  
Tudor Călinici ◽  
Cristina Cristian
Keyword(s):  
Prognostic Factors ◽  
Medical Records ◽  
Pars Plana Vitrectomy ◽  
Light Perception ◽  
Delayed Treatment ◽  
Ocular Lesions ◽  
Open Globe ◽  
Pars Plana ◽  
Inflammatory Drugs ◽  
Open Globe Injuries

Purpose. To evaluate the outcome and identify the prognostic factors of traumatic endophthalmitis over a 5-year period.Methods. We reviewed the medical records of all the traumatic endophthalmities that we treated in our department over the last 5 years (2009–2013). We extracted the following parameters: age, gender, wound anatomy, associated ocular lesions, treatment, and initial and final visual acuities. We used the program SPSS version 20.0.0. for the statistical analysis of our data.Results. During the last 5 years, we treated 14 traumatic endophthalmities, representing 46.66% of all types of endophthalmities. The infection rate in open globe injuries was 8.13% and 34.78%, if an intraocular foreign body (IOFB) was associated. All the patients were males with the median age of 37 years. Initial visual acuities varied between light perception and 0.4 and the timing of treatment from a few hours to 10 days. We administered antibiotic and anti-inflammatory drugs, systemically and intravitreally, in all cases. We performed pars plana vitrectomy in 64.28% of cases. In 57.14% of cases, the final visual acuity was 0.1 or more.Conclusions. IOFBs increased significantly the risk for endophthalmitis. The worse prognostic factors were retinal detachment at presentation and delayed treatment. This trial is registered withIRCT2014082918966N1.

scholarly journals Clinical Characteristics, Visual Outcomes, and Prognostic Factors of Open Globe Injuries

Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1198
Author(s):  
Edita Puodžiuvienė ◽  
Gabrielė Valeišaitė ◽  
Reda Žemaitienė
Keyword(s):  
Prognostic Factors ◽  
Visual Impairment ◽  
Univariate Analysis ◽  
Vitreous Hemorrhage ◽  
Open Globe Injury ◽  
Visual Outcomes ◽  
Eye Trauma ◽  
Open Globe ◽  
Vitreous Prolapse ◽  
Open Globe Injuries

Background and Objectives: Open globe injuries (OGI) remain an important cause of visual impairment and loss, impacting all ages. A better understanding of the factors influencing visual outcomes is important in an attempt to improve the results of the treatment of OGI patients. The author aimed to contribute to this knowledge with the analysis of clinical characteristics, prognostic factors, and visual outcomes of their cohort of OGI patients. Materials and Methods: A retrospective medical record review was performed for 160 patients (161 eyes) who sustained an open globe injury between January 2015 and December 2017 and presented to the Hospital of Lithuanian University of Health Sciences. Data analyzed included age, sex, type, cause, place of OGI, initial visual acuity (VA), final best-corrected visual acuity (BCVA), and tissue involvement. Open globe injuries were classified using the Birmingham Eye Trauma Terminology (BETT) and Ocular Trauma Classification System (OTCS). Univariate analysis was conducted to evaluate the prognostic factors. Results: The mean age of the patients was 41.9 years. The male-to-female ratio was found to be 8.4:1. The home was the leading place of eye injury (59.6%), followed by an outdoor environment (14.3%) and workplace (11.8%). Penetrating injury accounted for 43.5%, followed by intraocular foreign body injury (39.1%) and globe rupture (13%). Overall, 19.5% of patients regained a good final vision of ≥0.5, but for 48.1% of them, eye trauma resulted in severe visual impairment (BCVA ≤ 0.02). In the univariate analysis, a bad visual outcome of less than 0.02 was correlated with bad initial VA, iris dialysis, hypotony, vitreous hemorrhage, and vitreous prolapse at presentation. Phthisis bulbi was correlated with eyelid laceration, iris prolapse, iris dialysis, hyphema, vitreous prolapse, vitreous hemorrhage, and choroidal rupture at initial examination. Conclusions: Open globe injury remains an important preventable cause of ocular morbidity. This study provides data indicating that open globe injuries are a significant cause of visual impairment in our research group.

Open-Globe Injuries at An Emergency Department in Porto, Portugal: Clinical Features and Prognostic Factors

2014 ◽  
Vol 24 (6) ◽  
pp. 932-939 ◽  
Author(s):  
Sérgio M. Teixeira ◽  
Ricardo R. Bastos ◽  
Manuel S. Falcão ◽  
Fernando M. Falcão-Reis ◽  
Amândio A. Rocha-Sousa
Keyword(s):  
Emergency Department ◽  
Prognostic Factors ◽  
Clinical Features ◽  
Open Globe ◽  
Open Globe Injuries

Prognostic Factors in Open Globe Injuries

2003 ◽  
Vol 217 (6) ◽  
pp. 431-435 ◽  
Author(s):  
David Leonardo Cruvinel Isaac ◽  
Vinícius Coral Ghanem ◽  
Maurício Abujamra Nascimento ◽  
Marcelo Torigoe ◽  
Newton Kara-José
Keyword(s):  
Prognostic Factors ◽  
Open Globe ◽  
Open Globe Injuries

scholarly journals The Epidemiological Profile of Open Globe Injuries and Prognostic Factors in a Tertiary Care Centre

Cureus ◽  
2021 ◽  
Author(s):  
Hui Ruan Ng ◽  
Shew Fei Chee ◽  
Khai-Siang Chai ◽  
Mei Fong Chong ◽  
Mushawiahti Mustapha
Keyword(s):  
Prognostic Factors ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Open Globe ◽  
Epidemiological Profile ◽  
Open Globe Injuries

scholarly journals Prognostic Factors for Open Globe Injuries and Correlation of Ocular Trauma Score in Tianjin, China

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Yu Meng ◽  
Hua Yan
Keyword(s):  
Prognostic Factors ◽  
Ocular Trauma ◽  
Multiple Logistic Regression Analysis ◽  
Univariate Analysis ◽  
Vitreous Hemorrhage ◽  
Ocular Trauma Score ◽  
Factors Influencing ◽  
Open Globe ◽  
Trauma Score ◽  
Open Globe Injuries

Purpose. To investigate prognostic factors that influence the final visual acuity (VA) and to correlate the ocular trauma score (OTS) with the final VA in open globe injuries.Methods. A retrospective review of 298 patients with open globe injuries admitted to Tianjin Medical University General Hospital was carried out from January 1, 2010, till December 31, 2014. Prognostic factors influencing the final VA in patients with open globe injuries and the correlation between OTS and the final VA were examined.Results. Three hundred and fourteen eyes from 298 patients with open globe injuries were analyzed. Males had a higher rate of open globe injury than females (83.56% versus 16.44%). Mean age was 45.46 ± 17.48 years (5–95 years). In a univariate analysis, prognostic factors influencing the final VA included initial VA, relative afferent papillary defect (RAPD), vitreous hemorrhage, lens injury, endophthalmitis, hyphema, retinal detachment, and the zone of injury. In a multiple logistic regression analysis, initial VA, RAPD, and the zone of injury were considered to be independent risk factors. The OTS correlated with final VA (r=0.988,p=0.000).Conclusion. In our study, the most important prognostic factors influencing the final VA were initial VA, RAPD, and the zone of injury. The OTS was of great importance for patients and ophthalmologists.

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