Open globe injuries in a croatian cohort: characteristics and prognostic value of the ocular trauma score in predicting the final visual outcome.

IF 1.9 Q2 OPHTHALMOLOGY
Ivan Borjan, Ivna Pleština-Borjan, Robert Stanić, Ljubo Znaor, Beáta Éva Petrovski, Goran Petrovski
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引用次数: 0

Abstract

Background: Open globe injuries (OGI) are the most severe and sight-treating ocular traumas encountered in ophthalmology. The purpose of the study is to analyze the characteristics and prognostic factors of OGI and to evaluate the prognostic value of the Ocular Trauma Score (OTS) in predicting final visual outcome.

Methods: A retrospective study analyzing OGI in 56 patients referred to the Eye Clinic, University Hospital Centre Split, Croatia, was conducted between January 2020 and January 2023. The characteristics of OGI and other relevant factors contributing to the final visual outcome were analyzed. The comparison between the final visual outcomes predicted by OTS system and those observed in the study was performed. Non-parametric statistical methods (Wilcoxon, Kruskal-Wallis and chi-square tests) with the Bonferroni correction for multiple comparisons were used in statistical analysis.

Results: The average age of patients was 45 years; 48 (86%) were males and 8 (14%) females. Most of the patients (68%) were admitted to the hospital and treated within 6 h after the injury. Most of the injuries (88%) occurred during leisure time and most often were located in zone 2 (46%). Penetrating injuries were the most frequent injury type (52%), while globe rupture was present in 16 (29%) patients. The posterior segment was affected in 27 (48%) patients. In 16 (29%) patients, final BCVA reached ≥ 0.5. The worst final BCVA- NLP was most commonly experienced in patients with globe rupture (38%). Poor final BCVA was statistically significantly associated with worse initial BCVA (P < 0.001), globe rupture (P < 0.001), lower OTS category (P < 0.001), and the presence of RAPD (P < 0.001). The final visual results were comparable with predicted visual outcome by OTS.

Conclusions: The study cohort from Croatia showed that the most important factors in the prognosis of final BCVA in OGI were initial BCVA, injury type, RAPD, localization and extent of the wound, and appropriate, timely surgical treatment in specialized institutions with experienced surgeons. Furthermore, our study findings are mostly consistent with those of the international OTS group and support the view that OTS is a reliable predictor of the final visual outcome.

克罗地亚队列中的开放性眼球损伤:眼外伤评分在预测最终视力结果中的特点和预后价值。
背景:眼球开放性损伤(OGI)是眼科学中最严重的眼外伤。本研究的目的是分析OGI的特点和预后因素,并评价眼外伤评分(OTS)在预测最终视力结果方面的预后价值。方法:对2020年1月至2023年1月间转介至克罗地亚斯普利特大学医院中心眼科诊所的56例患者的OGI进行回顾性研究。分析OGI特征及影响最终视觉结果的其他相关因素。将OTS系统预测的最终视力结果与研究中观察到的结果进行比较。统计分析采用非参数统计方法(Wilcoxon、Kruskal-Wallis和卡方检验),多重比较采用Bonferroni校正。结果:患者平均年龄45岁;男性48例(86%),女性8例(14%)。大多数患者(68%)在伤后6小时内入院治疗。大多数损伤(88%)发生在休闲时间,大多数位于2区(46%)。穿透性损伤是最常见的损伤类型(52%),而球破裂存在16例(29%)。27例(48%)患者后段受累。16例(29%)患者最终BCVA达到≥0.5。最糟糕的最终BCVA- NLP最常见于球体破裂患者(38%)。结论:克罗地亚队列研究显示,OGI患者最终BCVA预后最重要的因素是初始BCVA、损伤类型、RAPD、伤口的定位和程度,以及在专业机构和经验丰富的外科医生进行适当、及时的手术治疗。此外,我们的研究结果与国际OTS小组的研究结果基本一致,并支持OTS是最终视觉结果的可靠预测因子的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.50
自引率
4.30%
发文量
81
审稿时长
19 weeks
期刊介绍: International Journal of Retina and Vitreous focuses on the ophthalmic subspecialty of vitreoretinal disorders. The journal presents original articles on new approaches to diagnosis, outcomes of clinical trials, innovations in pharmacological therapy and surgical techniques, as well as basic science advances that impact clinical practice. Topical areas include, but are not limited to: -Imaging of the retina, choroid and vitreous -Innovations in optical coherence tomography (OCT) -Small-gauge vitrectomy, retinal detachment, chromovitrectomy -Electroretinography (ERG), microperimetry, other functional tests -Intraocular tumors -Retinal pharmacotherapy & drug delivery -Diabetic retinopathy & other vascular diseases -Age-related macular degeneration (AMD) & other macular entities
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