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To analyse the outcomes of ocular trauma on the basis of zone of injury

Year 2019, Volume: 1 Issue: 2, 95 - 99, 30.08.2019

Abstract

   Purpose: To analyze the outcome of ocular trauma based on the zone of injury.

   Material and Method: A total of 244 patients with eye injuries were included in this study. The study was conducted at Department of Ophthalmology, General Hospital Lahore in Lahore from January 1 2016, to September 30 2018, and data was collected through pre-designed Proforma. Data about age, sex, causes, affected ocular zone, and visual acuity (VA) before and after treatment were recorded. Patients were grouped into 3 groups: Zone 1, 2, and 3 according to the damaged ocular area.

   Results: This study included a total of 244 patients having ocular trauma. Zone 1 group included 136 patients. VA before treatment ranged from light perception (LP) to 6/60 in 130 patients, 4 patients had 6/36 to 6/12, and 2 patients had 6/9 to 6/6. VA after treatment was between LP and 6/60 in 128 patients, 5 patients had 6/36 to 6/12, and 3 patients had 6/9 to 6/6. Zone 2 group included 76 patients. VA before treatment ranged from LP to 6/60 in 52 patients, 18 patients had 6/36 to 6/12, and 6 patients had 6/9 to 6/6 . VA after treatment was between LP and 6/60 in 46 patients, 25 patients had 6/36 to 6/12, and 7 patients had 6/9 to 6/6. Zone 3 injury group included 32 patients with VA between LP to 6/60 before treatment VA after treatment was between LP and 6/60 in 31 patients, and 1 patient between 6/36 and 6/12.

   Conclusion: Improvement in VA after ophthalmic care is directly dependent upon the extent of ocular damage and VA before the treatment.

