High risk and low prevalence diseases: Open globe injury

Pelletier, Jessica; Koyfman, Alex; Long, Brit

doi:10.1016/j.ajem.2022.11.036

Cited by 21 publications

(10 citation statements)

References 92 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The ocular effects of traffic trauma involve various ocular pathologies, including open globe injuries, optic nerve canal fractures, and blowout fractures [ 4 - 6 ]. Among them, an open globe injury generally results in poor prognosis; accordingly, it requires prompt diagnosis and appropriate treatment [ 7 - 11 ]. Therefore, it is important to elucidate the prognosis and proper treatment of ocular trauma to inform ophthalmologists managing patients from traffic accidents.…”

Section: Introductionmentioning

confidence: 99%

Pattern of Ocular Injuries Following Road Traffic Accidents Seen at a Tertiary Eye Hospital

Ono,

Iwasaki,

Mori

et al. 2024

Cureus

View full text Add to dashboard Cite

Introduction: Traffic trauma can lead to ocular damage. Open globe injuries usually have a poor prognosis, which can be ameliorated by prompt diagnosis and appropriate treatment. Nonetheless, few studies have focused on the visual outcomes of patients following traffic accidents. In this study, we aimed to examine the characteristics and prognosis of ocular complications in patients following traffic accidents at a specialized tertiary eye hospital. Methods: We classified 44 patients from traffic accidents (88 eyes) into groups with equal or better ( better group ) and worse ( worse group ) corrected-distance visual acuity than a logarithm of the minimum angle of resolution 0 at the initial presentation. Final corrected-distance visual acuity, intraocular pressure, corneal injury, presence of traumatic cataracts, and treatment were compared between the groups. In addition, a multivariate linear regression analysis was performed to identify factors associated with the final visual acuity. Results: Globe contusion, orbital blowout fracture, traumatic iritis, and trochlear nerve palsy were observed in 14.8%, 3.4%, 2.3%, and 2.3% of the patients, respectively. Topical instillation and ophthalmological treatment/surgery were performed in 17.0% and 9.1% of the patients, respectively. The better group (68 eyes) had significantly better final visual acuity than the worse group (20 eyes) ( P < 0.001). However, there was no between-group difference in demographic characteristics. Multivariate analysis demonstrated that there was a significant correlation between the initial and final visual acuities ( P < 0.001). Conclusions: Assessing visual acuity at the initial presentation is crucial for predicting the final visual acuity. Our findings will help to inform ophthalmologists aiming to improve the prognosis and treatment of ocular trauma in patients following traffic accidents.

show abstract

Section: Introductionmentioning

confidence: 99%

Pattern of Ocular Injuries Following Road Traffic Accidents Seen at a Tertiary Eye Hospital

Ono,

Iwasaki,

Mori

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…The clinical characteristics of OGI are region specific, for instance, in southeastern Spain, approximately 50% of OGI cases were wire induced ( 7 ), while in the midlands of England, more cases were assault-related injuries ( 8 ). Since more than 90% of ocular trauma cases are preventable ( 9 ), the epidemiological investigation of a given region is very important for the prevention, treatment, and prognosis of OGIs.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological and clinical characteristics of open globe injuries in Southwest China

Chen,

Liang,

Shi

et al. 2024

Front. Med.

View full text Add to dashboard Cite

BackgroundOpen globe injuries (OGIs) are one of the leading causes of monocular vision loss, and the clinical characteristics of OGIs are region specific. The features and patterns of OGIs in Southwest China are poorly known and not well studied. Our study aimed to review the epidemiological and clinical characteristics of patients hospitalized for OGIs in Southwest China.MethodsA retrospective study of OGI patients admitted to the West China Hospital from January 1st, 2015, to December 31st, 2019, was performed. Demographic characteristics and injury details were recorded. The Birmingham Eye Trauma Terminology system and the ocular trauma score (OTS) were used.ResultsA total of 3,014 patients were included. The male-to-female ratio was 5.2:1, and the mean age was 35.6 ± 19.1 years. 15.2% of patients were from the ethnic groups. The highest-risk occupation was the farmer (30.3%), followed by the worker (28.5%). OGIs occurred more frequently in people with middle (37.0%) and primary school (33.1%) education levels. Types of injuries included 46.8% penetration, 21.2% rupture, 2.9% perforation, and 29.1% intraocular foreign body (IOFB). The injuries types differed between age and occupation groups (p < 0.001). IOFBs had a higher risk of causing endophthalmitis, retinal detachment, and traumatic cataracts (p < 0.001). The most common injuries resulted from sharp objects (72.7%). The causes of the injuries were significantly associated with age, ethnicity, and occupation (p < 0.001). Explosion injuries and attacks by animals were more common among people of Tibetan and Yi ethnicities. Blunt trauma, vehicle crashes, falls and age older than 60 years were risk factors for a lack of light perception and lower OTS scores prognosis.ConclusionOGIs in Southwest China mainly affected working-aged males, especially workers or farmers. Severe vision loss and IOFBs are more common findings. OGIs in older patients and ethnic minorities requires additional attention.

show abstract

“…Approximately 200,000 ocular trauma cases are open-globe injury (OGI) [ 2 ]. OGI include penetrating ocular injuries, perforating ocular injuries, ocular rupture, and intraocular foreign bodies [ 3 ] and can cause severe damage to intraocular tissue and vision. In China, OGI was most commonly found in people aged 47.8 ± 14.1, with more male patients than female [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Biomechanics of open-globe injury: a review

Wang

Jin

et al. 2023

BioMed Eng OnLine

View full text Add to dashboard Cite

Open-globe injury is a common cause of blindness clinically caused by blunt trauma, sharp injury, or shock waves, characterised by rupture of the cornea or sclera and exposure of eye contents to the environment. It causes catastrophic damage to the globe, resulting in severe visual impairment and psychological trauma to the patient. Depending on the structure of the globe, the biomechanics causing ocular rupture can vary, and trauma to different parts of the globe can cause varying degrees of eye injury. The weak parts or parts of the eyeball in contact with foreign bodies rupture when biomechanics, such as external force, unit area impact energy, corneoscleral stress, and intraocular pressure exceed a certain value. Studying the biomechanics of open-globe injury and its influencing factors can provide a reference for eye-contact operations and the design of eye-protection devices. This review summarises the biomechanics of open-globe injury and the relevant factors.

show abstract

High risk and low prevalence diseases: Open globe injury

Cited by 21 publications

References 92 publications

Pattern of Ocular Injuries Following Road Traffic Accidents Seen at a Tertiary Eye Hospital

Pattern of Ocular Injuries Following Road Traffic Accidents Seen at a Tertiary Eye Hospital

Epidemiological and clinical characteristics of open globe injuries in Southwest China

Biomechanics of open-globe injury: a review

Contact Info

Product

Resources

About