Endophthalmitis after deadly-weapon-related open-globe injuries: risk factors, value of prophylactic antibiotics, and visual outcomes

Purpose: To investigate the possible risk factors and prognosis of initial no light perception (NLP) in pediatric open globe injuries (POGI). Procedures: This retrospective, comparative, interventional case-control study included 865 eyes of POGI patients presenting to a tertiary referral ophthalmic center from 1 January 2011 to 31 December 2015. Eyes were divided into two groups: NLP group included eyes with initial NLP, and light perception(LP) group included eyes with initial LP or vision better than LP. Results: The following risk factors were significantly related to initial NLP: severe intraocular hemorrhage (OR=3.287, p=0.015), retinal detachment (RD) (OR=2.527, p=0.007), choroidal damage (OR=2.680, p=0.016) and endophthalmitis (OR=4.221, p＜0.001). Choroidal damage is related to remaining NLP after vitreoretinal surgery (OR=12.384, p=0.003). At the last visit, more eyes in the NLP group suffered from silicone oil–sustained status (OR=0.266, p=0.020) or ocular atrophy (OR=0.640, p=0.004), and less eyes benefitted from final LP (OR=41.061, p＜0.001) and anatomic success (OR=4.515, p＜0.001). Conclusion: Severe intraocular hemorrhage, RD, choroidal damage and endophthalmitis occurred more often in POGI with initial NLP. Choroidal damage was the major factor related to an NLP prognosis. Traumatized eyes with initial NLP could be anatomically and functionally preserved by vitreoretinal surgery.

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Visual Outcomes and Mechanism of Open-Globe Injuries with No Light Perception

Ophthalmology Retina ◽

10.1016/j.oret.2020.10.009 ◽

2020 ◽

Author(s):

Shohei Morikawa ◽

Fumiki Okamoto ◽

Yoshifumi Okamoto ◽

Yoshinori Mitamura ◽

Hiroto Ishikawa ◽

...

Keyword(s):

Light Perception ◽

Visual Outcomes ◽

Open Globe ◽

Open Globe Injuries

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Risk Factors for Culture-Positive Endophthalmitis after Repair of Open Globe Injuries

European Journal of Ophthalmology ◽

10.1177/112067211002000128 ◽

2010 ◽

Vol 20 (1) ◽

pp. 201-208 ◽

Cited By ~ 10

Author(s):

Hani S. Al-Mezaine ◽

Essam A. Osman ◽

Dustan Kangave ◽

Ahmed M. Abu El-Asrar

Keyword(s):

Risk Factors ◽

Open Globe ◽

Culture Positive ◽

Open Globe Injuries

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Deadly weapon–related open-globe injuries: outcome assessment by the Ocular Trauma Classification System

American Journal of Ophthalmology ◽

10.1016/s0002-9394(99)00254-8 ◽

2000 ◽

Vol 129 (1) ◽

pp. 47-53 ◽

Cited By ~ 52

Author(s):

Gümgör Sobaci ◽

F.Mehmet Mutlu ◽

Atilla Bayer ◽

Suat KaragÜl ◽

Erol Yildirim

Keyword(s):

Outcome Assessment ◽

Classification System ◽

Ocular Trauma ◽

Deadly Weapon ◽

Open Globe ◽

Open Globe Injuries

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Pars plana vitrectomy timing in deadly weapon-related open-globe injuries

Eye ◽

10.1038/s41433-020-01204-3 ◽

2020 ◽

Author(s):

Dorukcan Akincioglu ◽

Murat Kucukevcilioglu ◽

Ali Hakan Durukan

Keyword(s):

Pars Plana Vitrectomy ◽

Deadly Weapon ◽

Open Globe ◽

Pars Plana ◽

Open Globe Injuries

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A Possible Regression Equation for Predicting Visual Outcomes after Surgical Repair of Open Globe Injuries

Journal of Ophthalmology ◽

10.1155/2017/1320457 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Huseyin Gursoy ◽

Mustafa Deger Bilgec ◽

Afsun Sahin ◽

Ertugrul Colak

Keyword(s):