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References

  • 1. Négrel A.-D., Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiology. 1998;5(3):143–69.
  • 2. Al-Bdour M. D., Azab M. A. Childhood eye injuries in North Jordan. International Ophthalmology. 1998;22(5):269–73.
  • 3. de Bustros S., Michels R. G., Glaser B. M. Evolving concepts in the management of posterior segment penetrating ocular injuries. Retina. 1990;10(supplement 1): S72–5.
  • 4. Wong TY, Klein BEK, Klein R. The prevalence and 5-year incidence of ocular trauma. The Beaver Dam Eye study. Ophthalmology. 2000;107(12):2196–202.
  • 5. Bauza AM, Emami P, Soni N, Holland BK, Langer P, Zarbin M, Bhagat N. A 10-year review of assault-related open-globe injuries at an urban hospital. Graefe's Archive for Clinical and Experimental Ophthalmology. 2013;251(3):653–59.
  • 6. De Juan E, Sternberg P, Michels RG. Penetrating ocular injuries. Types of injuries and visual results. Ophthalmology. 1983;90(11):1318–1322. doi: 10.1016/s0161-6420(83)34387-6.
  • 7. Sudhalkar A, Chhablani J, Jalali S, Narayanan R. Traumatic vitreous hemorrhage in children-clinical features and outcomes. Eye Science. 2014;29(2):63–69.
  • 8. Zhu L, Wu Z, Dong F, Feng J, Lou D, Du C, Ren P. Two kinds of ocular trauma score for paediatric traumatic cataract in penetrating eye injuries. Injury. 2015;46(9):1828-33.
  • 9. Spiegel D., Nasemann J., Nawrocki J., Gabel V.-P. Severe ocular trauma managed with primary pars plana vitrectomy and silicone oil. Retina. 1997;17(4):275–85.
  • 10. Cekic O., Batman C. Severe ocular trauma managed with primary pars plana vitrectomy and silicone oil. Retina. 1998;18(3):287–8.
  • 11. iu X, Liu Z, Liu Y, Zhao L, Xu S, Su G, Zhao J. Determination of visual prognosis in children with open globe injuries. Eye (Lond). 2014;28(7):852-6
  • 12. Teixeira S. M., Bastos R. R., Falcão M. S., Falcão-Reis F. M., Rocha-Sousa A. A. Open-globe injuries at an emergency department in Porto, Portugal: clinical features and prognostic factors. European Journal of Ophthalmology. 2014;24(6):932–9.
  • 13. Agrawal R., Wei H. S., Teoh S. Prognostic factors for open globe injuries and correlation of ocular trauma score at a tertiary referral eye care centre in Singapore. Indian Journal of Ophthalmology. 2013;61(9):502–6. 14. Yalcin Tök O, Tok L, Eraslan E, Ozkaya D, Ornek F, Bardak Y. Prognostic factors influencing final visual acuity in open globe injuries. J Trauma. 2011;71(6):1794-800.
  • 15. Esmaeli B, Elner SG, Schork MA, Elner VM. Visual outcome and ocular survival after penetrating trauma: a clinicopathologic study. Ophthalmology. 1995;102(3):393–400.
  • 16. Gilbert CM, Soong HK, Hirst LW. A two-year prospective study of penetrating ocular trauma at the Wilmer Ophthalmological Institute. Ann Ophthalmol. 1987;19(3):104-6.
  • 17. Pieramici DJ, MacCumber MW, Humayun MU, Marsh MJ, de Juan E Jr. Open-globe injury. Update on types of injuries and visual results. Ophthalmology. 1996;103(11):1798-803.
  • 18. Pieramici DJ, Au Eong KG, Sternberg P Jr, Marsh MJ. The prognostic significance of a system for classifying mechanical injuries of the eye (globe) in open-globe injuries. J Trauma. 2003;54(4):750-4.
  • 19. Sternberg P Jr, de Juan E Jr, Michels RG, Auer C. Multivariate analysis of prognostic factors in penetrating ocular injuries. Am J Ophthalmol. 1984;98(4):467-72.
