Epidemiology and Clinical Patterns of Ocular Trauma at a Level 1 Trauma Center in Korea

Park, Jungyul; Yang, Sang Cheol; Choi, Hee Young

doi:10.3346/jkms.2021.36.e5

Cited by 15 publications

(24 citation statements)

References 28 publications

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“…Open globe injury (OGI) is a common cause of unilateral visual impairment and blindness worldwide (1,2). Severe and complicated ocular trauma can break the iris-lens barrier and affect both the anterior and posterior segments, leading to an enormous variety of anterior segment injuries of the eye, including open corneal trauma, complete or incomplete iris defect, traumatic cataract, ciliary body detachment, and cyclodialysis (3,4).…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Band Keratopathy in Aphakic Eyes With Silicone Oil Tamponade for Open-Globe Injuries: A Multicenter Case-Control Study

Liao

Zhu

et al. 2021

Front. Med.

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Band keratopathy (BK) is a common complication in aphakic eyes with silicone oil tamponade for open-globe injury (OGI), characterized by the grayish-white opacities in the cornea, resulting in a significantly decreased vision when extending to the visual axis. To identify the risk factors for BK in aphakic eyes following vitreoretinal surgical treatment with silicone oil tamponade for OGIs, we performed a multicenter case-control study. The incidence of BK was 28% (28/100 eyes). The multivariate binary logistic regression revealed the silicone oil retention time (SORT) ≥6 months and zone III injury were significant risk factors for BK. From the hierarchical interaction, SORT ≥6 months had a significant risk for BK in eyes with rupture, aniridia, and zone III injury, while zone III injury had a significant risk for BK in eyes with rupture, incomplete/complete iris, and SORT ≥6 months. By using restricted cubic splines with three knots at the 25th, 50th, and 75th centiles to model the association of SORT with BK, we also found a marked increase in the risk for BK at ≥10 months and a slow increase after 6 months, but almost stable within 4–6 months.

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Section: Introductionmentioning

confidence: 99%

Risk Factors for Band Keratopathy in Aphakic Eyes With Silicone Oil Tamponade for Open-Globe Injuries: A Multicenter Case-Control Study

Liao

Zhu

et al. 2021

Front. Med.

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“…Traumatic orbital injuries accounts for about 3% of all emergency department visits or about 2.0 to 2.4 million cases in the United States. 5,6 Common causes include motor vehicle accident, fall and assault. 6 It is more commonly seen in males than females.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Common causes include motor vehicle accident, fall and assault. 6 It is more commonly seen in males than females. 6 Traumatic orbital injuries also tend to be unilateral (75%).…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome

Lee

Tang

2022

Pol. Ann. Med.

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IntroductionOrbital and optic nerve decompression has evolved over the years from an open surgery initially, to the current endoscopic approach. The current endoscopic approach is popularized on the idea of a safer surgery with better or similar outcome compared to open surgery.AimTo review the outcomes of endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries in the Otorhinolaryngology-Head and Neck Surgery Department of a tertiary referral centre.Material and methodsA retrospective review of data on orbital and optic nerve decompression which was done on a total of 10 eyes involving 9 patients from July 2015 to December 2017 were collected. Data that were collected includes demographic data, visual assessment, time to surgery and surgical outcomes with review of patients’ status within three months postoperatively.Results and discussionAmong the 9 patients operated, four presented with diplopia, another four with blurring of vision (BOV) and one with both the symptoms. Our review shows complete resolution of diplopia in 2 patients with another 3 reporting improvement in the symptom. Among the 5 patients with visual acuity impairment, 3 patients reported improvement while another 2 showed no worsening. There were no surgical complications reported throughout the study.ConclusionsEndoscopic endonasal orbital and optic nerve decompression continues to evolve with increasing application in our surgical practice. Excellent outcomes in patients’ status postoperatively should encourage us to consider endoscopic endonasal orbital and optic nerve decompression as the surgical approach of choice for such cases.

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“…8 Open globe injury (OGI) with high IOP may be associated with zone III injury and surgical intervention. [9][10] Although the visual outcomes in closed globe injury (CGI) may be better than those in OGI, [11][12] traumatic glaucoma is more common in CGI than in OGI 3 and nearly one-fourth of eyes with CGI in children require glaucoma filtering surgery for IOP control. 13 Trabecular pigmentation, angle recession, and higher baseline IOP are significantly associated with the occurrence of 1 Eye Institute of Chinese PLA and Department of Ophthalmology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China 2 Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA chronic glaucoma after CGI.…”

Section: Introductionmentioning

confidence: 99%

Value of ocular trauma score in predicting the incidence of secondary glaucoma after closed globe injury

Guo

Cui

et al. 2021

European Journal of Ophthalmology

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Aim To analyze the visual acuity (VA) and the incidence of secondary glaucoma among patients with closed globe injury (CGI). To determine the correlations between the ocular trauma score (OTS) with surgery rate, and evaluate the applicability of OTS in secondary glaucoma prediction and treatment. Methods We conducted a retrospective review of 265 patients (265 eyes) with CGI admitted to Xijing Hospital between January 2014 and December 2016. The clinical characteristics; VA, IOP, injury zone, surgery, and IOP-lowering medications were collected at the initial visit and at six months. The patients with secondary glaucoma were scored and assessed by the OTS system. The correlation of the anti-glaucoma surgery with the OTS was evaluated. The difference in the number of IOP-lowering medications between the initial visit and six months was analyzed. Results The average age of the patients was 33.5 ± 20.7 years with 80.8% being males. The final VA outcome improved in its totality after treatment. 35 patients developed glaucoma, with an incident rate of 13.2% over six months. All glaucoma patients had an injury in zone I and II, and 12 of them had an injury in zone III. The severity of the OTS category showed a strong correlation with the anti-glaucoma surgery rate. After the surgical intervention, the number of IOP-lowering medications in OTS category 2, 3, and 4 significantly reduced. Conclusions The OTS has predictive value in the incidence of secondary glaucoma after CGI. A patient with a low score is more likely to develop secondary glaucoma and might require surgical intervention.

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Epidemiology and Clinical Patterns of Ocular Trauma at a Level 1 Trauma Center in Korea

Cited by 15 publications

References 28 publications

Risk Factors for Band Keratopathy in Aphakic Eyes With Silicone Oil Tamponade for Open-Globe Injuries: A Multicenter Case-Control Study

Risk Factors for Band Keratopathy in Aphakic Eyes With Silicone Oil Tamponade for Open-Globe Injuries: A Multicenter Case-Control Study

Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome

Value of ocular trauma score in predicting the incidence of secondary glaucoma after closed globe injury

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