Pediatric open-globe injuries: clinical characteristics and factors associated with poor visual and anatomical success

Sül, Sabahattin; Güreli̇k, Gökhan; Korkmaz, Şafak; Özdek, Şengül; Hasanreısoğlu, Berati

doi:10.1007/s00417-015-3087-y

Cited by 21 publications

(22 citation statements)

References 33 publications

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“…Consequently, the optical quality in the former is usually poorer than that of the latter. One of the main causes of insufficient capsular support is ocular trauma, especially open globe injuries, which can damage the structural integrity of the eyeball, an otherwise perfect optical system, and consequently influence the localization of transsclerally sutured posterior chamber IOLs [ 15 , 16 ]. However, few studies have investigated the effects of open globe injury on the tilt and decentration of transsclerally sutured IOLs or its influence on the optical quality of the eyeball.…”

Section: Discussionmentioning

confidence: 99%

Tilt, Decentration, and Internal Higher-Order Aberrations of Sutured Posterior-Chamber Intraocular Lenses in Patients with Open Globe Injuries

Zhu

Zhang

et al. 2017

Journal of Ophthalmology

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Purpose To evaluate the tilt, decentration, and internal higher-order aberrations (HOAs) of sutured posterior-chamber intraocular lenses (IOLs) in patients with open globe injuries. Methods 46 consecutive patients (47 eyes) who underwent transsclerally sutured IOL implantation were enrolled in this prospective cohort study. Nineteen eyes had a history of open globe injury. The tilt and decentration of the IOLs and the visual quality were measured 1 month after surgery. Results The horizontal tilt and decentration of the IOLs in the open-globe-injury group were significantly higher than those in the control group (both P < 0.05). In the open-globe-injury group, the horizontal decentration was significantly greater in the limbus-sclera-involved group (n = 11) than in the only-cornea-involved group (n = 8, P = 0.040). The internal coma, 3rd-order, and total HOA values at pupil sizes of 4 mm (P = 0.006) and 6 mm (P = 0.013) were significantly higher in the open-globe-injury group than in the controls. Consequently, the optical quality data for the modulation transfer function and the Strehl ratio (all P < 0.05) were significantly poorer in the open-globe-injury group. Conclusions Open globe injuries damage the structural integrity of the eyeball, resulting in more-misaligned sutured IOLs and poorer visual quality.

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Section: Discussionmentioning

confidence: 99%

Tilt, Decentration, and Internal Higher-Order Aberrations of Sutured Posterior-Chamber Intraocular Lenses in Patients with Open Globe Injuries

Zhu

Zhang

et al. 2017

Journal of Ophthalmology

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“…İlk muayenede görme keskinliği açısından %68 olan veri eksikliği, Sül ve ark.nın yaptığı çalışmada %18,8, İlhan ve ark.nın bildirdiği çalışmada %36,7 oranlarındadır. 23,24 Son muayenede ise veri eksikliği çalışmamızda %34 iken yukarda belirtilen çalışmalarda da ilk muayenedeki eksikliğe göre daha düşük orandadır. (%4,4,%15,6) Bu durum özellikle yara- lanmanın ilk psikolojik şokunu atlattıktan sonra hastaların kooperasyonunun gittikçe arttığını göstermektedir.…”

Section: Gereç Ve Yöntemlerunclassified

“…ise 20/200 ve üzerinde final görme keskinliği oranını %37,9 olarak bildirmişlerdir. 23,24 Yine, çeşitli çalışmalarda 0,1 ve altındaki final görme keskinliği oranı da vurgulanmış ve %21-58 aralığında bildirilmiş olup, bu oran bizim çalışmamızda %26'dır. 21,28,29 Retina dekolmanı oranı çalışmamızda %12,5 iken, ülkemizde yapılan çalışmalarda %51,6'ya varan oranlar bildirilmiştir.…”

Section: Gereç Ve Yöntemlerunclassified

“…21,28,29 Retina dekolmanı oranı çalışmamızda %12,5 iken, ülkemizde yapılan çalışmalarda %51,6'ya varan oranlar bildirilmiştir. 23 Retina dekolmanının görece az olması final görme keskinlik sonuçlarımıza da olumlu olarak yansımıştır. Retina dekolmanı gelişen hasta grubu alt grup olarak irdelendiğinde 11 hastanın 6'sının final görme keskinliği bilgisine ulaşılamadığı için optimal değerlendirme yapılamamıştır.…”

