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Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review
BACKGROUND: To identify prognostic factors determining final visual outcome following open globe injuries. METHODS: Retrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected included d...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037828/ https://www.ncbi.nlm.nih.gov/pubmed/33838650 http://dx.doi.org/10.1186/s12886-021-01929-z |
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author | Ho, Haochi Foo, Jane Li, Yi-Chiao Bobba, Samantha Go, Christopher Chandra, Jaya Fung, Adrian T. |
author_facet | Ho, Haochi Foo, Jane Li, Yi-Chiao Bobba, Samantha Go, Christopher Chandra, Jaya Fung, Adrian T. |
author_sort | Ho, Haochi |
collection | PubMed |
description | BACKGROUND: To identify prognostic factors determining final visual outcome following open globe injuries. METHODS: Retrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected included demographic information, ocular injury details, management and initial and final visual acuities. RESULTS: A total of 104 cases were identified. Predictors of poor final visual outcomes included poor presenting visual acuity (p < 0.001), globe rupture (p < 0.001), retinal detachment (p < 0.001), Zone III wounds (p < 0.001), hyphema (p = 0.003), lens expulsion (p = 0.003) and vitreous hemorrhage (p < 0.001). Multivariate analysis demonstrated presenting visual acuity (p < 0.001), globe rupture (p = 0.013) and retinal detachment (p = 0.011) as being statistically significant for predicting poor visual outcomes. The presence of lid laceration (p = 0.197) and uveal prolapse (p = 0.667) were not significantly associated with the final visual acuity. CONCLUSIONS: Poor presenting visual acuity, globe rupture and retinal detachment are the most important prognostic factors determining final visual acuity following open globe injury. |
format | Online Article Text |
id | pubmed-8037828 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80378282021-04-12 Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review Ho, Haochi Foo, Jane Li, Yi-Chiao Bobba, Samantha Go, Christopher Chandra, Jaya Fung, Adrian T. BMC Ophthalmol Research Article BACKGROUND: To identify prognostic factors determining final visual outcome following open globe injuries. METHODS: Retrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected included demographic information, ocular injury details, management and initial and final visual acuities. RESULTS: A total of 104 cases were identified. Predictors of poor final visual outcomes included poor presenting visual acuity (p < 0.001), globe rupture (p < 0.001), retinal detachment (p < 0.001), Zone III wounds (p < 0.001), hyphema (p = 0.003), lens expulsion (p = 0.003) and vitreous hemorrhage (p < 0.001). Multivariate analysis demonstrated presenting visual acuity (p < 0.001), globe rupture (p = 0.013) and retinal detachment (p = 0.011) as being statistically significant for predicting poor visual outcomes. The presence of lid laceration (p = 0.197) and uveal prolapse (p = 0.667) were not significantly associated with the final visual acuity. CONCLUSIONS: Poor presenting visual acuity, globe rupture and retinal detachment are the most important prognostic factors determining final visual acuity following open globe injury. BioMed Central 2021-04-10 /pmc/articles/PMC8037828/ /pubmed/33838650 http://dx.doi.org/10.1186/s12886-021-01929-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Ho, Haochi Foo, Jane Li, Yi-Chiao Bobba, Samantha Go, Christopher Chandra, Jaya Fung, Adrian T. Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
title | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
title_full | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
title_fullStr | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
title_full_unstemmed | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
title_short | Prognostic factors and epidemiology of adult open globe injuries from Western Sydney: a twelve-year review |
title_sort | prognostic factors and epidemiology of adult open globe injuries from western sydney: a twelve-year review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037828/ https://www.ncbi.nlm.nih.gov/pubmed/33838650 http://dx.doi.org/10.1186/s12886-021-01929-z |
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