Sabahattin Sul1,2, Gökhan Gurelik3, Safak Korkmaz4, Sengül Ozdek3, Berati Hasanreisoglu3. 1. Department of Ophthalmology, Muğla Sıtkı Koçman University School of Medicine, Muğla, Turkey. drsulgoz@gmail.com. 2. Göz Hastalıkları Anabilim Dalı, Muğla Sıtkı Koçman University, Muğla, Turkey, 48000. drsulgoz@gmail.com. 3. Department of Ophthalmology, Gazi University Medical School, Ankara, Turkey. 4. Department of Ophthalmology, Düzce State Hospital, Düzce, Turkey.
Abstract
PURPOSE: We determine the clinical characteristics, visual and anatomical outcomes, and factors associated with poor visual outcome and anatomical success in pediatric open-globe injuries (OGI). METHODS: The records of patients aged 17 years and younger who had undergone surgical intervention after OGI between January 2000 and June 2010 were reviewed retrospectively. RESULTS: In total, 182 patients were enrolled in the study (70.9 % males, 29.1 % females; mean age: 8.6 ± 4.5 years [range 1-17 years]). Injuries occurred mostly at home (45.1 %). Objects most often causing the ocular trauma were sharp objects (74.1 %). Over one-third of the eyes (39.7 %) had final visual acuities of 20/200 or better. Anatomical success was achieved in 76.9 % of eyes. Time between primary globe repair and secondary surgical intervention was 61.4 ± 144 days. Visual outcomes were poor in eyes with initial visual acuity less than for counting fingers, retinal detachment, proliferative vitreoretinopathy, and endophthalmitis. Anatomical success rates were low with retinal detachment. CONCLUSION: Visual outcomes seem to be poor in more than half of the patients despite advanced microsurgical techniques.
PURPOSE: We determine the clinical characteristics, visual and anatomical outcomes, and factors associated with poor visual outcome and anatomical success in pediatric open-globe injuries (OGI). METHODS: The records of patients aged 17 years and younger who had undergone surgical intervention after OGI between January 2000 and June 2010 were reviewed retrospectively. RESULTS: In total, 182 patients were enrolled in the study (70.9 % males, 29.1 % females; mean age: 8.6 ± 4.5 years [range 1-17 years]). Injuries occurred mostly at home (45.1 %). Objects most often causing the ocular trauma were sharp objects (74.1 %). Over one-third of the eyes (39.7 %) had final visual acuities of 20/200 or better. Anatomical success was achieved in 76.9 % of eyes. Time between primary globe repair and secondary surgical intervention was 61.4 ± 144 days. Visual outcomes were poor in eyes with initial visual acuity less than for counting fingers, retinal detachment, proliferative vitreoretinopathy, and endophthalmitis. Anatomical success rates were low with retinal detachment. CONCLUSION: Visual outcomes seem to be poor in more than half of the patients despite advanced microsurgical techniques.
Entities:
Keywords:
Endophthalmitis; Open globe injury; Retinal detachment
Authors: Sebastian P Lesniak; Alain Bauza; Jung H Son; Marco A Zarbin; Paul Langer; Suquin Guo; Rudolph S Wagner; Neelakshi Bhagat Journal: J Pediatr Ophthalmol Strabismus Date: 2011-07-19 Impact factor: 1.402
Authors: Marcus H Colyer; Eric D Weber; Eric D Weichel; John S B Dick; Kraig S Bower; Thomas P Ward; Julia A Haller Journal: Ophthalmology Date: 2007-02-28 Impact factor: 12.079
Authors: A K Farr; R J Hairston; M U Humayun; M J Marsh; D J Pieramici; M W MacCumber; E de Juan Journal: J Pediatr Ophthalmol Strabismus Date: 2001 Mar-Apr Impact factor: 1.402