  • 20. Rahman I, Maino A, Devadason D, Leatherbarrow B. Open globe injuries: factors predictive of poor outcome. Eye (Lond). 2006;20(12):1336-41.
  • 21. Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision survival after open globe injury predicted by classification and regression tree analysis. Ophthalmology. 2008;115(1):202-9.
  • 22. Han SB, Yu HG. Visual outcome after open globe injury and its predictive factors in Korea. J Trauma. 2010 Nov;69(5):E66-72.
  • 23. Agrawal R, Rao G, Naigaonkar R, Ou X, Desai S. Prognostic factors for vision outcome after surgical repair of open globe injuries. Indian J Ophthalmol. 2011;59(6):465-70.
  • 24. McGwin G, Xie A, Owsley C. Rate of Eye Injury in the United States. Arch Ophthalmol. 2005; 123 (7): 970-6.
  • 25. Dang S. Eye injuries at work. American Academy of Ophthalmology [online.] February 22, 2016.
  • 26. Soliman MM, Macky TA. Pattern of ocular trauma in Egypt. Graefes Arch Clin Exp Ophthalmol. 2008;246(2):205-12.
  • 27. McCormack P. Penetrating injury of the eye. Br J Ophthalmol. 1999;83(10):1101-2.
  • 28. Esmaeli B, Elner SG, Schork MA, Elner VM. Visual outcome and ocular survival after penetrating trauma. A clinicopathologic study. Ophthalmology. 1995;102(3):393-400.
  • 29. Kim JH, Yang SJ, Kim DS, Kim JG, Yoon YH. Fourteen-year review of open globe injuries in an urban Korean population. J Trauma, 2007; 62 (3): 746–9.
  • 30. Tielsch JM, Parver L, Shankar B. Time trends in the incidence of hospitalized ocular trauma. Arch Ophthalmol. 1989; 107: 519-23.
  • 31. Joanne K et al. Ocular Trauma in the United States. Arch Ophthalmol. 1992; 110 (6): 838-42.
  • 32. Gilbert CM, Soong HK, Hirst LW. A two-year prospective study of penetrating ocular trauma at the Wilmer ophthalmological institute. Annals of Ophthalmology, 1987;19(3):104-6.
  • 33. Shokunbi MT, Agbeja AM. Ocular complications of head injury in children. Child's Nerv Syst 1991; 7:147−9.
  • 34. Nash EA, Margo CE. Patterns of emergency department visits for disorders of the eye and ocular adnexa. Arch Ophthalmol. 1998; 116: 1222-1226.
  • 35. Roh S, Patron ME. Images in clinical medicines. Ocular Trauma Due to a Water-Bottle Cap. N Engl J Med 2008; 358 (21): 2265.
  • 36. Blanch RJ, Good PA, Shah P, Bishop JR, Logan A, Scott RA. Visual outcomes after blunt ocular trauma. Ophthalmology. 2013;120(8):1588-91.
  • 37. Eagling, EM. Ocular damage after blunt trauma to the eye. Its relationship to the nature of the injury. Br J Ophthalmol. 1974; 58: 126–40.
  • 38. Jones NP, Hayward JM, Khaw PT, Claoué CM, Elkington AR. Function of an ophthalmic "accident and emergency" department: results of a six month survey. Br Med J (Clin Res Ed). 1986 ;292(6514):188-90.
  • 39. Shoja MR, Miratashi AM. Pediatric ocular trauma. Aeta Medica Iranica 2006. 2006; 44 (2): 125–30.
  • 40. Cillino S, Casuccio A, Di Pace F, Pillitteri F, Cillino G. A five-year retrospective study of the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in a Mediterranean area. BMC Ophthalmol. 2008;8:6.
  • 41. Brophy M, Sinclair SA, Hostetler SG, Xiang H. Pediatric eye injury-related hospitalizations in the United States. Pediatrics. 2006; 117 (6): e1263–71.
Year 2019, Volume: 1 Issue: 2, 95 - 99, 30.08.2019

