Visual outcome after emergency surgery for open globe eye injury in Japan

Ai Toride,1,2 Hiroshi Toshida,1 Asaki Matsui,1 Yusuke Matsuzaki,1 Rio Honda,1,3 Toshihiko Ohta,1 Akira Murakami3 1Department of Ophthalmology, Juntendo University Shizuoka Hospital, Shizuoka, 2Department of Ophthalmology, Juntendo University Nerima Hospital, 3Department of Ophthalmology, Juntendo U...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Toride A, Toshida H, Matsui A, Matsuzaki Y, Honda R, Ohta T, Murakami A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://doaj.org/article/6316317f72db490ea32eda02b8281420
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:6316317f72db490ea32eda02b8281420
record_format dspace
spelling oai:doaj.org-article:6316317f72db490ea32eda02b82814202021-12-02T02:46:35ZVisual outcome after emergency surgery for open globe eye injury in Japan1177-5483https://doaj.org/article/6316317f72db490ea32eda02b82814202016-09-01T00:00:00Zhttps://www.dovepress.com/visual-outcome-after-emergency-surgery-for-open-globe-eye-injury-in-ja-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ai Toride,1,2 Hiroshi Toshida,1 Asaki Matsui,1 Yusuke Matsuzaki,1 Rio Honda,1,3 Toshihiko Ohta,1 Akira Murakami3 1Department of Ophthalmology, Juntendo University Shizuoka Hospital, Shizuoka, 2Department of Ophthalmology, Juntendo University Nerima Hospital, 3Department of Ophthalmology, Juntendo University School of Medicine, Tokyo, Japan Background: Most patients with open globe eye injury are brought to hospital as emergency patients and usually require admission for emergency surgery. We analyzed the visual outcome in patients with open globe eye injury at our hospital over a 4-year period.Patients and methods: This study reviewed 40 eyes of 40 patients with open globe eye injury who were presented to Juntendo University Shizuoka Hospital and required emergency surgery during the 4 years from January 2010 to December 2014. Retrospective evaluation of the visual outcome was performed using data from the medical records, including assessment of the influence of sex, side of the eye injury, cause of injury, and site/severity of injury.Results: The mean age (SD) at the time of the injury was 58.9 years (±25.1 years). There were 28 males (70.0%) and 12 females (30.0%). Statistically significant improvement in visual acuity after treatment was noted in the males (P=0.0015, Wilcoxon test), but not in the females. Twenty-five patients had injury to the right eye (62.5%) and 15 had injury to the left eye (37.5%). A significant improvement in visual acuity was achieved after treatment of injury to the right eye (P=0.021), but not the left eye (P=0.109). The most frequent cause of injury was an accident (15 eyes; 37.5%). The second most frequent cause was work-related injury (14 eyes; 35.0%), which only occurred in males, and the third cause was accident due to negligence (eleven eyes; 27.5%). Two patients developed sympathetic ophthalmia and one patient developed postoperative endophthalmitis. Conclusion: The majority of patients with open globe eye injury were male workers in Japan. The visual outcome of work-related injury was better than that of injury due to other causes. The visual outcome was also better if the right eye was injured compared with the left eye. Patients with injuries due to negligence were older than the other groups, and this finding might be characteristic of an aging society. Keywords: ocular trauma, visual outcome, accident, work-related injury, negligenceToride AToshida HMatsui AMatsuzaki YHonda ROhta TMurakami ADove Medical Pressarticleopen globe eye injuryocular traumavisual outcomeaccidentwork-related injurynegligence.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 1731-1736 (2016)
institution DOAJ
collection DOAJ
language EN
topic open globe eye injury
ocular trauma
visual outcome
accident
work-related injury
negligence.
Ophthalmology
RE1-994
spellingShingle open globe eye injury
ocular trauma
visual outcome
accident
work-related injury
negligence.
