EYE TRAUMA. OPEN GLOBE INJURY MANAGEMENT
Abstract
Background. Ocular trauma is important cause of blindness. Birmingham Eye Trauma Terminology allows us to use a standardized eye injury terminology which permits an unambigous interpretation. The Eye Injury Registry enables the analysis of medical, epidemyologic and social data.
The most frequent ocular injury ocular contusion has a relatively good prognosis. An adequate primary ocular repair and correct timing of pars plana vitrectomy are very important in open globe injury management. There still exist some controversial issues concerning the role of posterior segment surgery in open globe injuries. These include timing of surgery, prophylactic scleral buckle placement and a proper use of systemic and intravitreal antibiotics.
Conclusions. With adequate primary ocular repair, the use of systemic, intravitreal antibiotics, scleral buckling and proper timing for pars plana vitrectomy the prognosis for ocular trauma cases can be better.
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References
MacEwen CJ, Baines PS, Desai P. Eye injuries in children: the current picture. Br J Ophthalmol 1999; 83: 933–6.
Kuhn F, Mester V, Mann L et al. Eye injury epidemiology and prevention of ophthalmic injuries. In: Kuhn F, Pieramici DJ eds. Ocular trauma principles and practice. New York: Thieme, 2002: 14–21.
Liggett PE, Pince KJ, Barlow W et al. Ocular trauma in an urban population. Review of 1132 cases. Ophthalmology 1990; 97: 581–4.
Desai P, MacEwen CJ, Baines P, Minassian DC. Incidence of cases of ocular trauma admitted to hospital and incidence of blinding outcome. Br J Ophthal 1996; 80: 592–6.
Blomdahl S, Norell S. Perforating eye injury in the Stockholm population: an epidemiological study. Acta Ophthalmol 1984; 62: 378–90.
Fong LJ. Eye injuries in Victoria, Australia. Med J Aust 1995; 162: 64–8.
Klopfer J, Tielsch J, Vitale S et al. Ocular trauma in the United States, eye injuries resulting in hospitalization, 1984 through 1987. Arch Ophthalmol 1992; 110: 838–42.
Schein OD, Hibberd PL, Shingleton BJ et al. The spectrum and burden of ocular injury. Ophthalmology 1988; 95: 300–5.
Dannenberg A, Parver L, Fowler CJ. Penetrating eye injuries related to assault: the National Eye trauma Registry. Arch Ophthalmol 1992; 110: 849–9.
Kuhn F, Mester V, Berta A, Morris R. Epidemiology of severe eye injuries. United States Eye Injury Registry (USEIR) and Hungarian Eye Injury Registry (HEIR). Ophthalmology. 1998; 95: 332–43.
Anderson SK, Desai UR, Raman SV. Incidence of ocular injuries in motor vehicle crash victims with concomitant air bag deployment. Ophthalmology 2002; 109: 2356–8.
Barr A, Baines PS, Desai P, MacEwen CJ. Ocular sports injuries: the current picture. Br J Sports Med 2000; 34: 456–8.
Fong LP. Sports-related eye injuries. Med J Aust 1994; 160: 743–50.
Kuhn F, Morris R, Witherspoon CD, Heimann K, Jeffers JB, Treister G. A standardized classification of ocular trauma. Ophthalmology 1996; 103: 240– 3.
Viestenz A, Kuchle M. Retrospective analysis of 417 cases of contusion and rupture of the globe with frequent avoidable causes of trauma: the Erlangen Ocular Contusion-Registry (EOCR) 1985–1995. Klin Monatsbl Augenheilkd 2001; 218: 662–9.
Pieramici DJ, MacCumber MW, Humayun MU et al. Open globe injury: Update on types of injuries and visual results. Ophthalmology 1996; 103: 1798– 803.
Thompson CG, Griffits RKS, Nardi W et al. Penetrating eye injuries in rural New South Wales. Aust N Z J Ophthalmol 1997; 25: 37–41.
Patel BCK, Morgan LH. Work related penetrating eye injuries. Acta Ophthalmol 1991; 69: 377–81.
Martin DF, Meredith TA, Topping TM, Sternberg P Jr, Kaplan HJ. Perforating (through-and-through) injuries of the globe. Surgical results with vitrectomy. Arch Ophthalmol 1991; 109: 951–6.
Williams DF, Mieler WF, Abrams GW. Intraocular foreign bodies in young people. Retina 1990; 10: Suppl 1: S45–9.
Chiquet C, Zech J, Gain P, Adeleine P, Trepsat C. Visual outcome and prognostic factors after magnetic extraction of posterior segment foreign bodies in 40 cases. Br J Ophthalmol 1998; 82: 801–6.
