Open globe trauma in a military hospital: a review of the Ocular Trauma Score to help predict enucleation or evisceration

Brundridge, Wesley; Reed, Donovan; Santamaria, Joseph; Mehta, Aditya; Valentin, Frank; Davies, Brett W.

doi:10.1007/s00417-019-04356-5

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…OTS has been recommended as a valuable tool for the classification of OGIs and the determination of the final VA. Our data showed that OTS was a significant predictor for globe removal surgeries in univariable analysis. Brundridge et al 11 reported that a lower OTS resulted in a higher likelihood of enucleation. Savar et al 7 showed that only 22% of patients in OTS category 1 underwent enucleation.…”

Section: Discussionmentioning

confidence: 99%

“…However, a higher rate of globe removal, reaching 16.8–25%, was observed during wartime 9 , 10 . The rate of globe removal in the case of OGI depends on the mechanism of injury, limitations of medical care, and cultural considerations 11 . To the best of our knowledge, no previous studies have examined the risk factors for globe removal after OGI in agricultural regions with contaminated soils, organisms, plants, and animal products.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for globe removal after open-globe injury in agricultural regions

Aryasit

Tassanasunthornwong

Rattanalert

et al. 2022

Sci Rep

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This study aimed to identify the prevalence and risk factors for globe removal among patients with open-globe injuries (OGIs) in agricultural regions. A retrospective chart review of patients with OGIs was performed between January 2010 and December 2019. Univariable and multivariable logistic regression models were used to identify the factors associated with globe removal in OGI. This study included 422 patients (422 eyes). The highest prevalence of OGI was observed in the middle age group (> 20 to 40 years). The most common cause of OGIs was agriculture-related injury (54.7%), followed by industry or workplace-related injury (20.4%), and assault (5.0%). Intraocular foreign bodies, endophthalmitis, and panophthalmitis were reported in 57.6%, 28.4%, and 5.7% of cases, respectively. Eight eviscerations and 43 enucleations were performed, accounting for 12.1% of OGIs. The most common indication for globe removal was panophthalmitis. Multivariable analysis revealed that the predictive factors significantly associated with globe removal were assault injuries (adjusted odds ratio (aOR) = 5.53; p = 0.026), presenting logarithm of the minimum angle of resolution visual acuity (aOR = 311.79; p < 0.001), and endophthalmitis and panophthalmitis (aOR = 3.58 and 734.94, respectively; p < 0.001). This knowledge would aid in patient counseling and encourage health promotion.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk factors for globe removal after open-globe injury in agricultural regions

Aryasit

Tassanasunthornwong

Rattanalert

et al. 2022

Sci Rep

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“…Pagal BETT, akių traumos būna atviro ir uždaro tipo, atsižvelgiant į akies sienos būklę. Atviro tipo trauma (ATT) apibrėžiama kaip viso storio akies sienos pažeidimas (visiškas odenos, ragenos ar abiejų sužalojimas), kurį gali sukelti aštrios ar bukos traumos mechanizmas, neatsižvelgiant į traumos mastą ar esamą regos aštrumą (RA) [4,5,8,11,12]. ATT sudaro apie 44 proc.…”

Section: Tyrimo Rezultataiunclassified

“…Analizės metu buvo vertintas pradinis RA, akies obuolio plyšimų, endoftalmitų, perforuojančių žaizdų, tinklainės atšokų ir teigiamo santykinio aferentinio vyzdžio defekto (RAVD) skaičius. Vertinimai suskirstyti į penkias kategorijas, kurios naudojamos akių traumų baigčių prognozavimui [1,5,6,14].…”

Section: Tyrimo Rezultataiunclassified

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Atviro Tipo Akių Traumos: Charakteristikos Ir Prognostiniai Veiksniai

Skruodytė¹,

Sveikatienė²,

Šerpytis³

2021

Health Sciences

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Akių traumos yra viena iš pagrindinių ilgalaikius regėjimo sutrikimus sukeliančių priežasčių. Atviro tipo trauma apibrėžiama kaip viso storio akies sienos pažeidimas, kurį gali sukelti ir aštrus, ir bukas mechanizmas. Akių traumos sudaro apie 44 proc. akių sužalojimų. Tyrimo tikslas − atlikti naujausių mokslinių straipsnių detalią literatūros apžvalgą apie atviro tipo akių traumas, išanalizuoti duomenis apie akių traumų paplitimo dažnį, etiologiją, epidemiologiją, klasifikaciją, nustatyti atviro tipo akių traumų klinikinius ypatumus ir gydymo baigtis. Nustatyta, kad dažniausiai atviro tipo traumas patiria darbingo amžiaus vyrai, kurie neturi akių apsaugos priemonių. Blogos regos prognostiniai veiksniai − pradinis RA ≤ 0,1, teigiamas santykinis aferentinis vyzdžio defektas (RAVD), pradinė tinklainės atšoka, rainelės ar tinklainės prolapsas, stiklakūnio kraujosruva, ilgas laiko tarpas iki pradinės operacijos ir intervencinių procedūrų skaičius. Atviro tipo traumų gydymas beveik visais atvejais yra chirurginis, o chirurginių intervencijų planavimas ir jų skaičius priklauso nuo traumos sunkumo. Gydymo tikslas yra atkurti akies obuolio anatomiją ir pašalinti intraokulinius svetimkūnius. Sunkios akių traumos turi didelį socialinį ir ekonominį poveikį žmogui ir visuomenei. Traumą patyręs žmogus susiduria su psichologinėmis problemomis, pablogėjusia gyvenimo kokybe, fizine negalia. Greita traumos diagnozė ir laiku pradėtas chirurginis gydymas yra itin svarbūs, norint pagerinti regėjimo rezultatus, siekiant išvengti galimų komplikacijų.

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