Clinical Analysis of Adult Severe Open-Globe Injuries in Central China
Purpose: To describe the characteristics, management, and outcomes of adult severe open-globe injured (OGI) eyes.Methods: Retrospective chart review of inpatients with initial visual acuity (VA) of light perception (LP) or no light perception (NLP) associated with OGI between 2017 and 2020 at Depart...
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Frontiers Media S.A.
2021-10-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2021.755158/full |
| _version_ | 1819114611409944576 |
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| author | Hongling Chen Junjun Han Xianliang Zhang Xuemin Jin |
| author_facet | Hongling Chen Junjun Han Xianliang Zhang Xuemin Jin |
| author_sort | Hongling Chen |
| collection | DOAJ |
| description | Purpose: To describe the characteristics, management, and outcomes of adult severe open-globe injured (OGI) eyes.Methods: Retrospective chart review of inpatients with initial visual acuity (VA) of light perception (LP) or no light perception (NLP) associated with OGI between 2017 and 2020 at Department of Ophthalmology, Henan Eye Institute, Henan Eye Hospital, Henan provincial People's Hospital.Results: Six hundred twenty-five eyes of 622 adult patients with initial VA of LP or NLP associated with open-globe injuries (OGIs) were included. The mean age was 47.8 ± 14.1 years with the range from 18 to 91 years. Significant male predominance was noted (81.5%). The most common type of these severe OGIs was rupture (65.8%). Traffic accidents accounted for 13.5% followed by fall/tumble (10.9%) and nail/wire (10.9%) of all the severe OGIs. Almost half of the injuries happened at workplace (47.2%). Initially, 78.7% eyes just received primary debridement and wound closure, while 8.5% eyes with no possible of anatomical reconstruction received evisceration. After initial management, 350 eyes received subsequent operation, including 239 eyes underwent vitrectomy + silicone oil/(+cataract remove). Finally, over 6 months follow-up, 137 eyes (21.9%) were eviscerated, 150 eyes (24.0%) got atrophied, while 132 eyes (21.1%) retain some VA. Fifty-three eyes (8.5%) got VA of 0.3–1.5.Conclusion: Severe OGIs are most seen in the young, middle-aged, and male working population and remain a serious public health problem, resulting in significant vision loss or Evisceration of eyes. Effective preventive measures should be taken for the individuals in these groups. |
| first_indexed | 2024-12-22T04:48:03Z |
| format | Article |
| id | doaj.art-5d06b086fab64e31a927e15d17a065c5 |
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| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-22T04:48:03Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-5d06b086fab64e31a927e15d17a065c52022-12-21T18:38:33ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-10-01810.3389/fmed.2021.755158755158Clinical Analysis of Adult Severe Open-Globe Injuries in Central ChinaHongling Chen0Junjun Han1Xianliang Zhang2Xuemin Jin3Department of Ophthalmology, Henan Eye Institute, Henan Eye Hospital, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Ophthalmology, Henan Eye Institute, Henan Eye Hospital, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Ophthalmology, Henan Eye Institute, Henan Eye Hospital, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaPurpose: To describe the characteristics, management, and outcomes of adult severe open-globe injured (OGI) eyes.Methods: Retrospective chart review of inpatients with initial visual acuity (VA) of light perception (LP) or no light perception (NLP) associated with OGI between 2017 and 2020 at Department of Ophthalmology, Henan Eye Institute, Henan Eye Hospital, Henan provincial People's Hospital.Results: Six hundred twenty-five eyes of 622 adult patients with initial VA of LP or NLP associated with open-globe injuries (OGIs) were included. The mean age was 47.8 ± 14.1 years with the range from 18 to 91 years. Significant male predominance was noted (81.5%). The most common type of these severe OGIs was rupture (65.8%). Traffic accidents accounted for 13.5% followed by fall/tumble (10.9%) and nail/wire (10.9%) of all the severe OGIs. Almost half of the injuries happened at workplace (47.2%). Initially, 78.7% eyes just received primary debridement and wound closure, while 8.5% eyes with no possible of anatomical reconstruction received evisceration. After initial management, 350 eyes received subsequent operation, including 239 eyes underwent vitrectomy + silicone oil/(+cataract remove). Finally, over 6 months follow-up, 137 eyes (21.9%) were eviscerated, 150 eyes (24.0%) got atrophied, while 132 eyes (21.1%) retain some VA. Fifty-three eyes (8.5%) got VA of 0.3–1.5.Conclusion: Severe OGIs are most seen in the young, middle-aged, and male working population and remain a serious public health problem, resulting in significant vision loss or Evisceration of eyes. Effective preventive measures should be taken for the individuals in these groups.https://www.frontiersin.org/articles/10.3389/fmed.2021.755158/fulladultcentral Chinaopen-globe injuriestraumaepidemiology |
| spellingShingle | Hongling Chen Junjun Han Xianliang Zhang Xuemin Jin Clinical Analysis of Adult Severe Open-Globe Injuries in Central China Frontiers in Medicine adult central China open-globe injuries trauma epidemiology |
| title | Clinical Analysis of Adult Severe Open-Globe Injuries in Central China |
| title_full | Clinical Analysis of Adult Severe Open-Globe Injuries in Central China |
| title_fullStr | Clinical Analysis of Adult Severe Open-Globe Injuries in Central China |
| title_full_unstemmed | Clinical Analysis of Adult Severe Open-Globe Injuries in Central China |
| title_short | Clinical Analysis of Adult Severe Open-Globe Injuries in Central China |
| title_sort | clinical analysis of adult severe open globe injuries in central china |
| topic | adult central China open-globe injuries trauma epidemiology |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2021.755158/full |
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