An Update on the Management of Traumatic Pediatric Open Globe Repair: Prognostication and Complication Management

Placide, John; Ip, Colin S; Le, Bao Han A.; Ali, Shazia F; Ghergherehchi, Layla

doi:10.1097/iio.0000000000000399

Cited by 1 publication

(3 citation statements)

References 61 publications

(171 reference statements)

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“…It might also be attributed to late presentation, which causes corneal edema, lenticular abnormalities that affect vision, and macular edema. 11 In our research, about 8% of eyes with OGI presented with NLP. In Nigeria, where children’s access to prompt eye care is limited, as many as 25.6% of children with OGI lost vision.…”

Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

“…A research of the epidemiology and management outcome of OGI is encouraged to develop an evidence-based protocol for its management and the counseling of parents of children with OGI. 10,11 Our facility is an eye care center in the Middle East with various subspecialty units of ophthalmology and subspecialty ophthalmologists. Children with ocular injuries are transferred directly to the emergency unit or referred there.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics, Etiological Factors, and Visual Outcomes of Pediatric Open Globe Injuries in Central Saudi Arabia: A 22-Year Retrospective Study

Al Ghadeer,

Khandekar

2023

OPTH

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Purpose To discuss the characteristics, etiological factors, and visual outcomes of open globe injuries (OGIs) in children at a tertiary eye hospital in Riyadh, Central Saudi Arabia. Methods This was a hospital-based cohort study conducted in 2021. Children aged ≤16 years with OGI based on the Birmingham Eye Trauma Terminology classification were included. The age, gender, type, cause of OGI, and vision were recorded, as well as uncorrected and best corrected visual acuity (UCVA and BCVA, respectively). There was a change in the UCVA and BCVA one year after management. BCVA following management was linked to a variety of factors. Results There were 664 eyes with OGI. [median age 5.1, 461 (69.6%) boys]. UCVA at presentation was <20/400 in 525 (79%) of eyes with OGI. Injuries were mainly due to metallic objects in 195 (29.4%), glass in 102 (15.4%), and fireworks in 62 (9.4%). The Change in visual impairment grade in UCVA and BCVA after management compared to the initial presentation was significant ( p < 0.001). Improvement of two lines of BCVA was noted in 345 (52%), no change in (<± 2 lines) 299 (45%) and deteriorated in 10 (1.5%). Conclusion OGI was identified as a leading cause of unilateral blindness. Children with OGIs who receive standard treatment have better outcomes. Many children could not achieve normal, functional vision despite the intervention of skilled care providers.

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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