Mester V, Kuhn F. Ferrous intraocular foreign bodies retained in the posterior segment: management options and results. Int Ophthalmol 2000; 22: 355–62.
Greven C, Engelbrecht N, Slusher M, Nagy S. Intraocular foreign bodies. Management, prognostic factors, and visual outcomes. Ophthalmology 2000; 107: 608–12.
Cleary PE, Ryan SJ. Posterior perforating eye injury. Experimental animal model. Trans Ophthalmol Soc U K 1978; 981: 34–7.
Cleary PE, Ryan SJ. Vitrectomy in penetrating eye injury: results of a controlled trial of vitrectomy in an experimental posterior penetrating eye injury in the rhesus monkey. Arch Ophthalmol 1981; 992: 287–92.
Cherry PMH. Rupture of the globe. Arch Ophthalmol 1972; 88: 498–507.
de Juan E, Sternberg P, Michels RG. Penetrating ocular injuries: types of injuries and visual results. Ophthalmology 1983; 90: 1318–22.
Snell Jr. AC. Perforating ocular injuries. Am J Ophthalmol 1945; 28: 263–81.
Kuhn F, Maisiak R, Mann L, Morris R, Witherspoon C. OTS: Prognosticating the final vision of the seriously injured eye. In: Kuhn F, Pieramici D eds. Ocular trauma: principles and practice. New York: Thieme, 2002: 9–13.
Kuhn F. The Ocular Trauma Score (OTS). Ophthalmol Clin North Am 2002; 15: 163–5.
Barr CC. Prognostic factors in corneoscleral lacerations. Arch Ophthalmol 1983; 101: 919–24.
Fuller DG, Hutton WL. Prediction of postoperative vision in eyes with severe trauma. Retina 1990; 10: Suppl: 20–34.
Thompson W, Rubsamen P, Flynn H, Schiffman J, Cousins C. Endophthalmitis after penetrating trauma. Ophthalmology 1995; 102: 1696–701.
Affeldt JC, Flynn Jr. HW, Forster RK et al. Microbial endophthalmitis resulting from ocular trauma. Ophthalmology 1987; 94: 407–13.
Brinton GS, Topping TM, Hyndiuk RA et al. Posttraumatic endophthalmitis. Arch Ophthalmol 1984; 102: 547–50.
Parrish CM, Oday DM. Traumatic endophthalmitis. Int Ophthalmol Clin 1987: 27: 112–9.
Alfaro DV, Roth D, Liggett PE. Posttraumatic endophthalmitis. Causative organisms, treatment,and prevention. Retina 1994; 14: 206–11.
Thompson JT, Parver LM, Enger CL et al. Infectious endophthalmitis after penetrating injuries with retained intraocular foreign bodies. National Eye Trauma System. Ophthalmology 1993; 100: 1468–74.
Boldt HC, Pulido JS, Blodi CF et al. Rural endophthalmitis. Surv Ophthalmol 1989; 96: 1722–6.
Shrader SK, Band JD, Lauter CB et al. The clinical spectrum of endophthalmitis: incidence, predisposing factors and features influencing outcome. J Infect Dis 1990; 162: 115–20.
Alfaro DV, Roth DB, Laughlin RM et al. Paediatric post-traumatic endophthalmitis. Br J Ophthalmol 1995; 79: 888–91.
Nossov PC, Alfaro DV, Michaud ME et al. Intravenous cefazolin in penetrating eye injuries. A swine model. Retina 1996; 16: 246–9.
Flynn Jr. HW, Pulido JS, Pflugfelder SC et al. Endophthalmitis therapy: changing antibiotic sensitivity patterns and current therapeutic recommendations. Arch Ophthalmol. 1991; 109: 175–6.
Meredith TA, Aguilar HE, Shaarawy A et al. Vancomycin levels in the vitreous cavity after intravenous administration. Am J Ophthalmol 1995; 119: 774–8.
Aguilar HE, Meredith TA, Shaarawy A et al. Vitreous cavity penetration of ceftazidime after intravenous administration. Retina 1995; 15: 154–9.
Campochiaro PA, Green WR. Toxicity of intravitreous ceftazidime in primate retina. Arch Ophthalmol 1992; 110: 1625–9.
Keren G, Alhalel A, Bartov E et al. The intravitreal penetration of orally administered ciprofloxacin in humans. Invest Ophthalmol Vis Sci 1991; 32: 2388–92.
Levin MR, D’Amico DJ. Traumatic endophthalmitis. In: Shingleton BJ, Hersh PS eds. Eye trauma. St. Louis: Mosby Year Book, 1991: 242–52.
