scholarly journals The Outcomes of Primary Scleral Buckling during Repair of Posterior Segment Open-Globe Injuries

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Dan Cohen ◽  
Jaime Levy ◽  
Tova Lifshitz ◽  
Nadav Belfair ◽  
Itamar Klemperer ◽  
...  
Keyword(s):  
Medical Center ◽  
Visual Outcome ◽  
Scleral Buckling ◽  
Posterior Segment ◽  
Control Group ◽  
Visual Outcomes ◽  
Open Globe ◽  
Retinal Complications ◽  
Final Visual Outcome ◽  
Open Globe Injuries

Objective. To compare visual outcomes of eyes which underwent primary scleral buckling (PSB) treatment during posterior segment open-globe injury (OGI) repair with eyes not treated with PSB.Methods. We retrospectively reviewed 38 eyes which underwent a posterior segment OGI repair with no preoperative evidence of retinal detachment (RD) at Soroka University Medical Center (1995–2010). 19 (50%) underwent scleral repair alone (control group) and the other 19 eyes were treated with PSB also (PSB group). We compared visual outcomes in these two groups and rates of subsequent postoperative complications.Results. Baseline characteristics of the groups were similar. Compared with the control group, the PSB group had statistically significant lower rates of proliferative vitreoretinopathy (PVR) (5.3% versus 38.4%,P<0.05) and a trend towards lower rates of RD (15.8% versus 41.1%,P=0.1). PSB group eyes had a statistically significant improvement of their best distance visual acuity (BDVA) with lower means of final BDVA-grade (P<0.05) and logMAR vision (P<0.05). Eyes in the control group had no improvement in these parameters.Conclusion. PSB procedure during posterior segment OGI repair may decrease the risk of subsequent retinal complications and improve final visual outcome.

scholarly journals Effect of time to primary repair on final visual outcome after open globe injury

2019 ◽  
Vol 103 (10) ◽  
pp. 1491-1494 ◽  
Author(s):  
Richard J Blanch ◽  
Jonathan Bishop ◽  
Hedayat Javidi ◽  
Philip Ian Murray
Keyword(s):  
Visual Acuity ◽  
Primary Repair ◽  
Demographic Data ◽  
Case Series ◽  
Visual Outcome ◽  
Final Visual Acuity ◽  
Visual Outcomes ◽  
Open Globe ◽  
Final Visual Outcome ◽  
Open Globe Injuries

Background/AimHistoric data suggest that open globe injuries should be repaired within 12–24 hours to reduce the risk of endophthalmitis. However, endophthalmitis is uncommon when systemic antibiotic prophylaxis is given. It is not clear whether delayed primary repair impacts visual outcomes in other ways or what is the optimum time to repair. We aimed to examine the effect of time to primary repair on visual outcomes.MethodsThis is a retrospective comparative case series including all open globe injuries presenting to the Birmingham Midland Eye Centre between 1 January 2014 and 15 March 2016. Presenting features, mechanism of injury, visual acuity at 6–12 months and demographic data were examined.Results56 open globe injuries were repaired, of which sufficient data for analysis were available on 52 cases. The mean time to primary repair was 1 day after injury (range 5 hours to 7 days). Final visual acuity at 6–12 months was related to the presenting visual acuity and the Ocular Trauma Score and to the time between injury and primary repair, with a reduction in predicted visual acuity of logarithm of the minimum angle of resolution of 0.37 for every 24 hours of delay (95% CI 0.14 to 0.6).DiscussionOpen globe injuries should be repaired promptly. Presenting visual acuity remains the strongest predictor of outcome; however, delay to primary repair also reduced final visual acuity, and any significant delay from injury to repair is likely to negatively impact final visual outcome.

scholarly journals Microbial contamination in open globe injury

1970 ◽  
Vol 4 (1) ◽  
pp. 84-89 ◽  
Author(s):  
S Bhala ◽  
S Narang ◽  
S Sood ◽  
C Mithal ◽  
AK Arya ◽  
...  
Keyword(s):  
Visual Outcome ◽  
Bacillus Species ◽  
Open Globe Injury ◽  
Open Globe ◽  
A Prospective Study ◽  
Culture Positive ◽  
Initial Contamination ◽  
Final Visual Outcome ◽  
Open Globe Injuries

