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

Choovuthayakorn, Janejit; Chokesuwattanaskul, Susama; Upaphong, Phit; Supreeyathitikul, Pongsant

doi:10.1038/s41598-020-76121-2

Cited by 8 publications

(6 citation statements)

References 28 publications

(29 reference statements)

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“…As far as predictors of poor final VA, initial VA is generally acknowledged as a key factor that affects final vision status [ 3 , 14 , 28 , 39 – 42 ], which is consistent with our results. To some extent, initial VA after ocular trauma reflects the severity of intraocular tissue damage in most eye injuries.…”

Section: Discussionsupporting

confidence: 92%

“…Indeed, injuries located in zone III were recognized as an independent risk factor for low vision in this study and many others [4,38,41]. Consistent with our results, full-thickness laceration of the eyeball ≥ 5 mm (or larger wounds) [26,40,42], VH [19,40,41], RD [3,5,40,41], TON [5], endophthalmitis [39,42] and PVR [36] were identified as risks factors for poor VA in some previous analyses. Regarding eye structure and function, damage that involves the posterior segment is not easily repaired.…”

Section: Discussionsupporting

confidence: 92%

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Explosive eye injuries: characteristics, traumatic mechanisms, and prognostic factors for poor visual outcomes

Zhang

Kang

et al. 2023

Military Med Res

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Background Explosions can produce blast waves, high-speed medium, thermal radiation, and chemical spatter, leading to complex and compound eye injuries. However, few studies have comprehensively investigated the clinical features of different eye injury types or possible risk factors for poor prognosis. Methods We retrospectively reviewed all consecutive records of explosive eye injuries (1449 eyes in 1115 inpatients) in 14 tertiary referral hospitals in China over 12 years (between January 2008 and December 2019). Data on demographics, eye injury types, ocular findings, treatments, and factors affecting visual prognosis were extracted from a standardized database of eye injuries and statistically analyzed. Results Mechanical ocular trauma accounted for 94.00% of explosion-related eye injuries, among which intraocular foreign bodies (IOFBs) resulted in 55.17% of open globe injuries (OGIs) and contusion caused 60.22% of close globe injuries (CGIs). Proliferative vitreous retinopathy (PVR) was more common in perforating (47.06%) and IOFB (26.84%) than in penetrating (8.79%) injuries, and more common with laceration (24.25%) than rupture (9.22%, P < 0.01). However, no difference was observed between rupture and contusion. Ultimately, 9.59% of eyes were removed and the final vision was ≤ 4/200 in 45.82% of patients. Poor presenting vision [odds ratio (OR) = 5.789], full-thickness laceration of the eyeball ≥ 5 mm (OR = 3.665), vitreous hemorrhage (OR = 3.474), IOFB (OR = 3.510), non-mechanical eye injury (NMEI, OR = 2.622, P < 0.001), rupture (OR = 2.362), traumatic optic neuropathy (OR = 2.102), retinal detachment (RD, OR = 2.033), endophthalmitis (OR = 3.281, P < 0.01), contusion (OR = 1.679), ciliary body detachment (OR = 6.592), zone III OGI (OR = 1.940), and PVR (OR = 1.615, P < 0.05) were significant negative predictors for poor visual outcomes. Conclusions Explosion ocular trauma has complex mechanisms, with multiple eyes involved and poor prognosis. In lethal level I explosion injuries, eyeball rupture is a serious condition, whereas contusion is more likely to improve. In level II injuries, IOFBs are more harmful than penetrating injuries, and level IV represents burn-related eye injuries. PVR is more associated with penetrating mechanisms than with OGI. Identifying the risk predictors for visual prognosis can guide clinicians in the evaluation and treatment of ocular blast injuries.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Explosive eye injuries: characteristics, traumatic mechanisms, and prognostic factors for poor visual outcomes

Zhang

Kang

et al. 2023

Military Med Res

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“…One study observed a peak incidence of open globe injuries in teenagers and young adults. 7 Despite significant visual improvement following appropriate treatment, significant visual loss may still occur. Thus, the role of effective prevention in the general practice setting, along with a multidisciplinary team approach with timely and prompt ophthalmology referral, should be emphasised.…”

Section: Discussionmentioning

confidence: 99%

Eye injuries: Understanding ocular trauma

Jeffery¹,

Dobes²,

Chen³

2022

Aust J Gen Pract

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“…May et al [5] had reported that severe ocular trauma, such as globe ruptures, were no longer more frequent in the workplace but at home (41%) due to workplace regulations. A recent study of globe ruptures [22] reported a peak incidence between 21 and 40 years and most injuries were road traffic based.…”

Section: Discussionmentioning

confidence: 99%

Globe Ruptures: Outcomes and Prognostic Analysis of Severe Ocular Trauma

et al. 2022

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Purpose: Eye trauma is an important causes of monocular visual loss worldwide. This study aimed to describe the structural and functional characteristics and outcomes of 281 globe ruptures. Methods: Medical records of all patients undergoing surgery for a ruptured globe at Centro Hospitalar Universitário do Porto in the last 17 years were retrospectively reviewed. Results: Two hundred and eighty-one eyes of 277 patients were included. The majority of them were males (71%) with a mean age of 59.7±20.5. In 38.8% of the cases the cause was a fall. At the time of admission, 29.5% of the eyes had a visual acuity greater than 20/200 and 12.5% had no light perception. The median time between trauma and primary repair was less than 8h (interquartile range 5-12 h). A primary reconstruction was always attempted. Primary evisceration was performed in 14 cases (5%). In multivariable analysis, independent predictors of vision survival were male gender, shorter wound size and absence of vitreous hemorrhage. Conclusion: In this large, retrospective study on globe ruptures we identified male gender, short wound length, and the absence of vitreous hemorrhage or retinal detachment as predictors of improved functional outcome. We found a correlation between the presenting and final visual acuities and the Ocular Trauma Score. Our determination to reconstruct the traumatized eyes as early and as completely as possible was justified by the functional results: despite the severity of the injuries, one out of four eyes reached a final visual acuity greater than 20/200.

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

Cited by 8 publications

References 28 publications

Explosive eye injuries: characteristics, traumatic mechanisms, and prognostic factors for poor visual outcomes

Explosive eye injuries: characteristics, traumatic mechanisms, and prognostic factors for poor visual outcomes

Eye injuries: Understanding ocular trauma

Globe Ruptures: Outcomes and Prognostic Analysis of Severe Ocular Trauma

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