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Visual outcomes and prognostic factors in open-globe injuries

BACKGROUND: Ocular trauma is an important cause of visual loss worldwide. Improvements in our knowledge of the pathophysiology and management of ocular trauma during the past 30 years, in conjunction with advances in the instrumentation and techniques of ocular surgery, have improved the efficacy of...

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Autores principales: Fujikawa, Azusa, Mohamed, Yasser Helmy, Kinoshita, Hirofumi, Matsumoto, Makiko, Uematsu, Masafumi, Tsuiki, Eiko, Suzuma, Kiyoshi, Kitaoka, Takashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994054/
https://www.ncbi.nlm.nih.gov/pubmed/29884145
http://dx.doi.org/10.1186/s12886-018-0804-4
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author Fujikawa, Azusa
Mohamed, Yasser Helmy
Kinoshita, Hirofumi
Matsumoto, Makiko
Uematsu, Masafumi
Tsuiki, Eiko
Suzuma, Kiyoshi
Kitaoka, Takashi
author_facet Fujikawa, Azusa
Mohamed, Yasser Helmy
Kinoshita, Hirofumi
Matsumoto, Makiko
Uematsu, Masafumi
Tsuiki, Eiko
Suzuma, Kiyoshi
Kitaoka, Takashi
author_sort Fujikawa, Azusa
collection PubMed
description BACKGROUND: Ocular trauma is an important cause of visual loss worldwide. Improvements in our knowledge of the pathophysiology and management of ocular trauma during the past 30 years, in conjunction with advances in the instrumentation and techniques of ocular surgery, have improved the efficacy of vitreoretinal surgery in injured eyes. The aim of the current study was to determine the visual outcomes and prognostic factors of open-globe injuries in the Japanese population. METHODS: Retrospective study of 59 eyes of 59 patients presented with open globe injuries between September 2008 and March 2014 at Nagasaki University Hospital was conducted. Demographic factors including age, gender, and clinical data such as cause of injury, presenting visual acuity (VA), location of injury, type of injury, lens status, presence of intraocular foreign body, types of required surgeries, and final VA were recorded. According to the classification of Ocular Trauma Classification Group, wound location was classified into three zones. Chi-square test was used to compare presented data. RESULTS: Out of the 59 patients, 46 were placed in the Light Perception (LP) group, and 13 were placed in the No Light Perception (NLP) group. Work-related trauma was the most common cause (27 eyes) followed by falls (19eyes). Work-related trauma was common in males (P = 0.004), while falls was significantly common in females (P = 0.00001). Zone III injuries had statistically significantly poor prognostic factor compared to other zones (P = 0.04). All cases of NLP group (100%) presented with rupture globe. Poor VA at first visit (P = 0.00001), rupture globe (P = 0.026), history of penetrating keratoplasty (PK) (P = 0.017), retinal detachment (RD) (P = 0.0001), vitreous hemorrhage (VH) (P = 0.044), and dislocation of crystalline lens (P = 0.0003) were considered as poor prognostic factors. CONCLUSION: Poor VA at first visit, rupture globe, zone III injuries, history of penetrating keratoplasty, RD, VH, and dislocation of crystalline lens were found to be poor prognostic factors. PPV had a good prognostic value in open globe injuries associated with posterior segment involvement.
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spelling pubmed-59940542018-06-21 Visual outcomes and prognostic factors in open-globe injuries Fujikawa, Azusa Mohamed, Yasser Helmy Kinoshita, Hirofumi Matsumoto, Makiko Uematsu, Masafumi Tsuiki, Eiko Suzuma, Kiyoshi Kitaoka, Takashi BMC Ophthalmol Research Article BACKGROUND: Ocular trauma is an important cause of visual loss worldwide. Improvements in our knowledge of the pathophysiology and management of ocular trauma during the past 30 years, in conjunction with advances in the instrumentation and techniques of ocular surgery, have improved the efficacy of vitreoretinal surgery in injured eyes. The aim of the current study was to determine the visual outcomes and prognostic factors of open-globe injuries in the Japanese population. METHODS: Retrospective study of 59 eyes of 59 patients presented with open globe injuries between September 2008 and March 2014 at Nagasaki University Hospital was conducted. Demographic factors including age, gender, and clinical data such as cause of injury, presenting visual acuity (VA), location of injury, type of injury, lens status, presence of intraocular foreign body, types of required surgeries, and final VA were recorded. According to the classification of Ocular Trauma Classification Group, wound location was classified into three zones. Chi-square test was used to compare presented data. RESULTS: Out of the 59 patients, 46 were placed in the Light Perception (LP) group, and 13 were placed in the No Light Perception (NLP) group. Work-related trauma was the most common cause (27 eyes) followed by falls (19eyes). Work-related trauma was common in males (P = 0.004), while falls was significantly common in females (P = 0.00001). Zone III injuries had statistically significantly poor prognostic factor compared to other zones (P = 0.04). All cases of NLP group (100%) presented with rupture globe. Poor VA at first visit (P = 0.00001), rupture globe (P = 0.026), history of penetrating keratoplasty (PK) (P = 0.017), retinal detachment (RD) (P = 0.0001), vitreous hemorrhage (VH) (P = 0.044), and dislocation of crystalline lens (P = 0.0003) were considered as poor prognostic factors. CONCLUSION: Poor VA at first visit, rupture globe, zone III injuries, history of penetrating keratoplasty, RD, VH, and dislocation of crystalline lens were found to be poor prognostic factors. PPV had a good prognostic value in open globe injuries associated with posterior segment involvement. BioMed Central 2018-06-08 /pmc/articles/PMC5994054/ /pubmed/29884145 http://dx.doi.org/10.1186/s12886-018-0804-4 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Fujikawa, Azusa
Mohamed, Yasser Helmy
Kinoshita, Hirofumi
Matsumoto, Makiko
Uematsu, Masafumi
Tsuiki, Eiko
Suzuma, Kiyoshi
Kitaoka, Takashi
Visual outcomes and prognostic factors in open-globe injuries
title Visual outcomes and prognostic factors in open-globe injuries
title_full Visual outcomes and prognostic factors in open-globe injuries
title_fullStr Visual outcomes and prognostic factors in open-globe injuries
title_full_unstemmed Visual outcomes and prognostic factors in open-globe injuries
title_short Visual outcomes and prognostic factors in open-globe injuries
title_sort visual outcomes and prognostic factors in open-globe injuries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994054/
https://www.ncbi.nlm.nih.gov/pubmed/29884145
http://dx.doi.org/10.1186/s12886-018-0804-4
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