Introduction: Endophthalmitis is the most dreaded complication of ocular trauma and knowledge of the microbial contaminants is essential to start empirical antibiotic therapy. Purpose: To determine incidence of contamination after open globe injuries (OGI) in our setup and to identify the spectrum of microorganisms contaminating open globe injuries. Material and methods: A prospective study including 50 consecutive eyes of open globe injury over a period of two years was conducted. Intra-operatively, 4 - 5 samples were taken from the inferior conjunctival sac and anterior chamber at the beginning and end of the open globe injury repair. Any abscised tissue or foreign body was also sent for culture sensitivity. A vitreous tap was taken from eyes with posterior segment trauma with signs of endophthalmitis. Results: Microbial cultures were positive in13 eyes (26 %). The microbial spectrum included Aspergillus species in 45.6 %, Alternaria in 15.2 %, Curvularia in 15.2 %, Staphylococcus aureus in 7.6 %, Bacillus species in 7.6 %, and Streptococcus pneumoniae in 7.6 %. Of these 13 eyes, nine eyes developed clinically evident frank endophthalmitis during follow-up. Overall, endophthalmitis developed in 20 eyes (40 %). There was a significant association between the initial contamination and development of endophthalmitis (p < 0.05). 53 % of culture positive cases achieved ambulatory vision compared to 73 % of culturenegative cases. Conclusion: Initial contamination was seen in 26 % of OGI cases. Aspergillus (fungus) was the commonest contaminant. There was a strong correlation between the initial contamination and development of endophthalmitis. Culture-negative cases had a trend towards better final visual outcome than culture-positive cases. Close follow up of cases showing contamination following OGI is recommended. DOI: http://dx.doi.org/10.3126/nepjoph.v4i1.5857 NEPJOPH 2012; 4(1): 84-89

scholarly journals Factors influencing the final visual outcome in open globe injuries

2011 ◽  
Vol 59 (3) ◽  
pp. 264
Author(s):  
ShivcharanL Chandravanshi ◽  
MaheshK Rathore ◽  
EvaR Tirkey ◽  
UmaS Tiwari
Keyword(s):  
Visual Outcome ◽  
Factors Influencing ◽  
Open Globe ◽  
Final Visual Outcome ◽  
Open Globe Injuries

scholarly journals Open Globe Injuries: Classifications and Prognostic Factors for Functional Outcome

Diagnostics ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1851
Author(s):  
Christian Steffen Mayer ◽  
Lukas Reznicek ◽  
Isabella Diana Baur ◽  
Ramin Khoramnia
Keyword(s):  
Prognostic Factors ◽  
Functional Outcome ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
Posterior Segment ◽  
Open Globe ◽  
Good Visual Outcome ◽  
Corrected Distance Visual Acuity ◽  
Trauma Score ◽  
Open Globe Injuries

This paper explored epidemiology and evaluation of posterior segment involvement as prognostic factors for functional outcome of patients with open globe injuries. A retrospective analysis of 151 patients with open globe injuries was conducted. Pre- and postoperative-corrected distance visual acuity (CDVA), epidemiologic data, classification of the injuries including the ocular trauma score (OTS), performed surgeries, intraocular pressure (IOP) and correlation analyses between OTS and postoperative CDVA were obtained. A total of 147 eyes were included in the study. Mean age was 42.9 ± 22.2 years, 78.2% were male, and 36.7% of injuries occurred in the workplace. Thirty-eight patients (25.9%) had intraocular foreign bodies. Concerning injury location, 51.7% of the injuries were located in zone I (cornea, corneoscleral limbus), 15.0% in zone II (up to 5 mm posterior the sclerocorneal limbus) and 32.0% in zone III (posterior of zone 2). Affected structures were eyelids (17.7%), cornea (74.8%), iris (63.9%), lens (56.5%), sclera (48.3%), retina (47.6%) and optic nerve (19.7%). Mean preoperative CDVA was 1.304 ± 0.794 logMAR and 1.289 ± 0.729 logMAR postoperatively (p = 0.780). Patients with posterior segment involvement had significantly worse postoperative CDVA than patients without (1.523 ± 0.654 logMAR vs. 0.944 ± 0.708 logMAR, p < 0.01). Predictive factors for good visual outcome of open globe injuries are good initial CDVA and ocular trauma affecting only zone I and II.

scholarly journals Open Globe Injuries: Classifications and Prognostic Factors for Functional Outcome

2020 ◽  
Author(s):  
Lukas Reznicek ◽  
Christian S. Mayer ◽  
Ramin Khoramnia ◽  
Jakob Siedlecki ◽  
Benedikt Schworm
Keyword(s):  
Visual Acuity ◽  
Functional Outcome ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
Posterior Segment ◽  
Tertiary Referral Center ◽  
Open Globe ◽  
Department Of Ophthalmology ◽  
Trauma Score ◽  
Open Globe Injuries

Abstract BACKGROUND: Epidemiology and evaluation of posterior segment involvement as a prognostic factor for functional outcome of patients with open globe injuries in a university eye clinic as a tertiary referral center in Southern Germany. METHODS: A retrospective analysis of 151 consecutive patients with open globe injuries who were referred to the department of Ophthalmology of the Technical University of Munich in Germany from 2004 to 2011 was conducted. Visual acuity, epidemiologic data, classification of the injuries including the ocular trauma score (OTS), performed surgeries, post-operative visual acuity and intraocular pressure (IOP) as well as correlation analyses between OTS and post-operative visual acuity were obtained. RESULTS: On total, 147 eyes were included in the study. The mean age of the patients was 42.9±22.2 years, 78.2% were male, 36.7% of injuries occurred in the workplace. Thirty-eight patients (25.9%) had intraocular foreign bodies (IOFB): 84.2% were metal objects, 5.3% organic material and 10.5% glass. On total, 51.7% of the open globe injuries were located in zone I (cornea, cornealscleral limbus), 15.0% in zone II (up to 5 mm posterior the sclerocorneal limbus) and 32.0% in zone III (posterior of zone 2). Affected structures were eyelids (17.7%), cornea (74.8%), iris (63.9%), lens (56.5%), sclera (48.3%), retina (47.6%) and optic nerve (19.7%). Mean preoperative BCVA was 1.304±0.794 logMAR and 1.289±0.729 logMAR after surgery (p=0.780). Patients with involvement of their posterior segment had significantly worse postoperative BCVA scores than patients without (1.523±0.654 logMAR vs. 0.944±0.708 logMAR, p<0.01). CONCLUSIONS: Predictive factors for good visual outcome of open globe injuries are good initial visual acuity and ocular trauma affecting only zone I and II.