Cardillo JA, Stout JT, LaBree L et al. Post-traumatic proliferative vitreoretinopathy. The epidemiologic profile, onset, risk factors, and visual outcome. Ophthalmology 1997; 104: 1166–73.
Miller B, Patterson R, Ryan SJ. Retinal wound healing: cellular activity at the vitreoretinal interface. Arch Ophthalmol 1986; 104: 281–5.
Morris R, Kuhn F, Witherspoon C. Management of the recently injured eye with no light perception vision. In: Alfaro V, Liggett P eds. Vitrectomy in the management of the injured globe Philadelphia: Lippincott Raven; 1998: 113–24.
Nussenblat RB. Whitcup SM, Palestine AG. Sympathetic ophthalmia. In: Nussenblat RB, Whitcup SM, Palestine AG eds. Uveitis. Fundamentals and clinical practice. St. Louise: Mosby, 1996: 299–9.
Chan C, Roberge F, Withcup S. 32 cases of sympathetic ophthalmia. Arch Ophthalmol 1995; 113: 597–600.
Han DP, Mieler WF, Schwartz DM, Abrams GW. Management of traumatic hemorrhagic retinal detachment with pars plana vitrectomy. Arch Ophthalmol 1990; 108: 1281–6.
Kennedy CJ, Parker CE, McAllister IL. Retinal detachment caused by retinal dialysis. Aust N Z J Ophthalmol 1997; 25: 25–30.
Toth CA, Morse LS, Hjelmeland LM, Landers MB 3rd. Fibrin directs early retinal damage after experimental subretinal hemorrhage. Arch Ophthalmol 1991; 109: 723–9.
Glatt H. Machemer R. Experimental subretinal hemorrhage in rabbits. Am J Ophthalmol 1982; 94: 762–2.
Coleman DJ. Early vitrectomy in the management of the severely traumatized eye. Am J Ophthalmol 1982; 93: 543–51.
Scott IU, Flynn HW, Schiffman J et al. Visual acuity outcomes among patients with sensitivity patterns and current therapeutic recommendations. Arch Ophthalmol 1991; 109: 175–6.
Wirostko WJ, Han DP, Mieler WF et al. Suprachoroidal hemorrhage: outcome of surgical management according to hemorrhage severity. Ophthalmol 1998; 105: 2271–5.
Haut J, Allagui M, Lepvrier N, Morel C. Preventive surgical scleral buckling of retinal detachment after severe ocular injuries. J Fr Ophthalmol 1993; 16: 668–72.
Rosner M, Bartov E, Treister G, Belkin M. Prophylactic scleral buckling in perforating ocular injuries involving the posterior segment. Ann Ophthalmol 1988; 20: 146–9.
Men G, Peyman GA, Kuo PC, Bezerra Y, Ghahramani F, Naaman G, LivirRallatos C, Lee PJ. The role of scleral buckle in experimental posterior penetrating eye injury. Retina 2003; 23: 202–8.
Arroyo JG, Postel EA, Stone T, McCuen BW, Egan KM. A matched study of primary scleral buckle placement during repair of posterior segment open globe injuries. Br J Ophthalmol 2003; 87: 75–8.
Stone TW, Siddiqui N, Arroyo JG, McCuen BW 2nd, Postel EA. Primary scleral buckling in open-globe injury involving the posterior segment Ophthalmology 2000; 107: 1923–6.
Rapoport I, Romem M, Kinek M et al. Eye injuries in children in Israel. A nationwide collaborative study. Arch Ophthalmol 1990; 108: 376–9.
Kuhn F, Mester V, Mann L et al. Eye injury epidemiology and prevention of ophthalmic injuries. In: Kuhn F, Pieramici DJ eds. Ocular trauma principles and practice. New York: Thieme, 2002:
Coody D, Banks JM, Yetman RJ et al. Eye trauma in children: epidemiology, management, and prevention. J Ped Health Care 1997; 11: 182–8.
Serrano JC, Chalela P, Arias JD. Epidemiology of childhood ocular trauma in a northeastern colombian region. Arch Ophthalmol 2003; 121: 1439–45.
Thompson CG, Kumar N, Billson FA, Martin F. The aetiology of perforating ocular injuries in children. Br J Ophthalmol 2002; 86: 920–2.
Moreira CA, Debert-Ribeiro M, Belfort R. Epidemiological study of eye injuries in Brazilian children. Arch Ophthalmol 1988; 106: 781–4.
Elder M. Penetrating eye injuries in children of the West Bank and Gaza strip. Eye 1993; 7: 429–32.
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