Factors Influencing Final Visual Results in Severely Injured Eyes

Hutton, William L.; Fuller, Dwain G.

doi:10.1016/0002-9394(84)90503-8

Cited by 147 publications

(66 citation statements)

References 17 publications

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“…As shown in our study, initial hyphaema was common (42%) and was found to be associated with poor final visual results. In other respects, our results and several reports (Pieramici et al 1996;Williams et al 1988;Punnomen & Laatikainen 1989;Hutton & Fuller 1984) demonstrated that the visual outcome is affected unfavourably by blunt injury, particularly after firearm accidents.…”

Section: Discussionsupporting

confidence: 76%

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Intraocular foreign bodies. Factors influencing final visual outcome

Chiquet

Zech

Denis

et al. 1999

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To identify the prognostic factors of poor visual outcome (visual acuityAE6/240) in eyes with intraocular foreign bodies. Methods: The records of 95 consecutive patients were retrospectively reviewed for 6 years (1990-1995). All eyes underwent a primary surgical repair and foreign-body removal (electromagnet or vitrectomy). The mean follow-up period was 25 months (6-72 months). Single analysis and multiple logistic stepwise regression analysis were performed to determine predictors of poor vision. Results: Thirty patients (31.6%) showed 6/240 or worse vision at the end of their follow-up period. Three significant predictive factors had independent and combined effects on post-operative visual outcome: a corneo-scleral entry wound (odds ratio (OR)Ω14.5, pΩ0.001), largest diameter of IOFB (ORΩ1.21, pΩ 0.01) and the presence of secondary retinal detachment (ORΩ9.48, pΩ0.0002). Post-operative complications included traumatic cataracts (51%), retinal detachments (28%) and phthisis bulbi (8%).Conclusion: Using multivariate analysis, corneo-scleral entry wound, largest diameter of foreign body and secondary retinal detachment were found to be predictors of poor visual outcome after intraocular foreign body removal. Our results suggest that patients with high-risk intraocular foreign body trauma should be candidates for pars plana vitrectomy rather than electromagnet procedure.

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Section: Discussionsupporting

confidence: 76%

“…Two multivariate analyses (Hutton & Fuller 1984;Brinton et al 1982) demonstrated that eyes with RD had a worse prognosis in severe ocular trauma. In our study, retinal impact injury, entry site or tissue prolapse did not appear significantly correlated to secondary RD.…”

Section: Discussionmentioning

confidence: 99%

Intraocular foreign bodies. Factors influencing final visual outcome

Chiquet

Zech

Denis

et al. 1999

Acta Ophthalmologica Scandinavica

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“…1 Another surgical approach is to use the combination of pars plana vitrectomy (PPV) with encircling scleral buckling (SB), this method could relieve the traction on the retinal incarcerated site and support the retinal breaks. 2,3 In three large retrospective studies, prophylactic SB placement at the time of vitrectomy for posterior segment trauma was associated with a lower rate of subsequent retinal detachment. [2][3][4] The SB placement within 2 weeks following a severe ocular injury appeared to reduce the rate of post-traumatic complications.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 In three large retrospective studies, prophylactic SB placement at the time of vitrectomy for posterior segment trauma was associated with a lower rate of subsequent retinal detachment. [2][3][4] The SB placement within 2 weeks following a severe ocular injury appeared to reduce the rate of post-traumatic complications. 5 However, these studies only compared the eyes with or without SB placement at the time of PPV.…”

Section: Introductionmentioning

confidence: 99%

Retinectomy vs vitrectomy combined with scleral buckling in repair of posterior segment open-globe injuries with retinal incarceration

Wei

Zhou

et al. 2016

Eye

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Purpose To evaluate the anatomic and functional outcome of pars plana vitrectomy (PPV) combined with scleral buckling (SB) vs retinectomy in treating posterior segment open-globe injuries with retinal incarceration. Methods Patients (38 eyes) with posterior segment open-globe injuries and retinal incarceration were identified, and they underwent either PPV combined with SB (PPV+SB, n = 19) or retinectomy (n = 19). The two groups were matched in the following categories: the severity of injury (including wound length), the location of the incarceration site and the presence of retinal detachment. Anatomic reattachment of the retina and best-corrected visual acuity (BCVA) were measured at the time of 12 months after operation. Results At 12 months after operation, the PPV+SB group demonstrated a better anatomic retinal attachment rate (84.2% vs 68.4%, P = 0.252) and BCVA (73.7% vs 47.4%, P = 0.247) compared with the retinectomy group, however, the differences failed to reach statistical significance. Compared with the PPV+SB group, the rectinectomy group had significantly higher rates of hemorrhage (47.4% vs 15.8%, P = 0.036), inflammation (42.1% vs 10.5%, P = 0.027), and a lower intraocular pressure (IOP, 9.8 ± 3.1 vs 13.6 ± 4.1 mmHg, P = 0.002) after silicone oil (SO) removal. Conclusions For patients with posterior segment open-globe injuries and retinal incarceration, PPV and SB treatments resulted in a better anatomic and functional outcome and less post-operation complications compared with the retinectomy.

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“…However, a long-term and difficult process starts for both the patient with ocular trauma and the physician, but the vision loss and blindness cannot be completely prevented after the injury [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury

Turgut¹,

Kobat²,

Tanyıldızı³

2014

Med-Science

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Aim of this study was to investigate the visual prognostic value of ocular trauma score (OTS) 1/200-19/200, 20/200-20/50, 20/40 and up) 1 and 2 (p=0.0017, p=0.00009, respectively), whereas LP/HM ratios in categories 1, 2 and 3were significantly higher in our group than in the OTS study (p=0.00002, p=0.001, p=0.000001, respectively). When we compared final visual acuities in each categories of our study and the OTS study, in our study, 20/200 to 20/50 and 20/40 and over ratios in categories 2 and 3 were significantly lower than those in the OTS study, (p=0.00003, p=0.003, p=0.000001, respectively

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Factors Influencing Final Visual Results in Severely Injured Eyes

Cited by 147 publications

References 17 publications

Intraocular foreign bodies. Factors influencing final visual outcome

Intraocular foreign bodies. Factors influencing final visual outcome

Retinectomy vs vitrectomy combined with scleral buckling in repair of posterior segment open-globe injuries with retinal incarceration

The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury

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