Ocular Trauma Score comparison with open globe receiving early or late care1

Hernández, Dulce Milagros Razo-Blanco; Gómez, Virgilio Lima

doi:10.1016/j.circen.2014.08.001

Cited by 4 publications

(4 citation statements)

References 26 publications

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“…Since the most common OGI type in work-related accidents was intraocular foreign bodies, which are more frequent in men, this probably explains why the final visual outcome was better in men (median 0.75), than in women (median 0.001). As in other studies 6,13,14,19,22 a positive correlation was found between BCVAP, OTS, and FBCVA, leading us to the assumption that both visual acuity prior to surgery as well as OTS are useful indicators in predicting final visual outcome.…”

Section: Discussionsupporting

confidence: 57%

“…The prevalence of endophthalmitis after open eye trauma has been reported to be between 4% and 8%, with a higher rate (6.9%-30%) in the presence of intraocular foreign bodies. 19 A study conducted in China on 1701 eyes with intraocular foreign bodies found an incidence of 16.4%. 20 Our low rate of endophthalmitis could be related to Madrid`s extended healthcare system, which provides easy access and allows prompt attention to OGI patients, as well as the systematic use of both topical and systemic prophylactic antibiotics.…”

Section: Discussionmentioning

confidence: 99%

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Open-globe-injury: A single center Spanish retrospective 5-year cohort study

Almagro

Fernández‐Sanz

Herrero-Escudero

et al. 2020

European Journal of Ophthalmology

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Purpose: To review and analyze the epidemiological profile, clinical characteristics and visual outcomes in patients attended for traumatic open globe injury (OGI) at our hospital over a 5-year period. Design: Retrospective chart review study. Methods: Retrospective analysis of all patients attended at Fundación Jiménez Díaz University Hospital for OGI between 2011 and 2015. Data from 104 patients including demographics, ocular examination, medical and surgical treatment, visual outcomes, and complications were analyzed. Results: Most patients were male (79.8%) and the median age at the time of injury was 41 years (interquartile range 31.5–58 years). Work-related accidents represent more than half of the cases and their main mechanism was penetrating trauma or foreign body. This type of accident had good prognosis (median final visual acuity in decimal scale 0.8; interquartile range 0.4–1). Falls were the second most common cause of OGI, predominantly affecting senior women (50%), with a high incidence of ocular rupture (50%) and associating a poor visual prognosis (median final visual acuity 0.01; interquartile range 0–0.5). There was a strong correlation (0.75; p < 0.001) between ocular trauma score (OTS) and final best corrected visual acuity. Conclusions: Two different patterns of OGI were identified in our sample. Work-related trauma in young males was the most common form of OGI and was associated with good prognosis. However, falls in senior women were associated with poor prognosis.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Open-globe-injury: A single center Spanish retrospective 5-year cohort study

Almagro

Fernández‐Sanz

Herrero-Escudero

et al. 2020

European Journal of Ophthalmology

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“…Previous studies have also shown evidence that final visual outcome is affected by time to presentation or repair [32,33]. However, some studies have also concluded that there may not be considerable difference in prognosis for eyes receiving early or delayed treatment [34]. In this study, it was found that initial visual acuity, extent of injury, need for intravitreal injection, development of endophthalmitis, and a ruptured globe were all predictive of a poorer final visual acuity.…”

Section: Discussionmentioning

confidence: 43%

Factors affecting final functional outcomes in open‐globe injuries and use of ocular trauma score as a predictive tool in Nepalese population

et al. 2021

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Background Open globe injury (OGI) is one of the most devastating form of ocular trauma. The aim of the study is to identify the epidemiology and predict visual outcomes in traumatic open globe injuries using ocular trauma score (OTS) and correlate with final visual acuity (VA) at 3 months. Methods Patients older than 5 years, presenting to B.P. Koirala Lions Centre for Ophthalmic Studies (BPKLCOS) from March 2016- March 2017 with OGI that met inclusion criteria were evaluated. Patient profile, nature and cause of injury, and time to presentation were recorded. Patients were managed accordingly and followed up to 3 months. An OTS score for each patient was calculated and raw scores were categorized accordingly. The VA after 3 months were compared to the predicted OTS values. Results Seventy-three eyes of 72 patients were examined. 76 % were male, and the mean age was 26.17 years (median, 23.5 years). The mean time from injury to presentation was < 6 hours (30 patients, 41 %). Thirty-seven eyes (51 %) had zone I trauma, followed by twenty eyes (27 %) with zone II, and sixteen eyes (22 %) with zone III trauma. Sixty-five patients (90 %) were managed surgically, and fifty (68 %) received intravitreal antibiotics with steroid. When compared, the projected VA as per OTS were able to predict actual final visual outcomes in 60 % of the eyes with OGI of various zones. Conclusions OTS can be an accurate predictive tool for final visual acuity even with a short follow up period of 3 months; with poor presenting visual acuity, delayed presentation, posterior zones of injury, need for intravitreal injections, endophthalmitis, and globe rupture associated with poorer prognosis.

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“…16,17,18,19 Endophthalmitis is one of the most important risk factors determining prognosis in globe traumas. 20 None of the patients in this study developed endophthalmitis. Essex et al 21 showed that the risk of endophthalmitis increased by 1.01 fold with each hour after open-globe trauma.…”

Section: Discussionmentioning

confidence: 67%

A Comparative Evaluation of Globe Trauma Features in a Tertiary Care Hospital Before and During the COVID-19 Pandemic

Vural¹,

Yılmaz²,

KARAHAN>³

et al. 2022

tjo

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Objectives: To compare the clinical features, preoperative evaluation, and surgical approaches of globe trauma patients presenting to the emergency department before and during the coronavirus disease 2019 (COVID-19) pandemic. Materials and Methods: We retrospectively analyzed 54 eyes of 54 patients with traumatic globe perforation who underwent primary globe repair. The patients were divided into two groups according to the official start of the COVID-19 pandemic in Turkey: Group

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Ocular Trauma Score comparison with open globe receiving early or late care1

Cited by 4 publications

References 26 publications

Open-globe-injury: A single center Spanish retrospective 5-year cohort study

Open-globe-injury: A single center Spanish retrospective 5-year cohort study

Factors affecting final functional outcomes in open‐globe injuries and use of ocular trauma score as a predictive tool in Nepalese population

A Comparative Evaluation of Globe Trauma Features in a Tertiary Care Hospital Before and During the COVID-19 Pandemic

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