Epidemiological and Clinical Analysis of Prognostic Factors in Visual Outcomes Following Severe Penetrating Eye Injuries
Keywords:
penetrating eye injuries, eye trauma, visual impairmentAbstract
Objective: Penetrating eye injuries (PEIs) remain a significant cause of vision impairment and loss, affecting individuals of all ages. A deeper understanding of factors influencing vision is crucial for improving treatment outcomes in patients with PEIs.
Materials and Methods: A retrospective analysis was conducted on medical records of 120 patients who sustained open globe injuries between January 2020 and January 2024 at the City Clinical Emergency Hospital. Data analyzed included age, gender, type, cause, and location of PEI, as well as initial visual acuity (VA) and final best-corrected visual acuity (BCVA). Open globe injuries were classified using the Birmingham Eye Trauma Terminology (BETT, 1998).
Results: The average patient age was 41.9 years. The male-to-female ratio was 8.4:1. The primary causes of injury were work-related accidents (38.3%), environmental factors (12.5%), and domestic injuries (15.8%). Penetrating injuries accounted for 43.5%, intraocular foreign bodies for 39.1%, and globe ruptures for 13%. Overall, 19.5% of patients achieved good final vision (BCVA ≥ 0.5), while 48.1% experienced severe visual impairment (BCVA ≤ 0.02) due to the eye injury.
Conclusions: Open globe injuries remain a significant and preventable cause of ocular morbidity. This study highlights that such injuries are a major factor contributing to vision impairment in the patient population under investigation.
References
Abdukarimovich, Oralov Behruz. "Use of photodynamic therapy in chemical burns of different etiologies of the surface of the eye." International Journal of Medical Sciences And Clinical Research 2.11 (2022): 36-41.
Arifovna, Bakhritdinova Fazilat, et al. "Biochemical evaluation of the efficacy of complex treatment of eye burn."International Journal of Medical Sciences And Clinical Research3.01 (2023): 33-37.
Arnljots T, Samolov B. Kemiska ögonfrätskador – akut diagnostik och behandling - Omedelbar spolning är avgörande för att begränsa skadan [Emergency management of chemical eye burns]. Lakartidningen. 2018 Oct 2;115:FALM. Swedish. PMID: 30277554.
Atik, S.; Ugurlu, S.; Egrilmez, E.D. Open Globe Injury: Demographic and Clinical Features. J Craniofac Surg. 2018, 29, 628–631.
Bakhritdinova, F. A., et al. "The assessment of lacrimal film condition in patients with dry eye syndrome during therapy." Russian ophthalmological journal 12.4 (2019): 13-18.
Batur, M.; Seven, E.; Esmer, O.; Akaltun, M.N.; Yasar, T.; Cinal, A. Epidemiology of Adult Open Globe Injury. J. Craniofac. Surg. 2016, 27, 1636–1641.
Bilalov, E. N., et al. "Impact of burns and eye injuries on patients'quality of life." Western European journal of medicine and medical science 2.4 (2024): 21-26.
Bizrah M, Yusuf A, Ahmad S. An update on chemical eye burns. Eye (Lond). 2019 Sep;33(9):1362-1377. doi: 10.1038/s41433-019-0456-5.
Fu, R.; Kancherla, S.; Eller, A.W.; Yu, J.Y. Characteristics and outcomes of open globe trauma in the urban versus rural population: A single-center retrospective review. Semin. Ophthalmol. 2017, 33, 566–570.
Fujikawa, A.; Mohamed, Y.H.; Kinoshita, H.; Matsumoto, M.; Uematsu, M.; Tsuiki, E.; Suzuma, K.; Kitaoka, T. Visual outcomes and prognostic factors in open-globe injuries. BMC Ophthalmol. 2018, 18, 138.
Guven, S.; Durukan, A.H.; Erdurman, C.; Kucukevcilioglu, M. Prognostic factors for open globe injuries: Variables for poor visual outcome. Eye (Lond.) 2018, 33, 392–397.
Han, S.B.; Yu, H.G. Visual outcome after open globe injury and its predictive factors in Korea. J. Trauma 2010, 69, E66–E72.
Laursen JV, Hjortdal J. Akut behandling af kemiske ojenskader [Evidence for emergency treatment of chemical eye burns]. Ugeskr Laeger. 2014;176(34):V04130213.
Narzikulova, Kumri I., et al. "Development and evaluation of the effectiveness of photodynamic therapy in inflammatory diseases of the ocular surface." Ophthalmology Reports 13.3 (2020): 55-65.
Бахритдинова Ф.А., Билалов Э.Н., Оралов Б.А. и др. Оценка состояния слезного комплекса у пациентов с синдромом сухого глаза в процессе лечения. Российский офтальмологический журнал. 2019; 12 (4): 13-8. https://doi.org/10.21516/2072-0076-2019-12-4-13-18
Бахритдинова, Ф. А., et al. "Динамика цитологических показателей конъюнктивы в процессе комплексного лечения ожогов глаз с использованием низкоинтенсивного лазерного излучения." The EYE Глаз 21.3 (127) (2019): 7-11.
Бахритдинова, Ф. А., et al. "Клинико-биохимические параметры оценки эффективности лечения воспалительных заболеваний переднего отрезка с включением фотодинамической терапии." Таврический медико-биологический вестник 22.4 (2019): 7-16.
Бахритдинова, Ф. А., et al. "Особенности местного иммунитета глазного яблока и его роль в развитии воспалительных заболеваний." Точка зрения. Восток-Запад 4 (2020): 62-65.
Нарзикулова К.И., Бахритдинова Ф.А., Миррахимова С.Ш., Оралов Б.А. Разработка и оценка эффективности фотодинамической терапии при воспалительных заболеваниях глазной поверхности. Офтальмологические ведомости. 2020; 13 (3): 55-65. https://doi.org/10.17816/OV33828
