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Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score

PURPOSE: To determine characteristics and factors associated with no vision survival (included no light perception, enucleation, and evisceration) following open globe injury (OGI) and to correlate the proportion of final vision to predictive values of ocular trauma score (OTS). PATIENTS AND METHODS...

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Autores principales: Porapaktham, Tuangprot, Choovuthayakorn, Janejit, Nanegrungsunk, Onnisa, Phinyo, Phichayut, Tanasombatkul, Krittai, Watanachai, Nawat, Kunavisarut, Paradee, Chaikitmongkol, Voraporn, Patikulsila, Direk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884457/
https://www.ncbi.nlm.nih.gov/pubmed/36721667
http://dx.doi.org/10.2147/OPTH.S401643
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author Porapaktham, Tuangprot
Choovuthayakorn, Janejit
Nanegrungsunk, Onnisa
Phinyo, Phichayut
Tanasombatkul, Krittai
Watanachai, Nawat
Kunavisarut, Paradee
Chaikitmongkol, Voraporn
Patikulsila, Direk
author_facet Porapaktham, Tuangprot
Choovuthayakorn, Janejit
Nanegrungsunk, Onnisa
Phinyo, Phichayut
Tanasombatkul, Krittai
Watanachai, Nawat
Kunavisarut, Paradee
Chaikitmongkol, Voraporn
Patikulsila, Direk
author_sort Porapaktham, Tuangprot
collection PubMed
description PURPOSE: To determine characteristics and factors associated with no vision survival (included no light perception, enucleation, and evisceration) following open globe injury (OGI) and to correlate the proportion of final vision to predictive values of ocular trauma score (OTS). PATIENTS AND METHODS: The medical records of consecutive patients diagnosed as OGI between January 2015 and December 2020 were retrospectively reviewed. Data collected included demographics, mechanisms and modes of injuries, ophthalmic presentations, managements, and visual outcomes at the final visit. RESULTS: Three hundred and seventy-one patients with a mean (standard deviation, SD) age of 44.0 (17.4) years were included. Male with workplace injury was the most frequent scenario. High-velocity metallic objects were the predominant causative materials. Following treatments, fifty-six eyes (14.9%) obtained no vision survival. Factors associated with no vision survival following OGI were low presenting vision, globe perforation, larger wound, presence of relative afferent pupillary defect, retinal detachment, and vitreous hemorrhage. Compared to OTS predictive values, eyes in OTS categories 1 and 2 had a lower proportion of no vision survival. CONCLUSION: This study identified the importance of workplace injuries. Overall, there were comparable final visions between OTS and this study. However, a reduced proportion of no vision survival among severely injured eyes signifies the challenges of OGI management.
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spelling pubmed-98844572023-01-30 Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score Porapaktham, Tuangprot Choovuthayakorn, Janejit Nanegrungsunk, Onnisa Phinyo, Phichayut Tanasombatkul, Krittai Watanachai, Nawat Kunavisarut, Paradee Chaikitmongkol, Voraporn Patikulsila, Direk Clin Ophthalmol Original Research PURPOSE: To determine characteristics and factors associated with no vision survival (included no light perception, enucleation, and evisceration) following open globe injury (OGI) and to correlate the proportion of final vision to predictive values of ocular trauma score (OTS). PATIENTS AND METHODS: The medical records of consecutive patients diagnosed as OGI between January 2015 and December 2020 were retrospectively reviewed. Data collected included demographics, mechanisms and modes of injuries, ophthalmic presentations, managements, and visual outcomes at the final visit. RESULTS: Three hundred and seventy-one patients with a mean (standard deviation, SD) age of 44.0 (17.4) years were included. Male with workplace injury was the most frequent scenario. High-velocity metallic objects were the predominant causative materials. Following treatments, fifty-six eyes (14.9%) obtained no vision survival. Factors associated with no vision survival following OGI were low presenting vision, globe perforation, larger wound, presence of relative afferent pupillary defect, retinal detachment, and vitreous hemorrhage. Compared to OTS predictive values, eyes in OTS categories 1 and 2 had a lower proportion of no vision survival. CONCLUSION: This study identified the importance of workplace injuries. Overall, there were comparable final visions between OTS and this study. However, a reduced proportion of no vision survival among severely injured eyes signifies the challenges of OGI management. Dove 2023-01-25 /pmc/articles/PMC9884457/ /pubmed/36721667 http://dx.doi.org/10.2147/OPTH.S401643 Text en © 2023 Porapaktham et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Porapaktham, Tuangprot
Choovuthayakorn, Janejit
Nanegrungsunk, Onnisa
Phinyo, Phichayut
Tanasombatkul, Krittai
Watanachai, Nawat
Kunavisarut, Paradee
Chaikitmongkol, Voraporn
Patikulsila, Direk
Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score
title Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score
title_full Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score
title_fullStr Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score
title_full_unstemmed Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score
title_short Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score
title_sort open globe injury in a tertiary hospital of northern thailand: no vision survival and ocular trauma score
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884457/
https://www.ncbi.nlm.nih.gov/pubmed/36721667
http://dx.doi.org/10.2147/OPTH.S401643
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