Epidemiology and outcomes of open globe injuries: the international globe and adnexal trauma epidemiology study (IGATES).
Ocular trauma
Open globe injury
Prevention
Registry
Vision loss
Journal
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
ISSN: 1435-702X
Titre abrégé: Graefes Arch Clin Exp Ophthalmol
Pays: Germany
ID NLM: 8205248
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
23
02
2021
accepted:
31
05
2021
revised:
28
05
2021
pubmed:
27
6
2021
medline:
21
10
2021
entrez:
26
6
2021
Statut:
ppublish
Résumé
To detail the methodology for a novel ocular trauma registry and utilize the registry to determine the demographics, nature of injury, and associations of severe visual loss for open globe injuries (OGI). Thirteen hospitals in 7 countries used International Globe and Adnexal Trauma Epidemiology Study (IGATES) platform. Patients presenting between April 2009 and 2020 with OGI (with or without) adnexal involvement or intraocular foreign body (IOFB) were included. Analyses of presenting and final VA, using "severe vision loss" (VA ≤ 6/60) and "no severe loss" (VA > 6/60), were performed. Four hundred fifty-four (64%) patients had VA < 6/60 at presentation and 327 (44.8%) at final follow-up, with a highly significant association between presenting and final VA (p < 0.0001). From the cohort of 746 patients, 37 were missing VA at presentation and 16 at follow-up and complete clinical data was available for 354 patients. The male to female ratio is 6:1, and mean age 36.0 ± 20.0 years old. Relative afferent pupillary defect (RAPD), zone III injury, IOFB, and eyelid injury at presentation were recorded in 50 (6.7%), 55 (7.8%), 97 (13%), and 87 (11.7%) patients, respectively, and were significantly associated with VA < 6/60 at follow-up. Older age, ≥ 61 years, was associated with 3.39 times (95% CI: 1.95-5.89) higher risk than ≤20-year-old patients (p < 0.0001) and males 0.424 times (95% CI: 0.27-0.70) lower risk than female (p = 0.0001) of severe vision loss (SVL). In OGIs from 13 hospitals, female gender, older age, zone III injury, eyelid injury, and IOFB were associated with higher risk of visual outcome of SVL.
Identifiants
pubmed: 34173879
doi: 10.1007/s00417-021-05266-1
pii: 10.1007/s00417-021-05266-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3485-3499Investigateurs
Sundaram Natarajan
(S)
Satish Gooty
(S)
None Arjun
None Pravallika
None Tarannum
R Kim
(R)
Chitaranjan Mishra
(C)
Meenu Chaudhary
(M)
Andres Rousselot
(A)
Shreya Mehul Shah
(SM)
Mehul Shah
(M)
Marian Pauly
(M)
None Giridhar
Hussain Khaqan
(H)
Anadi Khatri
(A)
Chaitra Jayadev
(C)
Kushagra Jain
(K)
Rupesh Agrawal
(R)
John Kan
(J)
Rebecca Low
(R)
V G Dinesh
(VG)
Gangadhara Sundar
(G)
Caroline Chee
(C)
Victor Koh
(V)
Rekha Khandelwal
(R)
Alok Sen
(A)
Parveen Sen
(P)
Shakeen Singh
(S)
Amer Awan
(A)
Ashok Grover
(A)
Anurag Mittal
(A)
Annette Hoskin
(A)
Stephanie Watson
(S)
Eli Pradhan
(E)
Tengku Ain Kamalden
(TA)
Maftuhim Addenan
(M)
Hannie Ch'ng
(H)
Fatin Nadia Zamawi
(FN)
Fasika Woreta
(F)
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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