Visual Outcomes and Mechanism of Open-Globe Injuries with No Light Perception

2020 ◽  
Author(s):  
Shohei Morikawa ◽  
Fumiki Okamoto ◽  
Yoshifumi Okamoto ◽  
Yoshinori Mitamura ◽  
Hiroto Ishikawa ◽  
...  
Keyword(s):  
Light Perception ◽  
Visual Outcomes ◽  
Open Globe ◽  
Open Globe Injuries

scholarly journals Open-Globe Injury With Intraocular Foreign Body

2020 ◽  
pp. 247412642096503
Author(s):  
Filippos Vingopoulos ◽  
Yvonne Wang ◽  
Seanna Grob ◽  
Chloe Yang Ling Li ◽  
Dean Eliott ◽  
...  
Keyword(s):  
Foreign Body ◽  
Primary Repair ◽  
Anterior Segment ◽  
Case Series ◽  
Visual Outcome ◽  
Posterior Segment ◽  
Open Globe ◽  
Time From Injury

Purpose: To investigate characteristics of Open Globe Injuries (OGI) that presented with Intra-Ocular Foreign Body (IOFB), along with their long-term visual outcomes and complications. Methods: Retrospective interventional consecutive case series of OGIs with IOFBs that presented at Massachusetts Eye and Ear from 2010 to 2015. Data collected included time from injury to OGI repair, location of IOFB, retinal detachment (RD) rate, presenting and final visual acuity and subsequent surgeries. Results: Fifty-seven consecutive cases of OGIs with IOFBs were included. Mean follow-up was 28 months and median time from injury to OGI repair was 0 days. Overall, 38/57 (66.7%) eyes achieved final vision of 20/40 or better and 43/57 (75.4%) 20/150 or better. Thirty-three cases had IOFBs in the anterior segment only, 24 cases had posterior segment involvement. Thirty percent of cases (17/57) were complicated by an RD, 58.3% (14/24) in the posterior versus 9.1% (3/33) in the anterior IOFB group ( P = .01). There were no cases of endophthalmitis. Posterior IOFB and higher zone of injury were risk factors for RD both at presentation (both P < .001) and post-primary repair (both P < .001). Posterior IOFB was associated with higher vitrectomy rates both at presentation ( P < .001) and post-primary repair ( P = .002) and worse long-term visual outcome ( P = .01). Conclusions: OGIs with IOFB involving the posterior segment are associated with higher complication and re-operation rates and worse visual prognosis compared to those involving the anterior segment only.

scholarly journals A Possible Regression Equation for Predicting Visual Outcomes after Surgical Repair of Open Globe Injuries

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Huseyin Gursoy ◽  
Mustafa Deger Bilgec ◽  
Afsun Sahin ◽  
Ertugrul Colak
Keyword(s):  
Primary Repair ◽  
Linear Regression Analysis ◽  
Anterior Segment ◽  
Penetrating Injury ◽  
Time Interval ◽  
Visual Outcomes ◽  
Primary Surgery ◽  
Open Globe ◽  
Trauma Score ◽  
Open Globe Injuries

Background. To analyze the effects of factors other than the ocular trauma score parameters on visual outcomes in open globe injuries.Methods. Open globe injuries primarily repaired in our hospital were reviewed. The number of surgeries, performance of pars plana vitrectomy (PPV), lens status, affected tissues (corneal, scleral, or corneoscleral), intravitreal hemorrhage, intraocular foreign body, glaucoma, anterior segment inflammation, loss of iris tissue, cutting of any prolapsed vitreous in the primary surgery, penetrating injury, and the time interval between the trauma and repair were the thirteen variables evaluated using linear regression analysis.Results. In total, 131 eyes with a mean follow-up of16.1±4.7(12–36) months and a mean age of33.8±22.2(4–88) years were included. The regression coefficients were 0.502, 0.960, 0.831, −0.385, and −0.506 for the performance of PPV, aphakia after the initial trauma, loss of iris tissue, penetrating injury, and cutting of any prolapsed vitreous in the primary surgery, respectively (P<0.05for these variables).Conclusions. The performance of PPV, aphakia after the initial trauma, and loss of iris tissue were associated with poor visual outcomes, whereas cutting any prolapsed vitreous in the primary repair and penetrating-type injury were associated with better visual outcomes.

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