Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2018 / Cilt: 24 - Sayı: 1

Characteristics of pediatric and adult cases with open globe injury and factors affecting visual outcomes: A retrospective analysis of 294 cases from Turkey

Pages
31–38
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

The knowledge of these differences is crucial for taking adequate preventive measures and decreasing morbidity

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Objective & Hypothesis:BACKGROUND: This study aimed to evaluate 1-year follow-up results of cases that were diagnosed with open globe injury (OGI), to compare trauma-related characteristics between pediatric and adult cases, and to determine risk factors for a poor final visual acuity.METHODS: This study enrolled 294 cases that met the OGI definition and were followed up for at least 1 year.
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Key Findings & Data:The cases were divided into two groups according to age: pediatric (≤16 years) and adult (>16 years) groups.RESULTS: Children were exposed to accidents that led to OGI mostly at home, whereas adults were exposed to such accidents mostly in the office.
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Conclusion & Impact:The knowledge of these differences is crucial for taking adequate preventive measures and decreasing morbidity
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: This study aimed to evaluate 1-year follow-up results of cases that were diagnosed with open globe injury (OGI), to compare trauma-related characteristics between pediatric and adult cases, and to determine risk factors for a poor final visual acuity.METHODS: This study enrolled 294 cases that met the OGI definition and were followed up for at least 1 year. Demographic and clinical features regarding ocular trauma were recorded. The cases were divided into two groups according to age: pediatric (≤16 years) and adult (>16 years) groups.RESULTS: Children were exposed to accidents that led to OGI mostly at home, whereas adults were exposed to such accidents mostly in the office. Penetrating injuries were more common in children than in adults, and injuries most commonly occurred owing to spiky objects. Zone I injuries were most frequent in both children and adults. The frequency of high-grade injuries increased with age. Foreign body injuries and multiple surgeries were more common in adults than in children. There was no difference between the two age groups based on ocular trauma score (OTS) and visual acuity. OTS predicted the need for multiple surgeries. In the adult group, age, multiple surgeries, and initial visual acuity were significant risk factors for the final visual acuity that was achieved.CONCLUSION: OGI causes and risk factors for poor final visual outcomes differ in adults and children. The knowledge of these differences is crucial for taking adequate preventive measures and decreasing morbidity

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Cite This Article

YAZICIOĞLU, T., KARAGÖZ, I. K., SARI, E. S., KUBALOĞLU, A., ELBAY, A., CALLI, Ü., PİNERO, D. P., ÖZERTÜRK, Y. (2018). Characteristics of pediatric and adult cases with open globe injury and factors affecting visual outcomes: A retrospective analysis of 294 cases from Turkey. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 24 - Sayı: 1, 31–38. https://ajindex.com/articles/324798

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References (18)

  1. MacEwen CJ. Ocular injuries. J R Coll Surg Edinb 1999;44:317–23
  2. Abbott J, Shah P. The epidemiology and etiology of pediatric ocular trauma. Surv Ophthalmol 2013;58:476–85
  3. Easterbrook M. Prevention of ocular trauma. Can J Ophthalmol 2009;44:501–3
  4. Kuhn F, Morris R, Witherspoon CD. Birmingham Eye Trauma Terminology (BETT): terminology and classification of mechanical eye injuries. Ophthalmol Clin North Am 2002;15:139–43
  5. Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision survival after open globe injury predicted by classification and regression tree analysis. Ophthalmology 2008;115:202–9
  6. Shah M, Shah S, Khandekar R. Ocular injuries and visual status before and after their management in the tribal areas of Western India: a historical cohort study. Graefes Arch Clin Exp Ophthalmol 2008;246:191–7
  7. Smith AR, O’Hagan SB, Gole GA. Epidemiology of open- and closedglobe trauma presenting to Cairns Base Hospital, Queensland. Clin Exp Ophthalmol 2006;34:252–9
  8. Soliman MM, Macky TA. Pattern of ocular trauma in Egypt. Graefes Arch Clin Exp Ophthalmol 2008;246:205–12
  9. Cao H, Li L, Zhang M, Li H. Epidemiology of pediatric ocular trauma in the Chaoshan Region, China, 2001-2010. PLoS One 2013;8:e60844
  10. Pieramici DJ, Sternberg P Jr, Aaberg TM Sr, Bridges WZ Jr, Capone A Jr, Cardillo JA, et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol 1997;123:820–31
  11. Eagling EM. Perforating injuries of the eye. Br J Ophthalmol 1976;60:732-6
  12. Kuhn F, Maisiak R, Mann L, Mester V, Morris R, Witherspoon CD. The Ocular Trauma Score (OTS). Ophthalmol Clin North Am 2002;15:163–5
  13. Oum BS, Lee JS, Han YS. Clinical features of ocular trauma in emergency department. Korean J Ophthalmol 2004;18:70–8
  14. Mela EK, Dvorak GJ, Mantzouranis GA, Giakoumis AP, Blatsios G, Andrikopoulos GK, et al. Ocular trauma in a Greek population: review of 899 cases resulting in hospitalization. Ophthalmic Epidemiol 2005;12:185–90
  15. Soylu M, Sizmaz S, Cayli S. Eye injury (ocular trauma) in southern Turkey: epidemiology, ocular survival, and visual outcome. Int Ophthalmol 2010;30:143–8
  16. Al-Mahdi HS, Bener A, Hashim SP. Clinical pattern of pediatric ocular trauma in fast developing country. Int Emerg Nurs 2011;19:186–91
  17. Cao H, Li L, Zhang M. Epidemiology of patients hospitalized for ocular trauma in the Chaoshan region of China, 2001-2010. PLoS One 2012;7:e48377
  18. Malagola R, Arrico L