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Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients
AIM: We aimed to identify the characteristics and prognostic indicators of poor visual and anatomic outcome in pseudophakic patients with fall-related open-globe (OG) injuries. We used a case series design, for a total of 26 patients. METHODS: Charts of consecutive pseudophakic patients with fall-re...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356447/ https://www.ncbi.nlm.nih.gov/pubmed/25784783 http://dx.doi.org/10.2147/OPTH.S73757 |
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author | Kavoussi, Shaheen C Slade, Martin D Meskin, Seth W Adelman, Ron A |
author_facet | Kavoussi, Shaheen C Slade, Martin D Meskin, Seth W Adelman, Ron A |
author_sort | Kavoussi, Shaheen C |
collection | PubMed |
description | AIM: We aimed to identify the characteristics and prognostic indicators of poor visual and anatomic outcome in pseudophakic patients with fall-related open-globe (OG) injuries. We used a case series design, for a total of 26 patients. METHODS: Charts of consecutive pseudophakic patients with fall-related OG injury at a single institution were reviewed. Demographics, ophthalmic history, circumstances of injury, initial best-corrected visual acuity (BCVA), examination findings, surgical interventions, and follow-up BCVA were tabulated for statistical analysis with unpaired t-tests and Fisher’s exact tests. RESULTS: Nineteen patients (73%) were women. Mean (± standard deviation) age was 80.6±4.6 years (range: 61–97 years). Initial BCVA was <20/400 in 24 of 25 patients (96%). Mean ocular trauma score (OTS) was 38.54±10.95. OTS was lower (P=0.0017, P<0.0001, and P=0.0240) and wound size was larger (P=0.0440, 0.0145, and 0.0026) in patients with final BCVA <20/40, <20/400, and phthisis at final follow-up, respectively; compared to patients with BCVA ≥20/40, 20/400, and no phthisis at final follow-up, respectively. Final BCVA <20/400 was associated with 360° subconjunctival hemorrhage (SCH), retinal detachment, and proliferative vitreoretinopathy (P=0.0498, 0.0181, and 0.0310, respectively). Total hyphema, intraocular lens (IOL) damage, and IOL expulsion were associated with needing multiple surgical interventions (P=0.0345, P<0.0001, and P=0.0023, respectively). CONCLUSION: Large wound size, low OTS, 360° SCH, total hyphema, posterior injury, and IOL damage are common findings that are also prognostic of poor visual and anatomic outcome in pseudophakic patients with fall-related OG injuries. Ophthalmologists dealing primarily with geriatric populations should contribute to the discussion of fall risk. |
format | Online Article Text |
id | pubmed-4356447 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-43564472015-03-17 Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients Kavoussi, Shaheen C Slade, Martin D Meskin, Seth W Adelman, Ron A Clin Ophthalmol Original Research AIM: We aimed to identify the characteristics and prognostic indicators of poor visual and anatomic outcome in pseudophakic patients with fall-related open-globe (OG) injuries. We used a case series design, for a total of 26 patients. METHODS: Charts of consecutive pseudophakic patients with fall-related OG injury at a single institution were reviewed. Demographics, ophthalmic history, circumstances of injury, initial best-corrected visual acuity (BCVA), examination findings, surgical interventions, and follow-up BCVA were tabulated for statistical analysis with unpaired t-tests and Fisher’s exact tests. RESULTS: Nineteen patients (73%) were women. Mean (± standard deviation) age was 80.6±4.6 years (range: 61–97 years). Initial BCVA was <20/400 in 24 of 25 patients (96%). Mean ocular trauma score (OTS) was 38.54±10.95. OTS was lower (P=0.0017, P<0.0001, and P=0.0240) and wound size was larger (P=0.0440, 0.0145, and 0.0026) in patients with final BCVA <20/40, <20/400, and phthisis at final follow-up, respectively; compared to patients with BCVA ≥20/40, 20/400, and no phthisis at final follow-up, respectively. Final BCVA <20/400 was associated with 360° subconjunctival hemorrhage (SCH), retinal detachment, and proliferative vitreoretinopathy (P=0.0498, 0.0181, and 0.0310, respectively). Total hyphema, intraocular lens (IOL) damage, and IOL expulsion were associated with needing multiple surgical interventions (P=0.0345, P<0.0001, and P=0.0023, respectively). CONCLUSION: Large wound size, low OTS, 360° SCH, total hyphema, posterior injury, and IOL damage are common findings that are also prognostic of poor visual and anatomic outcome in pseudophakic patients with fall-related OG injuries. Ophthalmologists dealing primarily with geriatric populations should contribute to the discussion of fall risk. Dove Medical Press 2015-02-27 /pmc/articles/PMC4356447/ /pubmed/25784783 http://dx.doi.org/10.2147/OPTH.S73757 Text en © 2015 Kavoussi et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Kavoussi, Shaheen C Slade, Martin D Meskin, Seth W Adelman, Ron A Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients |
title | Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients |
title_full | Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients |
title_fullStr | Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients |
title_full_unstemmed | Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients |
title_short | Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients |
title_sort | characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356447/ https://www.ncbi.nlm.nih.gov/pubmed/25784783 http://dx.doi.org/10.2147/OPTH.S73757 |
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