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TRAFFIC ACCIDENT–RELATED OPEN GLOBE INJURIES

Okamoto, Yoshifumi, MD*,†; Morikawa, Shohei*,†; Okamoto, Fumiki, MD*,†; Mitamura, Yoshinori†,‡; Ishikawa, Hiroto†,§; Ueda, Tetsuo†,¶; Sakamoto, Taiji†,**; Sugitani, Kazuhiko†,††; Sawada, Osamu†,‡‡; Mori, Junya†,§§; Takamura, Yoshihiro†,¶¶; Oshika, Tetsuro, MD,*,†

doi: 10.1097/IAE.0000000000002012
Original Study: PDF Only

Purpose: To evaluate the clinical characteristics and visual outcomes of patients with traffic accident-related open globe injuries, and to examine preoperative factors influencing the visual prognosis after pars plana vitrectomy, as compared with common open globe injuries.

Methods: Patients with open globe injuries, who underwent pars plana vitrectomy, were identified. Patients' demographic and clinical data were entered into a computerized database for review and analysis; data included age, sex, initial visual acuity, duration between onset of injury and surgery, information about the type and cause of injury, wound location and length, presence of ocular complications, and final visual acuity.

Results: Of the 355 open globe injuries, 14 were sustained during a traffic-related accident; the average age was 50.4 years (range: 20–85) and most (78.6%) were men. Of these 14 patients, 9 (64.3%) presented with rupture and 5 (35.7%) with laceration. Injuries were caused while driving (6 eyes; 42.9%), riding a bicycle (5 eyes; 35.7%), involved in car accident while walking (2 eyes; 14.3%), and riding a motorbike (1 eye; 7.1%). Initial visual acuity was significantly related to final visual acuity (P = 0.003, R2 = 0.80). The final visual acuity in patients with traffic accident–related open globe injuries was significantly better than that of the total group (P = 0.01).

Conclusion: Traffic accident–related open globe injuries had better visual outcomes than common open globe injuries. Visual outcomes in patients with traffic accident–related open globe injuries were related to the initial visual acuity. No eyes developed endophthalmitis in patients with traffic accident–related open globe injuries.

We investigated the clinical characteristics and visual outcomes of patients with traffic accident–related open globe injuries. Traffic accident–related open globe injuries had better visual outcomes than common open globe injuries. Visual outcomes in patients with traffic accident–related open globe injuries were related to the initial visual acuity.

*Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, Ibaraki;

Japan-Clinical Research of Study (J-CREST) Group;

Department of Ophthalmology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan;

§Department of Ophthalmology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan;

Department of Ophthalmology, Nara Medical University, Kashihara, Nara, Japan;

**Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Sakuragaoka, Kagoshima, Japan;

††Department of Ophthalmology and Visual Science, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;

‡‡Department of Ophthalmology, Sapporo City General Hospital, Sapporo, Japan;

§§Department of Ophthalmology, Shiga University of Medical Science, Otsu, Japan; and

¶¶Department of Ophthalmology, Faculty of Medical Sciences University of Fukui, Yoshida-gun, Japan.

Reprint requests: Yoshifumi Okamoto, MD, PhD, Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki 305-8575, Japan; e-mail: y-okamoto@md.tsukuba.ac.jp

None of the authors has any financial/conflicting interests to disclose.

© 2018 by Ophthalmic Communications Society, Inc.