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.

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.

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.

Wood-Related Open-Globe Injuries

2020 ◽  
pp. 247412642094662
Author(s):  
Tyler Pfister ◽  
Carisa Bohnak ◽  
Shriji Patel
Keyword(s):  
Medical Records ◽  
Vitreous Hemorrhage ◽  
Clinical Severity ◽  
Secondary Complications ◽  
Hand Motion ◽  
Visual Outcomes ◽  
Additional Surgery ◽  
Open Globe ◽  
Trauma Score ◽  
Open Globe Injuries

Purpose: This work evaluates the clinical characteristics, visual outcomes, and complications of patients treated for open-globe injuries (OGIs) caused by wooden objects. Methods: A retrospective review of medical records was conducted on patients presenting to a tertiary trauma center with an OGI between January 2005 and December 2017. Medical records were isolated for wounds caused by wooden objects. Patient demographics were recorded, with presenting visual acuity (VA), physical examination findings, and wound characteristics. After primary globe repair, secondary complications, need for additional surgery, and visual outcomes were noted until final examination. Main outcome measures were final VA and secondary complications. The Ocular Trauma Score (OTS) was computed and assessed for clinical relevance related to visual outcomes. Results: Thirty-two patients met the inclusion criteria, with 15 (47%) being injured by plant material. Thirty of the patients were men (94%). A large portion of patients presented with hand motion or worse vision (48%), and there were high rates of hyphema (59%), vitreous hemorrhage (31%), retinal detachment (28%), and endophthalmitis (9%). Two patients eventually required enucleation. At last follow-up, 19 patients achieved 20/100 VA or better (59.4%), which correlated with their OTS ( P < .001). Conclusions: Despite the high clinical severity of wood OGIs, the potential for visual recovery remains high. The OTS appropriately assesses the severity of injuries and the likely prognosis in this cohort of patients.

scholarly journals Comparative pathophysiological characteristic of intraocular immunological changes in open globe injury in the experiment at intravitreal and periocular administration of depot glucocorticoids

2013 ◽  
Vol 6 (3) ◽  
pp. 26-31
Author(s):  
Ernest Vitalievich Boiko ◽  
Sergei Ivanovich Grabovetskiy ◽  
Sergei Viktorovich Churashov ◽  
Timur Gennadievich Sazhin ◽  
Aleksey Nikolayevich Kulikov ◽  
...  
Keyword(s):  
Triamcinolone Acetonide ◽  
Comparative Assessment ◽  
Open Globe Injury ◽  
Eye Trauma ◽  
Open Globe ◽  
Injury Treatment ◽  
Immunological Changes ◽  
Immunologic Reactions ◽  
Open Globe Injuries ◽  
Inflammatory Effect

One of the most severe types of eye trauma - open globe injury - is a serious medical and societal problem. Short-acting glucocorticosteroids (dexamethasone and others) were widely used in open globe injury treatment. Over the last several years ophthalmologists treating this problem have used depot corticosteroids (triamcinolone acetonide and others), which have a pronounced anti-inflammatory effect and do not require multiple injections. However, up to now, there is no consensus concerning the route of depot steroids administration to patients with open globe injuries. In the present study, in experiments on rabbits, a comparative assessment of the influence of intravitreal and periocular triamcinolone acetonide administration on intraocular immunologic reactions during acute period of open globe injury was evaluated.

scholarly journals Visual outcomes and prognostic factors in open-globe injuries

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Azusa Fujikawa ◽  
Yasser Helmy Mohamed ◽  
Hirofumi Kinoshita ◽  
Makiko Matsumoto ◽  
Masafumi Uematsu ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Visual Outcomes ◽  
Open Globe ◽  
Open Globe Injuries

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.

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

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

2020 ◽  
Author(s):  
Shohei Morikawa ◽  
Fumiki Okamoto ◽  
Yoshifumi Okamoto ◽  
Yoshinori Mitamura ◽  
Hiroto Ishikawa ◽  
...  
Keyword(s):  
Light Perception ◽  
Visual Outcomes ◽  
Open Globe ◽  
Open Globe Injuries

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 The Impact of Primary Treatment on Post-Traumatic Endophthalmitis in Children with Open Globe Injuries: A Study in China

2019 ◽  
Vol 16 (16) ◽  
pp. 2956 ◽  
Author(s):  
Lingling Zheng ◽  
Junlian Tan ◽  
Rongjiao Liu ◽  
Xueru Yang ◽  
Huiling He ◽  
...  
Keyword(s):  
Rural Areas ◽  
Primary Repair ◽  
Univariate Analysis ◽  
Primary Treatment ◽  
Delayed Treatment ◽  
Left Behind ◽  
Open Globe ◽  
Post Traumatic ◽  
The Impact ◽  
Open Globe Injuries

Post-traumatic endophthalmitis (PTE) is considered as one of the most serious complications after open globe injuries (OGIs), especially in children. Poor prognosis of this disease can lead to a variety of socioeconomic problems. This study aimed to investigate the clinical characteristics of pediatric OGIs and the factors associated with the development of PTE in China. 131 patients under 14 years old and needed hospitalization for management of OGIs were enrolled. There were 90 males and 41 females. 44 patients were left-behind children, the majority were 3–6 years old (n = 71, 71/131, 54.2%) and living in rural area (n = 106, 106/131, 80.9%). After injury, 82 patients received primary repair within 24 h, with the remaining 49 patients receiving primary repair after 24 h. Eventually, there were 28 (28/131, 21.4%) patients presented with PTE. In those 49 patients, the frequency of PTE achieving 32.7% (16/49). Univariate analysis showed that the timing of primary repair is significantly associated with the development of PTE (p < 0.05). Moreover, left-behind children took higher risks in having delayed treatment that over 24 h after OGIs (OR = 2.466, 95% CI: 1.16–5.26). Reducing the time before primary repair is a useful strategy to prevent the development of PTE. Special supervision is needed for pre-school-aged boys living in rural areas, especially for left-behind children.

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