Abstract

Project Number

N/A

References

  • 1. Négrel A.-D., Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiology. 1998;5(3):143–69.
  • 2. Al-Bdour M. D., Azab M. A. Childhood eye injuries in North Jordan. International Ophthalmology. 1998;22(5):269–73.
  • 3. de Bustros S., Michels R. G., Glaser B. M. Evolving concepts in the management of posterior segment penetrating ocular injuries. Retina. 1990;10(supplement 1): S72–5.
  • 4. Wong TY, Klein BEK, Klein R. The prevalence and 5-year incidence of ocular trauma. The Beaver Dam Eye study. Ophthalmology. 2000;107(12):2196–202.
  • 5. Bauza AM, Emami P, Soni N, Holland BK, Langer P, Zarbin M, Bhagat N. A 10-year review of assault-related open-globe injuries at an urban hospital. Graefe's Archive for Clinical and Experimental Ophthalmology. 2013;251(3):653–59.
  • 6. De Juan E, Sternberg P, Michels RG. Penetrating ocular injuries. Types of injuries and visual results. Ophthalmology. 1983;90(11):1318–1322. doi: 10.1016/s0161-6420(83)34387-6.
  • 7. Sudhalkar A, Chhablani J, Jalali S, Narayanan R. Traumatic vitreous hemorrhage in children-clinical features and outcomes. Eye Science. 2014;29(2):63–69.
  • 8. Zhu L, Wu Z, Dong F, Feng J, Lou D, Du C, Ren P. Two kinds of ocular trauma score for paediatric traumatic cataract in penetrating eye injuries. Injury. 2015;46(9):1828-33.
  • 9. Spiegel D., Nasemann J., Nawrocki J., Gabel V.-P. Severe ocular trauma managed with primary pars plana vitrectomy and silicone oil. Retina. 1997;17(4):275–85.
  • 10. Cekic O., Batman C. Severe ocular trauma managed with primary pars plana vitrectomy and silicone oil. Retina. 1998;18(3):287–8.
  • 11. iu X, Liu Z, Liu Y, Zhao L, Xu S, Su G, Zhao J. Determination of visual prognosis in children with open globe injuries. Eye (Lond). 2014;28(7):852-6
  • 12. Teixeira S. M., Bastos R. R., Falcão M. S., Falcão-Reis F. M., Rocha-Sousa A. A. Open-globe injuries at an emergency department in Porto, Portugal: clinical features and prognostic factors. European Journal of Ophthalmology. 2014;24(6):932–9.
  • 13. Agrawal R., Wei H. S., Teoh S. Prognostic factors for open globe injuries and correlation of ocular trauma score at a tertiary referral eye care centre in Singapore. Indian Journal of Ophthalmology. 2013;61(9):502–6. 14. Yalcin Tök O, Tok L, Eraslan E, Ozkaya D, Ornek F, Bardak Y. Prognostic factors influencing final visual acuity in open globe injuries. J Trauma. 2011;71(6):1794-800.
  • 15. Esmaeli B, Elner SG, Schork MA, Elner VM. Visual outcome and ocular survival after penetrating trauma: a clinicopathologic study. Ophthalmology. 1995;102(3):393–400.
  • 16. Gilbert CM, Soong HK, Hirst LW. A two-year prospective study of penetrating ocular trauma at the Wilmer Ophthalmological Institute. Ann Ophthalmol. 1987;19(3):104-6.
  • 17. Pieramici DJ, MacCumber MW, Humayun MU, Marsh MJ, de Juan E Jr. Open-globe injury. Update on types of injuries and visual results. Ophthalmology. 1996;103(11):1798-803.
  • 18. Pieramici DJ, Au Eong KG, Sternberg P Jr, Marsh MJ. The prognostic significance of a system for classifying mechanical injuries of the eye (globe) in open-globe injuries. J Trauma. 2003;54(4):750-4.
  • 19. Sternberg P Jr, de Juan E Jr, Michels RG, Auer C. Multivariate analysis of prognostic factors in penetrating ocular injuries. Am J Ophthalmol. 1984;98(4):467-72.
  • 20. Rahman I, Maino A, Devadason D, Leatherbarrow B. Open globe injuries: factors predictive of poor outcome. Eye (Lond). 2006;20(12):1336-41.
  • 21. Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision survival after open globe injury predicted by classification and regression tree analysis. Ophthalmology. 2008;115(1):202-9.
  • 22. Han SB, Yu HG. Visual outcome after open globe injury and its predictive factors in Korea. J Trauma. 2010 Nov;69(5):E66-72.
  • 23. Agrawal R, Rao G, Naigaonkar R, Ou X, Desai S. Prognostic factors for vision outcome after surgical repair of open globe injuries. Indian J Ophthalmol. 2011;59(6):465-70.
  • 24. McGwin G, Xie A, Owsley C. Rate of Eye Injury in the United States. Arch Ophthalmol. 2005; 123 (7): 970-6.
  • 25. Dang S. Eye injuries at work. American Academy of Ophthalmology [online.] February 22, 2016.
  • 26. Soliman MM, Macky TA. Pattern of ocular trauma in Egypt. Graefes Arch Clin Exp Ophthalmol. 2008;246(2):205-12.
  • 27. McCormack P. Penetrating injury of the eye. Br J Ophthalmol. 1999;83(10):1101-2.
  • 28. Esmaeli B, Elner SG, Schork MA, Elner VM. Visual outcome and ocular survival after penetrating trauma. A clinicopathologic study. Ophthalmology. 1995;102(3):393-400.
  • 29. Kim JH, Yang SJ, Kim DS, Kim JG, Yoon YH. Fourteen-year review of open globe injuries in an urban Korean population. J Trauma, 2007; 62 (3): 746–9.
  • 30. Tielsch JM, Parver L, Shankar B. Time trends in the incidence of hospitalized ocular trauma. Arch Ophthalmol. 1989; 107: 519-23.
  • 31. Joanne K et al. Ocular Trauma in the United States. Arch Ophthalmol. 1992; 110 (6): 838-42.
  • 32. Gilbert CM, Soong HK, Hirst LW. A two-year prospective study of penetrating ocular trauma at the Wilmer ophthalmological institute. Annals of Ophthalmology, 1987;19(3):104-6.
  • 33. Shokunbi MT, Agbeja AM. Ocular complications of head injury in children. Child's Nerv Syst 1991; 7:147−9.
  • 34. Nash EA, Margo CE. Patterns of emergency department visits for disorders of the eye and ocular adnexa. Arch Ophthalmol. 1998; 116: 1222-1226.
  • 35. Roh S, Patron ME. Images in clinical medicines. Ocular Trauma Due to a Water-Bottle Cap. N Engl J Med 2008; 358 (21): 2265.
  • 36. Blanch RJ, Good PA, Shah P, Bishop JR, Logan A, Scott RA. Visual outcomes after blunt ocular trauma. Ophthalmology. 2013;120(8):1588-91.
  • 37. Eagling, EM. Ocular damage after blunt trauma to the eye. Its relationship to the nature of the injury. Br J Ophthalmol. 1974; 58: 126–40.
  • 38. Jones NP, Hayward JM, Khaw PT, Claoué CM, Elkington AR. Function of an ophthalmic "accident and emergency" department: results of a six month survey. Br Med J (Clin Res Ed). 1986 ;292(6514):188-90.
  • 39. Shoja MR, Miratashi AM. Pediatric ocular trauma. Aeta Medica Iranica 2006. 2006; 44 (2): 125–30.
  • 40. Cillino S, Casuccio A, Di Pace F, Pillitteri F, Cillino G. A five-year retrospective study of the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in a Mediterranean area. BMC Ophthalmol. 2008;8:6.
  • 41. Brophy M, Sinclair SA, Hostetler SG, Xiang H. Pediatric eye injury-related hospitalizations in the United States. Pediatrics. 2006; 117 (6): e1263–71.
There are 40 citations in total.

