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Sokol JT, Rossin EJ. Ophthalmic Trauma-Related Instruments-Critical Tools for Winning the Case. Int Ophthalmol Clin 2024; 64:187-207. [PMID: 38525991 DOI: 10.1097/iio.0000000000000486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/26/2024]
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Vingopoulos F, Wang Y, Grob S, Li CYL, Eliott D, Kim LA, Vavvas DG, Miller JB. Open Globe Injury with Intraocular Foreign Body. ACTA ACUST UNITED AC 2020; 5:288-294. [PMID: 34386688 DOI: 10.1177/2474126420965033] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose To investigate characteristics of Open Globe Injuries (OGI) that presented with Intra-Ocular Foreign Body (IOFB), along with their long-term visual outcomes, complications and need for subsequent surgeries. Methods Retrospective interventional consecutive case series of OGIs with IOFBs that presented to the Eye Trauma service at the Massachusetts Eye and Ear from 2010 to 2015. Data collected included time from injury to OGI repair, location of injury and IOFB, retinal detachment (RD) rate, presenting and final visual acuity (VA) and subsequent surgeries. Results Fifty-seven consecutive cases of OGIs with IOFBs were included. The majority of patients were male (93%), mean age was 37 years and mean follow-up was 28 +/- 22 months. The median time from injury to OGI repair was 0 days (range: 0-16 days). Overall, 38/57 (66.7%) eyes achieved final vision of 20/40 or better and 43/57 (75.4%) vision of 20/150 or better. Zone I injuries were the most common (86%), followed by Zone II (16%), and Zone III (10%). 33 cases had IOFBs in the anterior segment only and 24 cases had posterior segment involvement. In total, 30% 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<0.01). There were no cases of endophthalmitis. Posterior IOFB and higher zone of injury were found to be risk factors for RD both at presentation (all p<0.05) and post-primary repair.(all p<0.05) Posterior IOFB was associated with higher vitrectomy rates both at presentation (p<0.0001) and post-primary repair (p=0.002) and worse long-term visual outcome (p = 0.014). Conclusion 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.
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Affiliation(s)
| | - Yvonne Wang
- Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts
| | - Seanna Grob
- Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.,Orbit and Oculofacial Plastic Surgery, Department of Ophthalmology, University of California, San Francisco, San Francisco, CA
| | | | - Dean Eliott
- Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.,Retina Service, Massachusetts Eye and Ear, Boston, MA
| | - Leo A Kim
- Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.,Retina Service, Massachusetts Eye and Ear, Boston, MA
| | - Demetrios G Vavvas
- Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.,Retina Service, Massachusetts Eye and Ear, Boston, MA
| | - John B Miller
- Harvard Retinal Imaging Lab, Massachusetts Eye and Ear, Boston MA.,Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.,Retina Service, Massachusetts Eye and Ear, Boston, MA
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Yaşa D, Erdem ZG, Demircan A, Demir G, Alkın Z. Prognostic value of ocular trauma score for open globe injuries associated with metallic intraocular foreign bodies. BMC Ophthalmol 2018; 18:194. [PMID: 30092767 PMCID: PMC6085662 DOI: 10.1186/s12886-018-0874-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2018] [Accepted: 08/03/2018] [Indexed: 11/10/2022] Open
Abstract
Background The prognostic value of the ocular trauma score (OTS) in patients who underwent 23-gauge pars plana vitrectomy (23-G PPV) for surgical removal of posterior segment metallic intaocular foreign bodies (IOFB) was evaluated. Methods Patients who underwent 23-G PPV for surgical removal of retained metallic IOFBs were retrospectively analyzed. OTS score for each patient was calculated and raw scores were converted to their corresponding OTS categories. The final VAs in study patients were compared with their respective OTS categories. Results Twenty-five eyes from 25 patients were examined. Twenty-four (96%) of the patients were male, and the mean age was 34 ± 12 years. The time from injury to 23-G PPV was 9 ± 4 days. Fourteen (56%) patients had zone 1 trauma, eight (32%) patients had zone 2 trauma, and three (12%) patients had zone 3 trauma. Postoperative visual acuity was ≥ 20/200 in 14 (56%) of the patients and ≥ 20/40 in seven (28%) eyes. At the final visit, anatomical success was achieved in 86% of patients with retinal detachment at presentation. No statistically significant differences were found between our final VAs and OTS scores. Conclusion OTS, which provides prognostic information after general ocular trauma, may also provide valuable prognostic information for patients who undergo 23-G PPV for the surgical removal of metallic posterior segment IOFBs.
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Affiliation(s)
- Dilek Yaşa
- Beyoğlu Eye Research and Training Hospital, Bereketzade Mah, Bereketzade Sok. No:2, Beyoğlu, İstanbul, Turkey.
| | - Zeynep Gizem Erdem
- Beyoğlu Eye Research and Training Hospital, Bereketzade Mah, Bereketzade Sok. No:2, Beyoğlu, İstanbul, Turkey
| | - Ali Demircan
- Beyoğlu Eye Research and Training Hospital, Bereketzade Mah, Bereketzade Sok. No:2, Beyoğlu, İstanbul, Turkey
| | - Gökhan Demir
- Beyoğlu Eye Research and Training Hospital, Bereketzade Mah, Bereketzade Sok. No:2, Beyoğlu, İstanbul, Turkey
| | - Zeynep Alkın
- Beyoğlu Eye Research and Training Hospital, Bereketzade Mah, Bereketzade Sok. No:2, Beyoğlu, İstanbul, Turkey
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Fu R, Kancherla S, Eller AW, Yu JY. Characteristics and Outcomes of Open Globe Trauma in the Urban versus Rural Population: A Single Center Retrospective Review. Semin Ophthalmol 2017; 33:566-570. [DOI: 10.1080/08820538.2017.1340488] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Roxana Fu
- Oculofacial Plastic and Orbital Surgery, Indiana University, Indianapolis, IN, USA
| | - Swarupa Kancherla
- Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
| | - Andrew W. Eller
- Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
| | - Jenny Y. Yu
- Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
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