Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury

Abstract Longitudinal trends on traumatic cataract wound dehiscence are scant. In this study, we present the characteristics of traumatic cataract wound dehiscence using 15 years of longitudinal trend in one of the largest medical centers in Taiwan for a period when cataract surgeries were gradually...

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Autores principales:	Chiun-Ho Hou, Yu-Chin Lu, Christy Pu, Yin-Hsi Chang, Ken-Kuo Lin, Jiahn-Shing Lee, Kuan-Jen Chen
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fbfe3231211144c8b5b57577beb8f136
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spelling	oai:doaj.org-article:fbfe3231211144c8b5b57577beb8f1362021-12-02T15:15:45ZOutcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury10.1038/s41598-021-97723-42045-2322https://doaj.org/article/fbfe3231211144c8b5b57577beb8f1362021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-97723-4https://doaj.org/toc/2045-2322Abstract Longitudinal trends on traumatic cataract wound dehiscence are scant. In this study, we present the characteristics of traumatic cataract wound dehiscence using 15 years of longitudinal trend in one of the largest medical centers in Taiwan for a period when cataract surgeries were gradually shifting from extracapsular cataract extraction (ECCE) to phacoemulsification. All patients with a prior cataract surgery who suffered from blunt open globe trauma between 2001 and 2015 at a tertiary referral center in Taiwan were included. The number of cases per year; type of prior cataract surgery; visual acuity (VA); mechanism and place of injury were analyzed. The risk factors associated with final VA were investigated in patients followed up for ≥ 1 month. Seventy-six eyes of 75 patients were included and all of them were traumatic cataract wound dehiscence with a prior ECCE (65 eyes) or phacoemulsification. The most common mechanism and place of injury was fall and at home in both cataract surgical types. The mean log of the minimal angle resolution (logMAR) of final VA was 2.15 ± 0.88 (ECCE) and 1.61 ± 0.83 (phacoemulsification) (P = .026). The most significant risk factors associated with worse final VA were retinal detachment at the initial visit and low ocular trauma score (both P < .001). Long-term visual outcome of phacoemulsification wound dehiscence was better than that of ECCE wound after a blunt trauma.Chiun-Ho HouYu-Chin LuChristy PuYin-Hsi ChangKen-Kuo LinJiahn-Shing LeeKuan-Jen ChenNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chiun-Ho Hou Yu-Chin Lu Christy Pu Yin-Hsi Chang Ken-Kuo Lin Jiahn-Shing Lee Kuan-Jen Chen Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury
description	Abstract Longitudinal trends on traumatic cataract wound dehiscence are scant. In this study, we present the characteristics of traumatic cataract wound dehiscence using 15 years of longitudinal trend in one of the largest medical centers in Taiwan for a period when cataract surgeries were gradually shifting from extracapsular cataract extraction (ECCE) to phacoemulsification. All patients with a prior cataract surgery who suffered from blunt open globe trauma between 2001 and 2015 at a tertiary referral center in Taiwan were included. The number of cases per year; type of prior cataract surgery; visual acuity (VA); mechanism and place of injury were analyzed. The risk factors associated with final VA were investigated in patients followed up for ≥ 1 month. Seventy-six eyes of 75 patients were included and all of them were traumatic cataract wound dehiscence with a prior ECCE (65 eyes) or phacoemulsification. The most common mechanism and place of injury was fall and at home in both cataract surgical types. The mean log of the minimal angle resolution (logMAR) of final VA was 2.15 ± 0.88 (ECCE) and 1.61 ± 0.83 (phacoemulsification) (P = .026). The most significant risk factors associated with worse final VA were retinal detachment at the initial visit and low ocular trauma score (both P < .001). Long-term visual outcome of phacoemulsification wound dehiscence was better than that of ECCE wound after a blunt trauma.
format	article
author	Chiun-Ho Hou Yu-Chin Lu Christy Pu Yin-Hsi Chang Ken-Kuo Lin Jiahn-Shing Lee Kuan-Jen Chen
author_facet	Chiun-Ho Hou Yu-Chin Lu Christy Pu Yin-Hsi Chang Ken-Kuo Lin Jiahn-Shing Lee Kuan-Jen Chen
author_sort	Chiun-Ho Hou
title	Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury
title_short	Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury
title_full	Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury
title_fullStr	Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury
title_full_unstemmed	Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury
title_sort	outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/fbfe3231211144c8b5b57577beb8f136
work_keys_str_mv	AT chiunhohou outcomesandlongitudinaltrendoftraumaticcataractwounddehiscenceinpatientswithbluntocularinjury AT yuchinlu outcomesandlongitudinaltrendoftraumaticcataractwounddehiscenceinpatientswithbluntocularinjury AT christypu outcomesandlongitudinaltrendoftraumaticcataractwounddehiscenceinpatientswithbluntocularinjury AT yinhsichang outcomesandlongitudinaltrendoftraumaticcataractwounddehiscenceinpatientswithbluntocularinjury AT kenkuolin outcomesandlongitudinaltrendoftraumaticcataractwounddehiscenceinpatientswithbluntocularinjury AT jiahnshinglee outcomesandlongitudinaltrendoftraumaticcataractwounddehiscenceinpatientswithbluntocularinjury AT kuanjenchen outcomesandlongitudinaltrendoftraumaticcataractwounddehiscenceinpatientswithbluntocularinjury
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Outcomes and longitudinal trend of traumatic cataract wound dehiscence in patients with blunt ocular injury

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