Section: Gereç Ve Yöntemlerunclassified

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Pediatric Open Glob Injuries: Clinical Features and Long-Term Results

Yıldız¹,

Çakır²,

Beşek³

et al. 2020

Turkiye Klinikleri J Ophthalmol

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Oküler travma, çocuklarda kazanılmış görme kaybının en sık nedenlerinden biridir. 1 Her yıl 3,3-5,7 milyon çocuk oküler travmaya maruz kalmakta ve bunlardan 160.000-280.000'i hospitalizasyon gerektirecek kadar ciddi yaralanmaktadır. 2 Bu durumun çocuklarda yarattığı duygusal stresin yanı sıra, ülke ekonomisine de ciddi yük getirmektedir. 3 Oküler travmaların epidemiyolojik karakterleri bölgeden bölgeye çeşitli farklılıklar gösterse de dünya genelinde değişmeyen bu tip yaralanmaların %90'ının aslında önlenebilir nitelikte oluşudur. 4

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“…Children make the highest proportion of people suffering from serious globe traumas [2]. Globe injuries are serious traumas as they can jeopardise children's visual function.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Child’s Ocular Globe Injury: A Retrospective Study at the University Teaching Hospital-Campus of Lomé (Togo)

Maneh¹,

Domingo²,

Saa³

et al. 2017

OJOph

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Aim: To study clinical and epidemiological characteristics of child's ocular injuries. Patients and Method: Retrospective study on medical records of children suffering from traumatic injuries of the ocular globe presented to the Campus Teaching Hospital (CHU Campus) of Lomé from 3 January 2015 to 30 June 2016 (18 months). Age, sex, nature of the traumatising agent, consultation delay and the width of the injury (zone I, II or III), the classification of ocular trauma, according to "Birmingham Eye Trauma Terminology (BETT) system", connected lesions have been studied. Results: Twenty children about 46.51% children presented for ocular trauma have been suffering from a globe injury. The average age was 6.68 years with the extremes of 1 year and 12 years; the age bracket of 0 -5 years was more represented (45%); predominance was more from the female with a sex-ratio = 0.67. Eighty percent of the children were from rural areas while twenty from urban areas. The delay of consultation was less than 24 hours in 40% of cases and 15% consulted between 24 h and 72 h after the trauma. Traumatisms were entirely unilateral and penetrating within a majority of 15 (75%) cases of which a "stick" is the traumatising agent of the most frequent (40%). The seat of the injury was the zone I (85.71%) and zone II (14.29%). Connected lesions were dominated by iris hernia 7 (35%) and traumatic cataract 6 (30%). Conclusion: children's traumas were high predominantly and they came in majority from rural zones. Prevention through awareness remains the best treatment.

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Pediatric open-globe injuries: clinical characteristics and factors associated with poor visual and anatomical success

Abstract: Visual outcomes seem to be poor in more than half of the patients despite advanced microsurgical techniques.

Cited by 21 publications

References 33 publications

Tilt, Decentration, and Internal Higher-Order Aberrations of Sutured Posterior-Chamber Intraocular Lenses in Patients with Open Globe Injuries

Tilt, Decentration, and Internal Higher-Order Aberrations of Sutured Posterior-Chamber Intraocular Lenses in Patients with Open Globe Injuries

Pediatric Open Glob Injuries: Clinical Features and Long-Term Results

Epidemiology of Child’s Ocular Globe Injury: A Retrospective Study at the University Teaching Hospital-Campus of Lomé (Togo)

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Pediatric open-globe injuries: clinical characteristics and factors associated with poor visual and anatomical success

Abstract: Visual outcomes seem to be poor in more than half of the patients despite advanced microsurgical techniques.

Cited by 21 publications

References 33 publications

Tilt, Decentration, and Internal Higher-Order Aberrations of Sutured Posterior-Chamber Intraocular Lenses in Patients with Open Globe Injuries

Tilt, Decentration, and Internal Higher-Order Aberrations of Sutured Posterior-Chamber Intraocular Lenses in Patients with Open Globe Injuries

Pediatric Open Glob Injuries: Clinical Features and Long-Term Results

Epidemiology of Child’s Ocular Globe Injury: A Retrospective Study at the University Teaching Hospital-Campus of Lom&#233; (Togo)

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Epidemiology of Child’s Ocular Globe Injury: A Retrospective Study at the University Teaching Hospital-Campus of Lomé (Togo)