Demographic characteristics and visual outcomes of open globe injuries in a tertiary hospital in Istanbul, Turkey

Ustaoglu, Melih; Karapapak, Murat; Tiryaki, Semra; Dirim, Ayşe Burcu; Olgun, Ali; Düzgün, Eyüp; Sendul, Selam Yekta; Özcan, Delil; Güven, Dilek

doi:10.1007/s00068-018-1060-2

Cited by 14 publications

(20 citation statements)

References 28 publications

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“…31 -33 The range of ocular trauma was evenly distributed between OTS 1, 2, and 3 in this population. This is a similar or prognostically worse distribution compared with other studies that do not solely focus on wood injuries 33 -35 but better than injuries caused by high-velocity impact, as is the case with BB guns. 21 The OTS correlated with final visual outcomes in wood injuries ( P < .001) but was statistically similar between patients falling into the OTS 1 and 2 categories (see Figure 1A).…”

Section: Discussionsupporting

confidence: 59%

Wood-Related Open-Globe Injuries

Pfister

Bohnak

Patel

2020

Journal of VitreoRetinal Diseases

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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.

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Section: Discussionsupporting

confidence: 59%

Wood-Related Open-Globe Injuries

Pfister

Bohnak

Patel

2020

Journal of VitreoRetinal Diseases

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“…On the contrary, a study from New Zealand by Court et al reported a lower median age of patients with OGI of 37 years, consequently, the globe rupture was reduced to approximately one-third (36%) of the cases 7 . Also, a study from Turkey by Ustaoglu et al reported only 13% of the cases were globe rupture with the mean age of overall OGI patients at 33 years old 6 . Consistent with our study, as the median age of OGI patients was 39 years old, globe rupture contributed to only 17% of the overall cases.…”

Section: Discussionmentioning

confidence: 99%

“…In literature, the reported incidence of globe rupture among OGI studies varies from 13 to 69% [5][6][7][11][12][13][14] . This phenomenon is partly explained by the different age groups of patients included in the studies, in which the data with higher mean age of OGI patients tended to present higher percentages of globe rupture 6,7,12 . A study from Japan by Fujikawa et al reported a mean age of OGI patients of 51 years in which globe rupture represented about two-thirds (69%) of the cases 12 .…”

Section: Discussionmentioning

confidence: 99%

Globe rupture: a single-center retrospective study of demographic patterns and outcomes

Choovuthayakorn

Chokesuwattanaskul

Upaphong

et al. 2020

Sci Rep

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Globe rupture is one of the severe mechanisms of eye injury. This study aimed to describe an epidemiologic patterns and visual outcomes of the open globe injury from globe rupture at a tertiary referral centre. Medical records of 167 patients (173 eyes) were retrospectively reviewed. Overall, males were predominant (82%). Road traffic- (26.3%) and work- (23.4%) were the major contributors. However, falling was the main mechanism in the elderly aged over 60 years. At presentation, 91.4% of eyes had initial visual acuity (VA) of worse than 20/200. The mean (SD) VA in logarithm of the minimum angle of resolution (LogMAR) unit at final [1.8 (1.1)] was significantly improved from presenting VA [2.4 (0.6)] (p ˂ 0.001). Predictors for final VA of worse than 20/400 included poor initial VA, presence of relative afferent pupillary defect, and endophthalmitis. In conclusion, this study observed the peak incidence of globe rupture in young teen to early adult patients, with unique characteristics in each age group. Even with significant visual improvement following the treatments, profound visual loss was still a common consequence. Thus, the role of effective prevention along with a multidisciplinary team together with timely and prompt ophthalmic management should be emphasised.

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“…Also, we detected that nal vision worsened as initial vision worsened in groups. It was reported that low initial vision could create poor visual prognosis [1], while high initial vision could create good visual prognosis [18,21].…”

Section: Discussionmentioning

confidence: 99%

The Clinical Features and the Factors Affecting Visual Prognosis in Pediatric Open-Globe Injuries

Öztürk

Özen

2021

Preprint

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Purpose: To investigate clinical features and factors affecting visual prognosis after pediatric open-globe injuries.Methods: Children with final logMAR-visual acuity (LVA)>0.70 were determined as poor-vision group (group1, n=108) and those with final LVA≤0.70 as good-vision group (group2, n=115). Analyzes were done. Results: Compared to group1, group2 had better initial and final visions (1.21±0.26 vs 0.60±0.28, p<0.001 for initial-LVA; 1.00±0.32 vs 0.30±0.13, p<0.001 for final-LVA), greater ocular trauma score (OTS) (1.72±0.53 vs 3.73±0.61, p=0.025) and smaller injury size (10.4±3.5 vs 5.8±2.4 mm, p=0.002). Globe rupture (37.0% vs 17.4%, p=0.015) and relative afferent pupillary defect (RAPD) (44.4% vs 17.3%, p=0.037) were higher in group1, while penetrating injury (45.4% vs 72.2%, p=0.044), zone 1 involvement (39.8% vs 65.2%, p=0.038) and metal object injury (29.6% vs 51.3%, p=0.041) were higher in group2. Final LVA (for group1 and group2) was negatively correlated with OTS (r=-0.398, p=0.037; r=-0.369, p=0.040), while positively correlated with injury size (r=0.412, p=0.031; r=0.318, p=0.046) and initial LVA (r=0.335, p=0.043; r=0.402, p=0.034). Conclusion: To our knowledge, this is the first study investigating effects of age, time between trauma and surgery, OTS, injury size, follow-up time and initial vision on final poor and good visions in detail. Low OTS, poor initial vision, globe rupture and RAPD were poor prognosis indicators, while small injury size, penetrating injury, zone 1 involvement and metal object injury were good prognosis indicators. Additionally, in both groups final vision worsened as OTS decreased, injury size increased, and initial vision worsened. These prognostic factors may be useful in managing trauma.

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Demographic characteristics and visual outcomes of open globe injuries in a tertiary hospital in Istanbul, Turkey

Cited by 14 publications

References 28 publications

Wood-Related Open-Globe Injuries

Wood-Related Open-Globe Injuries

Globe rupture: a single-center retrospective study of demographic patterns and outcomes

The Clinical Features and the Factors Affecting Visual Prognosis in Pediatric Open-Globe Injuries

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