Yoshifumi Okamoto1,2,3, Shohei Morikawa4,5, Fumiki Okamoto4,5, Naoki Inomoto6,5, Hiroto Ishikawa7,5, Tetsuo Ueda8,5, Taiji Sakamoto9,5, Kazuhiko Sugitani10,5, Tetsuro Oshika4,5. 1. Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan. y-okamoto@md.tsukuba.ac.jp. 2. Department of Ophthalmology, Mito Kyodo General Hospital, Mito, Ibaraki, Japan. y-okamoto@md.tsukuba.ac.jp. 3. Japan-Clinical Research of Study (J-CREST) Group, Tokyo, Japan. y-okamoto@md.tsukuba.ac.jp. 4. Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan. 5. Japan-Clinical Research of Study (J-CREST) Group, Tokyo, Japan. 6. Department of Ophthalmology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan. 7. Department of Ophthalmology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan. 8. Department of Ophthalmology, Nara Medical University, Kashihara, Nara, Japan. 9. Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Sakuragaoka, Kagoshima, Japan. 10. Department of Ophthalmology and Visual Science, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Abstract
PURPOSE: To describe the epidemiology and clinical outcomes of open globe injuries (OGIs) in Japan over 10 years, and examine preoperative factors influencing the visual prognosis after surgery. STUDY DESIGN: Retrospective, observational, multicenter case-series study. METHODS: Patients' data were entered into a computerized database for review and statistical analyses. The following parameters were assessed; age, gender, initial and final visual acuity, duration between onset and surgery, presence of lens in the eye, characteristics of injury, presence of ocular complications, and number of surgeries. RESULTS: The records of 374 eyes with OGI were enrolled. The average age of the patients was 56.8 ± 22.1 years, and the majority of patients were men (73.5%). Compared to the overall cohort, work-related OGI was the most common, associated with significantly better final visual acuity, whereas patients with fall-down OGI showed significantly worse final visual acuity (P < 0.05). Among the types of injury, both the initial and final visual acuity were significantly worse in the rupture group than in the laceration group. Multiple liner regression analyses revealed that the final visual acuity was significantly associated with initial visual acuity, type of injury (rupture), retinal detachment, and proliferative vitreoretinopathy. CONCLUSION: To predict the visual outcome in patients with OGI, ophthalmologists need to pay attention not only to the initial visual acuity but also to initial ocular conditions, such as the presence of ocular complications.
PURPOSE: To describe the epidemiology and clinical outcomes of open globe injuries (OGIs) in Japan over 10 years, and examine preoperative factors influencing the visual prognosis after surgery. STUDY DESIGN: Retrospective, observational, multicenter case-series study. METHODS:Patients' data were entered into a computerized database for review and statistical analyses. The following parameters were assessed; age, gender, initial and final visual acuity, duration between onset and surgery, presence of lens in the eye, characteristics of injury, presence of ocular complications, and number of surgeries. RESULTS: The records of 374 eyes with OGI were enrolled. The average age of the patients was 56.8 ± 22.1 years, and the majority of patients were men (73.5%). Compared to the overall cohort, work-related OGI was the most common, associated with significantly better final visual acuity, whereas patients with fall-down OGI showed significantly worse final visual acuity (P < 0.05). Among the types of injury, both the initial and final visual acuity were significantly worse in the rupture group than in the laceration group. Multiple liner regression analyses revealed that the final visual acuity was significantly associated with initial visual acuity, type of injury (rupture), retinal detachment, and proliferative vitreoretinopathy. CONCLUSION: To predict the visual outcome in patients with OGI, ophthalmologists need to pay attention not only to the initial visual acuity but also to initial ocular conditions, such as the presence of ocular complications.
Entities:
Keywords:
Endophthalmitis; Laceration; Open globe injury; Rupture
Authors: Panagiotis Kousiouris; Olga Klavdianou; Konstantinos A A Douglas; Nikolaos Gouliopoulos; Klio Chatzistefanou; Maria Kantzanou; Georgios S Dimtsas; Marilita M Moschos Journal: Clin Ophthalmol Date: 2022-01-05