Details

Primary Language English
Subjects Ophthalmology
Journal Section Orginal Articles
Authors

Hussain Ahmad Khaqan

Usman Imtiaz This is me

Hasnain Muhammad Buksh

Ateeq-ur- Rehman This is me

Raheela Naz This is me

Project Number N/A
Publication Date August 30, 2019
Acceptance Date December 16, 2019
Published in Issue Year 2019 Volume: 1 Issue: 2

Cite

APA Khaqan, H. A., Imtiaz, U., Buksh, H. M., Rehman, A.-u.-., et al. (2019). To analyse the outcomes of ocular trauma on the basis of zone of injury. Clinical and Experimental Ocular Trauma and Infection, 1(2), 95-99.
AMA Khaqan HA, Imtiaz U, Buksh HM, Rehman Au, Naz R. To analyse the outcomes of ocular trauma on the basis of zone of injury. CEOTI. August 2019;1(2):95-99.
Chicago Khaqan, Hussain Ahmad, Usman Imtiaz, Hasnain Muhammad Buksh, Ateeq-ur- Rehman, and Raheela Naz. “To Analyse the Outcomes of Ocular Trauma on the Basis of Zone of Injury”. Clinical and Experimental Ocular Trauma and Infection 1, no. 2 (August 2019): 95-99.
EndNote Khaqan HA, Imtiaz U, Buksh HM, Rehman A-u-, Naz R (August 1, 2019) To analyse the outcomes of ocular trauma on the basis of zone of injury. Clinical and Experimental Ocular Trauma and Infection 1 2 95–99.
IEEE H. A. Khaqan, U. Imtiaz, H. M. Buksh, A.-u.-. Rehman, and R. Naz, “To analyse the outcomes of ocular trauma on the basis of zone of injury”, CEOTI, vol. 1, no. 2, pp. 95–99, 2019.
ISNAD Khaqan, Hussain Ahmad et al. “To Analyse the Outcomes of Ocular Trauma on the Basis of Zone of Injury”. Clinical and Experimental Ocular Trauma and Infection 1/2 (August 2019), 95-99.
JAMA Khaqan HA, Imtiaz U, Buksh HM, Rehman A-u-, Naz R. To analyse the outcomes of ocular trauma on the basis of zone of injury. CEOTI. 2019;1:95–99.
MLA Khaqan, Hussain Ahmad et al. “To Analyse the Outcomes of Ocular Trauma on the Basis of Zone of Injury”. Clinical and Experimental Ocular Trauma and Infection, vol. 1, no. 2, 2019, pp. 95-99.
Vancouver Khaqan HA, Imtiaz U, Buksh HM, Rehman A-u-, Naz R. To analyse the outcomes of ocular trauma on the basis of zone of injury. CEOTI. 2019;1(2):95-9.