Ophthalmology
RE1-994
Toride A
Toshida H
Matsui A
Matsuzaki Y
Honda R
Ohta T
Murakami A
Visual outcome after emergency surgery for open globe eye injury in Japan
description Ai Toride,1,2 Hiroshi Toshida,1 Asaki Matsui,1 Yusuke Matsuzaki,1 Rio Honda,1,3 Toshihiko Ohta,1 Akira Murakami3 1Department of Ophthalmology, Juntendo University Shizuoka Hospital, Shizuoka, 2Department of Ophthalmology, Juntendo University Nerima Hospital, 3Department of Ophthalmology, Juntendo University School of Medicine, Tokyo, Japan Background: Most patients with open globe eye injury are brought to hospital as emergency patients and usually require admission for emergency surgery. We analyzed the visual outcome in patients with open globe eye injury at our hospital over a 4-year period.Patients and methods: This study reviewed 40 eyes of 40 patients with open globe eye injury who were presented to Juntendo University Shizuoka Hospital and required emergency surgery during the 4 years from January 2010 to December 2014. Retrospective evaluation of the visual outcome was performed using data from the medical records, including assessment of the influence of sex, side of the eye injury, cause of injury, and site/severity of injury.Results: The mean age (SD) at the time of the injury was 58.9 years (±25.1 years). There were 28 males (70.0%) and 12 females (30.0%). Statistically significant improvement in visual acuity after treatment was noted in the males (P=0.0015, Wilcoxon test), but not in the females. Twenty-five patients had injury to the right eye (62.5%) and 15 had injury to the left eye (37.5%). A significant improvement in visual acuity was achieved after treatment of injury to the right eye (P=0.021), but not the left eye (P=0.109). The most frequent cause of injury was an accident (15 eyes; 37.5%). The second most frequent cause was work-related injury (14 eyes; 35.0%), which only occurred in males, and the third cause was accident due to negligence (eleven eyes; 27.5%). Two patients developed sympathetic ophthalmia and one patient developed postoperative endophthalmitis. Conclusion: The majority of patients with open globe eye injury were male workers in Japan. The visual outcome of work-related injury was better than that of injury due to other causes. The visual outcome was also better if the right eye was injured compared with the left eye. Patients with injuries due to negligence were older than the other groups, and this finding might be characteristic of an aging society. Keywords: ocular trauma, visual outcome, accident, work-related injury, negligence
format article
author Toride A
Toshida H
Matsui A
Matsuzaki Y
Honda R
Ohta T
Murakami A
author_facet Toride A
Toshida H
Matsui A
Matsuzaki Y
Honda R
Ohta T
Murakami A
author_sort Toride A
title Visual outcome after emergency surgery for open globe eye injury in Japan
title_short Visual outcome after emergency surgery for open globe eye injury in Japan
title_full Visual outcome after emergency surgery for open globe eye injury in Japan
title_fullStr Visual outcome after emergency surgery for open globe eye injury in Japan
title_full_unstemmed Visual outcome after emergency surgery for open globe eye injury in Japan
title_sort visual outcome after emergency surgery for open globe eye injury in japan
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/6316317f72db490ea32eda02b8281420
work_keys_str_mv AT toridea visualoutcomeafteremergencysurgeryforopenglobeeyeinjuryinjapan
AT toshidah visualoutcomeafteremergencysurgeryforopenglobeeyeinjuryinjapan
AT matsuia visualoutcomeafteremergencysurgeryforopenglobeeyeinjuryinjapan
AT matsuzakiy visualoutcomeafteremergencysurgeryforopenglobeeyeinjuryinjapan
AT hondar visualoutcomeafteremergencysurgeryforopenglobeeyeinjuryinjapan
AT ohtat visualoutcomeafteremergencysurgeryforopenglobeeyeinjuryinjapan
AT murakamia visualoutcomeafteremergencysurgeryforopenglobeeyeinjuryinjapan
_version_ 1718402164398751744