Primary Repair ◽

Linear Regression Analysis ◽

Anterior Segment ◽

Penetrating Injury ◽

Time Interval ◽

Visual Outcomes ◽

Primary Surgery ◽

Open Globe ◽

Trauma Score ◽

Open Globe Injuries

Background. To analyze the effects of factors other than the ocular trauma score parameters on visual outcomes in open globe injuries.Methods. Open globe injuries primarily repaired in our hospital were reviewed. The number of surgeries, performance of pars plana vitrectomy (PPV), lens status, affected tissues (corneal, scleral, or corneoscleral), intravitreal hemorrhage, intraocular foreign body, glaucoma, anterior segment inflammation, loss of iris tissue, cutting of any prolapsed vitreous in the primary surgery, penetrating injury, and the time interval between the trauma and repair were the thirteen variables evaluated using linear regression analysis.Results. In total, 131 eyes with a mean follow-up of16.1±4.7(12–36) months and a mean age of33.8±22.2(4–88) years were included. The regression coefficients were 0.502, 0.960, 0.831, −0.385, and −0.506 for the performance of PPV, aphakia after the initial trauma, loss of iris tissue, penetrating injury, and cutting of any prolapsed vitreous in the primary surgery, respectively (P<0.05for these variables).Conclusions. The performance of PPV, aphakia after the initial trauma, and loss of iris tissue were associated with poor visual outcomes, whereas cutting any prolapsed vitreous in the primary repair and penetrating-type injury were associated with better visual outcomes.

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Ocular Trauma Score in Deadly Weapon–related Open-globe Injuries

American Journal of Ophthalmology ◽

10.1016/j.ajo.2005.11.002 ◽

2006 ◽

Vol 141 (4) ◽

pp. 760-761 ◽

Cited By ~ 32

Author(s):

Güngör Sobacı ◽

Tŭgrul Akin ◽

Üzeyir Erdem ◽

Yusuf Uysal ◽

Suat Karagül

Keyword(s):

Ocular Trauma ◽

Ocular Trauma Score ◽

Deadly Weapon ◽

Open Globe ◽

Trauma Score ◽

Open Globe Injuries

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The Outcomes of Primary Scleral Buckling during Repair of Posterior Segment Open-Globe Injuries

BioMed Research International ◽

10.1155/2014/613434 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Dan Cohen ◽

Jaime Levy ◽

Tova Lifshitz ◽

Nadav Belfair ◽

Itamar Klemperer ◽

...

Keyword(s):

Medical Center ◽

Visual Outcome ◽

Scleral Buckling ◽

Posterior Segment ◽

Control Group ◽

Visual Outcomes ◽

Open Globe ◽

Retinal Complications ◽

Final Visual Outcome ◽

Open Globe Injuries

Objective. To compare visual outcomes of eyes which underwent primary scleral buckling (PSB) treatment during posterior segment open-globe injury (OGI) repair with eyes not treated with PSB.Methods. We retrospectively reviewed 38 eyes which underwent a posterior segment OGI repair with no preoperative evidence of retinal detachment (RD) at Soroka University Medical Center (1995–2010). 19 (50%) underwent scleral repair alone (control group) and the other 19 eyes were treated with PSB also (PSB group). We compared visual outcomes in these two groups and rates of subsequent postoperative complications.Results. Baseline characteristics of the groups were similar. Compared with the control group, the PSB group had statistically significant lower rates of proliferative vitreoretinopathy (PVR) (5.3% versus 38.4%,P<0.05) and a trend towards lower rates of RD (15.8% versus 41.1%,P=0.1). PSB group eyes had a statistically significant improvement of their best distance visual acuity (BDVA) with lower means of final BDVA-grade (P<0.05) and logMAR vision (P<0.05). Eyes in the control group had no improvement in these parameters.Conclusion. PSB procedure during posterior segment OGI repair may decrease the risk of subsequent retinal complications and improve final visual outcome.

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

10.21203/rs.3.rs-294147/v1 ◽

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.

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