Clinical features and outcomes of vitrectomy in pediatric ocular injuries-eye injury vitrectomy study
| Title: | Clinical features and outcomes of vitrectomy in pediatric ocular injuries-eye injury vitrectomy study |
|---|---|
| Authors: | Xuefeng Feng, Kang Feng, Yuntao Hu, Zhizhong Ma |
| Source: | Indian Journal of Ophthalmology, Vol 62, Iss 4, Pp 450-453 (2014) |
| Publisher Information: | Wolters Kluwer Medknow Publications, 2014. |
| Publication Year: | 2014 |
| Collection: | LCC:Ophthalmology |
| Subject Terms: | Mean deviation, non-proliferative diabetic retinopathy, short fluctuations, short wave automated perimetry, standard automated perimetry, Antimicrobial effect, conventional silicone oil, endophthalmitis agents, heavy silicone oil, Keratoconus, modified deep anterior lamellar keratoplasty, steep corneal curvature, Bevacizumab, branch retinal vein occlusion, intravitreal, macular edema, triamcinolone, Blindness, disability evaluation, quality of life, visual acuity, Mitomycin C, pterygium recurrence, pterygium surgery, subconjunctival bevacizumab injection, Imaging in glaucoma, optical coherence tomography, pediatric, retinal nerve fiber layer, Autogenous tissue grafting, lacrimal drainage system, lacrimal fossa, bypass surgery, Cornea, excimer laser, growth factors, myopia, photorefractive keratectomy, Triamcinolone acetonide, human trabecular meshwork cells, in vitro, Hyperopic implantable collamer lens, myopic implantable collamer lens, optical quality, wavefront aberrations, Dacryocystorhinostomy, nasolacrimal duct obstruction, silicone tube, Age, anterior chamber depth, body height, primary angle closure glaucoma, sex, Children, eye injury vitrectomy study, eye injury, trauma, vitrectomy, Ophthalmology, RE1-994 |
| More Details: | Context: Severe pediatric ocular injury remains a frequent and difficult problem. Vitrectomy is a major technique that has been used to manage severely damaged eyes. However, limited follow-up studies exist currently. Aims: To evaluate the clinical features and predictive factors of visual and anatomic outcomes in Eye Injury Vitrectomy Study (EIVS). Settings and Design: Retrospective, consecutive, interventional case series. Materials and Methods: Reviewing and analyzing records of children, aged 15 years or younger, who had undergone vitrectomy for eye injuries in EIVS database between January 1997 and December 2009. Statistical analysis used: Descriptive analyses and multiple Logistic regressions were employed for all variables using SPSS software (version 17.0, SPSS Inc.). Results: Eighty-seven children (89 eyes) with more than 6 months follow-up and complete records identified in EIVS were included in this study. Average follow-up was 12.7 months. The mean age was 9.4 ± 3.8 years. Seventy-seven eyes (86.5%) had open globe injuries, and 12 (13.5%) had closed globe injuries. Seventeen eyes (19.3%) presented with endophthalmitis. Seventy-five eyes (88.2%) presented with visual acuity of 4/200 or worse; however, 42 eyes (47.7%) achieved 4/200 or better vision with anatomical restoration after vitrectomy. Multiple analysis showed that choroidal damage, large scleral wound, and endophthalmitis were significantly associated with unfavorable outcome, the OR values were 16.7 (95% CI: 2.7-102.4, P = 0.002), 10.9 (95% CI: 1.7-71.6, P = 0.013), and 6.6 (95% CI: 1.0-42.4, P = 0.048), respectively. Conclusions: Vitrectomy intervention resulted in favorable visual and anatomic outcomes in almost half of the injured eyes. Choroidal damage, large scleral wound, and endophthalmitis were the prognostic indicators of unfavorable outcome. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 0301-4738 1998-3689 30335582 |
| Relation: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=4;spage=450;epage=453;aulast=Feng; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689 |
| DOI: | 10.4103/0301-4738.120222 |
| Access URL: | https://doaj.org/article/f9ed2430a9d74cbab3033558212c4bfa |
| Accession Number: | edsdoj.f9ed2430a9d74cbab3033558212c4bfa |
| Database: | Directory of Open Access Journals |
| ISSN: | 03014738 19983689 30335582 |
|---|---|
| DOI: | 10.4103/0301-4738.120222 |
| Published in: | Indian Journal of Ophthalmology |
| Language: | English |