Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients

Shaheen C Kavoussi,1 Martin D Slade,2 Seth W Meskin,1 Ron A Adelman11Department of Ophthalmology and Visual Science, 2Department of Occupational and Environmental Medicine, Yale University School of Medicine, New Haven, CT, USA Aim: We aimed to identify the characteristics and pro...

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Autores principales:	Kavoussi SC, Slade MD, Meskin SW, Adelman RA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a3b94351ec6c421d8f1c57f634fd76ab
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spelling	oai:doaj.org-article:a3b94351ec6c421d8f1c57f634fd76ab2021-12-02T07:34:32ZCharacteristics and outcomes of fall-related open-globe injuries in pseudophakic patients1177-5483https://doaj.org/article/a3b94351ec6c421d8f1c57f634fd76ab2015-02-01T00:00:00Zhttp://www.dovepress.com/characteristics-and-outcomes-of-fall-related-open-globe-injuries-in-ps-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Shaheen C Kavoussi,1 Martin D Slade,2 Seth W Meskin,1 Ron A Adelman11Department of Ophthalmology and Visual Science, 2Department of Occupational and Environmental Medicine, Yale University School of Medicine, New Haven, CT, USA Aim: We aimed to identify the characteristics and prognostic indicators of poor visual and anatomic outcome in pseudophakic patients with fall-related open-globe (OG) injuries. We used a case series design, for a total of 26 patients.Methods: Charts of consecutive pseudophakic patients with fall-related OG injury at a single institution were reviewed. Demographics, ophthalmic history, circumstances of injury, initial best-corrected visual acuity (BCVA), examination findings, surgical interventions, and follow-up BCVA were tabulated for statistical analysis with unpaired t-tests and Fisher’s exact tests.Results: Nineteen patients (73%) were women. Mean (± standard deviation) age was 80.6±4.6 years (range: 61–97 years). Initial BCVA was <20/400 in 24 of 25 patients (96%). Mean ocular trauma score (OTS) was 38.54±10.95. OTS was lower (P=0.0017, P<0.0001, and P=0.0240) and wound size was larger (P=0.0440, 0.0145, and 0.0026) in patients with final BCVA <20/40, <20/400, and phthisis at final follow-up, respectively; compared to patients with BCVA ≥20/40, 20/400, and no phthisis at final follow-up, respectively. Final BCVA <20/400 was associated with 360° subconjunctival hemorrhage (SCH), retinal detachment, and proliferative vitreoretinopathy (P=0.0498, 0.0181, and 0.0310, respectively). Total hyphema, intraocular lens (IOL) damage, and IOL expulsion were associated with needing multiple surgical interventions (P=0.0345, P<0.0001, and P=0.0023, respectively).Conclusion: Large wound size, low OTS, 360° SCH, total hyphema, posterior injury, and IOL damage are common findings that are also prognostic of poor visual and anatomic outcome in pseudophakic patients with fall-related OG injuries. Ophthalmologists dealing primarily with geriatric populations should contribute to the discussion of fall risk. Keywords: fall, injury, open globe, pseudophakia, traumaKavoussi SCSlade MDMeskin SWAdelman RADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 403-408 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kavoussi SC Slade MD Meskin SW Adelman RA Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients
description	Shaheen C Kavoussi,1 Martin D Slade,2 Seth W Meskin,1 Ron A Adelman11Department of Ophthalmology and Visual Science, 2Department of Occupational and Environmental Medicine, Yale University School of Medicine, New Haven, CT, USA Aim: We aimed to identify the characteristics and prognostic indicators of poor visual and anatomic outcome in pseudophakic patients with fall-related open-globe (OG) injuries. We used a case series design, for a total of 26 patients.Methods: Charts of consecutive pseudophakic patients with fall-related OG injury at a single institution were reviewed. Demographics, ophthalmic history, circumstances of injury, initial best-corrected visual acuity (BCVA), examination findings, surgical interventions, and follow-up BCVA were tabulated for statistical analysis with unpaired t-tests and Fisher’s exact tests.Results: Nineteen patients (73%) were women. Mean (± standard deviation) age was 80.6±4.6 years (range: 61–97 years). Initial BCVA was <20/400 in 24 of 25 patients (96%). Mean ocular trauma score (OTS) was 38.54±10.95. OTS was lower (P=0.0017, P<0.0001, and P=0.0240) and wound size was larger (P=0.0440, 0.0145, and 0.0026) in patients with final BCVA <20/40, <20/400, and phthisis at final follow-up, respectively; compared to patients with BCVA ≥20/40, 20/400, and no phthisis at final follow-up, respectively. Final BCVA <20/400 was associated with 360° subconjunctival hemorrhage (SCH), retinal detachment, and proliferative vitreoretinopathy (P=0.0498, 0.0181, and 0.0310, respectively). Total hyphema, intraocular lens (IOL) damage, and IOL expulsion were associated with needing multiple surgical interventions (P=0.0345, P<0.0001, and P=0.0023, respectively).Conclusion: Large wound size, low OTS, 360° SCH, total hyphema, posterior injury, and IOL damage are common findings that are also prognostic of poor visual and anatomic outcome in pseudophakic patients with fall-related OG injuries. Ophthalmologists dealing primarily with geriatric populations should contribute to the discussion of fall risk. Keywords: fall, injury, open globe, pseudophakia, trauma
format	article
author	Kavoussi SC Slade MD Meskin SW Adelman RA
author_facet	Kavoussi SC Slade MD Meskin SW Adelman RA
author_sort	Kavoussi SC
title	Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients
title_short	Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients
title_full	Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients
title_fullStr	Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients
title_full_unstemmed	Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients
title_sort	characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/a3b94351ec6c421d8f1c57f634fd76ab
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Characteristics and outcomes of fall-related open-globe injuries in pseudophakic patients

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