Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body

Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body

Tanapat Ratanapakorn,1 Parichat Kongmalai,2 Suthasinee Sinawat,1 Thuss Sanguansak,1 Chavakij Bhoomibunchoo,1 Wipada Laovirojjanakul,1 Yosanan Yospaiboon1 1KKU Eye Center, Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 2Chaophrayayommarat Hospital, Suphan...

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Autores principales: Ratanapakorn T, Kongmalai P, Sinawat S, Sanguansak T, Bhoomibunchoo C, Laovirojjanakul W, Yospaiboon Y
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
: intraocular foreign body
eye injury
predictive factors
visual outcome
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/ee17e5c020c64671bc0090e8fb0f250e
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spelling oai:doaj.org-article:ee17e5c020c64671bc0090e8fb0f250e2021-12-02T10:40:57ZPredictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body1177-5483https://doaj.org/article/ee17e5c020c64671bc0090e8fb0f250e2021-01-01T00:00:00Zhttps://www.dovepress.com/predictors-for-visual-outcomes-in-eye-injuries-with-intraocular-foreig-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Tanapat Ratanapakorn,1 Parichat Kongmalai,2 Suthasinee Sinawat,1 Thuss Sanguansak,1 Chavakij Bhoomibunchoo,1 Wipada Laovirojjanakul,1 Yosanan Yospaiboon1 1KKU Eye Center, Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 2Chaophrayayommarat Hospital, Suphanburi, ThailandCorrespondence: Yosanan YospaiboonKKU Eye Center, Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, 123 Mitraparb Highway, Khon Kaen 40002, ThailandTel +66 43 348383Email yyosanan@gmail.comObjective: To study the visual outcomes and identify the predictive factors for visual outcomes in patients with eye injuries and retained intraocular foreign bodies (IOFBs).Patients and Methods: The medical records of 359 consecutive patients with eye injuries and retained IOFBs were retrospectively reviewed during 2009– 2018. Demographic data, clinical findings, treatment and visual outcomes were studied. Univariate and multivariate analyses were used to identify the predictive factors.Results: Most of the patients were male and the average age was 36.4 years old. The three most common causes of eye injuries were grass trimming (25.07%), chiseling (23.12%) and hammering (13.93%). Most of the patients (79.39%) presented with poor initial best-corrected visual acuity (BCVA) (< 3/60). Pars plana vitrectomy with IOFB removal was done in 273 eyes (76.04%). After treatment, eyes with poor BCVA (< 3/60) decreased from 79.39% to 62.95% and eyes with good BCVA (≥ 3/60) increased from 20.61% to 37.05%. Poor initial best-corrected visual acuity (odds ratio 23.39, P< 0.001), rhegmatogenous retinal detachment (odds ratio 9.91, P< 0.001) and the presence of infectious endophthalmitis (odds ratio 2.06, P=0.02) were statistically significant predictive factors for poor visual outcome.Conclusion: Most patients with eye injuries and IOFBs usually have poor final BCVA. Poor presenting BCVA, retinal detachment and endophthalmitis are significant predictive factors for poor visual outcomes. These factors can be used to inform the visual prognosis and plan prompt surgical intervention for the patients. Causes of IOFBs were mostly work-related and could be preventable. Education and activation of using appropriate protective safety glasses during work are necessary to avoid serious eye injuries and blindness.Keywords: intraocular foreign body, eye injury, predictive factors, visual outcomeRatanapakorn TKongmalai PSinawat SSanguansak TBhoomibunchoo CLaovirojjanakul WYospaiboon YDove Medical Pressarticle: intraocular foreign bodyeye injurypredictive factorsvisual outcomeOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 4587-4593 (2021)
institution DOAJ
collection DOAJ
language EN
topic : intraocular foreign body
eye injury
predictive factors
visual outcome
Ophthalmology
RE1-994
spellingShingle : intraocular foreign body
eye injury
predictive factors
visual outcome
Ophthalmology
RE1-994
Ratanapakorn T
Kongmalai P
Sinawat S
Sanguansak T
Bhoomibunchoo C
Laovirojjanakul W
Yospaiboon Y
Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body
description Tanapat Ratanapakorn,1 Parichat Kongmalai,2 Suthasinee Sinawat,1 Thuss Sanguansak,1 Chavakij Bhoomibunchoo,1 Wipada Laovirojjanakul,1 Yosanan Yospaiboon1 1KKU Eye Center, Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 2Chaophrayayommarat Hospital, Suphanburi, ThailandCorrespondence: Yosanan YospaiboonKKU Eye Center, Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, 123 Mitraparb Highway, Khon Kaen 40002, ThailandTel +66 43 348383Email yyosanan@gmail.comObjective: To study the visual outcomes and identify the predictive factors for visual outcomes in patients with eye injuries and retained intraocular foreign bodies (IOFBs).Patients and Methods: The medical records of 359 consecutive patients with eye injuries and retained IOFBs were retrospectively reviewed during 2009– 2018. Demographic data, clinical findings, treatment and visual outcomes were studied. Univariate and multivariate analyses were used to identify the predictive factors.Results: Most of the patients were male and the average age was 36.4 years old. The three most common causes of eye injuries were grass trimming (25.07%), chiseling (23.12%) and hammering (13.93%). Most of the patients (79.39%) presented with poor initial best-corrected visual acuity (BCVA) (< 3/60). Pars plana vitrectomy with IOFB removal was done in 273 eyes (76.04%). After treatment, eyes with poor BCVA (< 3/60) decreased from 79.39% to 62.95% and eyes with good BCVA (≥ 3/60) increased from 20.61% to 37.05%. Poor initial best-corrected visual acuity (odds ratio 23.39, P< 0.001), rhegmatogenous retinal detachment (odds ratio 9.91, P< 0.001) and the presence of infectious endophthalmitis (odds ratio 2.06, P=0.02) were statistically significant predictive factors for poor visual outcome.Conclusion: Most patients with eye injuries and IOFBs usually have poor final BCVA. Poor presenting BCVA, retinal detachment and endophthalmitis are significant predictive factors for poor visual outcomes. These factors can be used to inform the visual prognosis and plan prompt surgical intervention for the patients. Causes of IOFBs were mostly work-related and could be preventable. Education and activation of using appropriate protective safety glasses during work are necessary to avoid serious eye injuries and blindness.Keywords: intraocular foreign body, eye injury, predictive factors, visual outcome
format article
author Ratanapakorn T
Kongmalai P
Sinawat S
Sanguansak T
Bhoomibunchoo C
Laovirojjanakul W
Yospaiboon Y
author_facet Ratanapakorn T
Kongmalai P
Sinawat S
Sanguansak T
Bhoomibunchoo C
Laovirojjanakul W
Yospaiboon Y
author_sort Ratanapakorn T
title Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body
title_short Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body
title_full Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body
title_fullStr Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body
title_full_unstemmed Predictors for Visual Outcomes in Eye Injuries with Intraocular Foreign Body
title_sort predictors for visual outcomes in eye injuries with intraocular foreign body
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/ee17e5c020c64671bc0090e8fb0f250e
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AT sinawats predictorsforvisualoutcomesineyeinjurieswithintraocularforeignbody
AT sanguansakt predictorsforvisualoutcomesineyeinjurieswithintraocularforeignbody
AT bhoomibunchooc predictorsforvisualoutcomesineyeinjurieswithintraocularforeignbody
AT laovirojjanakulw predictorsforvisualoutcomesineyeinjurieswithintraocularforeignbody
AT yospaiboony predictorsforvisualoutcomesineyeinjurieswithintraocularforeignbody
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