Risk factors for poor outcomes in patients with open-globe injuries

Rita D Page,1 Sumeet K Gupta,1 Thomas L Jenkins,1 Zeynel A Karcioglu1,2 1Department of Ophthalmology, 2Department of Pathology, University of Virginia, Charlottesville, VA, USA Purpose: The aim of this study was to identify the risk factors that are predictive of poor outcomes in penetrating globe...

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Autores principales:	Page RD, Gupta SK, Jenkins TL, Karcioglu ZA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	penetrating globe trauma eye injuries prognostic factors predictors visual outcome ocular trauma score Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/19958835527c43a2be8ec4ab628d116d
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spelling	oai:doaj.org-article:19958835527c43a2be8ec4ab628d116d2021-12-02T00:28:41ZRisk factors for poor outcomes in patients with open-globe injuries1177-5483https://doaj.org/article/19958835527c43a2be8ec4ab628d116d2016-08-01T00:00:00Zhttps://www.dovepress.com/risk-factors-for-poor-outcomes-in-patients-with-open-globe-injuries-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Rita D Page,1 Sumeet K Gupta,1 Thomas L Jenkins,1 Zeynel A Karcioglu1,2 1Department of Ophthalmology, 2Department of Pathology, University of Virginia, Charlottesville, VA, USA Purpose: The aim of this study was to identify the risk factors that are predictive of poor outcomes in penetrating globe trauma.Patients and methods: This retrospective case series evaluated 103 eyes that had been surgically treated for an open-globe injury from 2007 to 2010 at the eye clinic of the University of Virginia. A total of 64 eyes with complete medical records and at least 6 months of follow-up were included in the study. Four risk factors (preoperative best-corrected visual acuity [pre-op BCVA], ocular trauma score [OTS], zone of injury [ZOI], and time lapse [TL] between injury and primary repair) and three outcomes (final BCVA, monthly rate of additional surgeries [MRAS], and enucleation) were identified for analysis.Results: Pre-op BCVA was positively associated with MRAS, final BCVA, and enucleation. Calculated OTS was negatively associated with the outcome variables. No association was found between TL and ZOI with the outcome variables. Further, age and predictor variable-adjusted analyses showed pre-op BCVA to be independently positively associated with MRAS (P=0.008) and with final BCVA (P<0.001), while the calculated OTS was independently negatively associated with final BCVA (P<0.001), but not uniquely associated with MRAS (P=0.530).Conclusion: Pre-op BCVA and OTS are best correlated with prognosis in open-globe injuries. However, no conventional features reliably predict the outcome of traumatized eyes. Keywords: penetrating globe trauma, eye injuries, prognostic factors, predictors, visual outcome, ocular trauma scorePage RDGupta SKJenkins TLKarcioglu ZADove Medical Pressarticlepenetrating globe traumaeye injuriesprognostic factorspredictorsvisual outcomeocular trauma scoreOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 1461-1466 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	penetrating globe trauma eye injuries prognostic factors predictors visual outcome ocular trauma score Ophthalmology RE1-994
spellingShingle	penetrating globe trauma eye injuries prognostic factors predictors visual outcome ocular trauma score Ophthalmology RE1-994 Page RD Gupta SK Jenkins TL Karcioglu ZA Risk factors for poor outcomes in patients with open-globe injuries
description	Rita D Page,1 Sumeet K Gupta,1 Thomas L Jenkins,1 Zeynel A Karcioglu1,2 1Department of Ophthalmology, 2Department of Pathology, University of Virginia, Charlottesville, VA, USA Purpose: The aim of this study was to identify the risk factors that are predictive of poor outcomes in penetrating globe trauma.Patients and methods: This retrospective case series evaluated 103 eyes that had been surgically treated for an open-globe injury from 2007 to 2010 at the eye clinic of the University of Virginia. A total of 64 eyes with complete medical records and at least 6 months of follow-up were included in the study. Four risk factors (preoperative best-corrected visual acuity [pre-op BCVA], ocular trauma score [OTS], zone of injury [ZOI], and time lapse [TL] between injury and primary repair) and three outcomes (final BCVA, monthly rate of additional surgeries [MRAS], and enucleation) were identified for analysis.Results: Pre-op BCVA was positively associated with MRAS, final BCVA, and enucleation. Calculated OTS was negatively associated with the outcome variables. No association was found between TL and ZOI with the outcome variables. Further, age and predictor variable-adjusted analyses showed pre-op BCVA to be independently positively associated with MRAS (P=0.008) and with final BCVA (P<0.001), while the calculated OTS was independently negatively associated with final BCVA (P<0.001), but not uniquely associated with MRAS (P=0.530).Conclusion: Pre-op BCVA and OTS are best correlated with prognosis in open-globe injuries. However, no conventional features reliably predict the outcome of traumatized eyes. Keywords: penetrating globe trauma, eye injuries, prognostic factors, predictors, visual outcome, ocular trauma score
format	article
author	Page RD Gupta SK Jenkins TL Karcioglu ZA
author_facet	Page RD Gupta SK Jenkins TL Karcioglu ZA
author_sort	Page RD
title	Risk factors for poor outcomes in patients with open-globe injuries
title_short	Risk factors for poor outcomes in patients with open-globe injuries
title_full	Risk factors for poor outcomes in patients with open-globe injuries
title_fullStr	Risk factors for poor outcomes in patients with open-globe injuries
title_full_unstemmed	Risk factors for poor outcomes in patients with open-globe injuries
title_sort	risk factors for poor outcomes in patients with open-globe injuries
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/19958835527c43a2be8ec4ab628d116d
work_keys_str_mv	AT pagerd riskfactorsforpooroutcomesinpatientswithopenglobeinjuries AT guptask riskfactorsforpooroutcomesinpatientswithopenglobeinjuries AT jenkinstl riskfactorsforpooroutcomesinpatientswithopenglobeinjuries AT karciogluza riskfactorsforpooroutcomesinpatientswithopenglobeinjuries
_version_	1718403660881330176

Risk factors for poor outcomes in patients with open-globe injuries

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