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Ocular trauma score

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https://www.readbyqxmd.com/read/28386477/a-retrospective-study-on-clinical-features-and-visual-outcome-of-patients-hospitalized-for-ocular-trauma-in-cangzhou-china
#1
Xi Zhang, Yuqing Liu, Xiangning Ji, Yuanyuan Zou
Purpose. To describe clinical features and to analyze visual outcome of ocular trauma in Cangzhou in 2012-2015, China. Methods. A retrospective study of ocular trauma cases admitted to Cangzhou Central Hospital from January 2012 till December 2015 was performed. Results. This study included a total of 507 eyes from 478 patients. Four hundred (83.7%) patients were male, with a male-to-female ratio of 5.1 : 1. Mean age was 43.6 ± 18.3 years (5-95 years). The largest age group was 45-59 years old, followed by 30-44 years old, presenting two peaks of the age distribution and accounting for 28...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28384167/facing-the-challenges-in-ophthalmology-clerkship-teaching-is-flipped-classroom-the-answer
#2
Ying Lin, Yi Zhu, Chuan Chen, Wei Wang, Tingting Chen, Tao Li, Yonghao Li, Bingqian Liu, Yu Lian, Lin Lu, Yuxian Zou, Yizhi Liu
Recent reform of medical education highlights the growing concerns about the capability of the current educational model to equip medical school students with essential skills for future career development. In the field of ophthalmology, although many attempts have been made to address the problem of the decreasing teaching time and the increasing load of course content, a growing body of literature indicates the need to reform the current ophthalmology teaching strategies. Flipped classroom is a new pedagogical model in which students develop a basic understanding of the course materials before class, and use in-class time for learner-centered activities, such as group discussion and presentation...
2017: PloS One
https://www.readbyqxmd.com/read/28371405/epidemiology-and-clinical-characteristics-of-patients-hospitalized-for-ocular-trauma-in-south-central-china
#3
Wanpeng Wang, Yalan Zhou, Jun Zeng, Meng Shi, Baihua Chen
PURPOSE: Ocular trauma is a major cause of visual loss, but little is known about its epidemiology and clinical characteristics in China. The aim of this study was to determine the prevalence and clinical characteristics of ocular trauma and assess prognostic factors in Changsha, Hunan, located in South-Central China. METHODS: A retrospective case series (ICD codes: S05) study of ocular trauma in patients was performed at the Second Xiangya Hospital, Central South University, from 1 January 2010 to 31 December 2014...
March 30, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28303330/ocular-trauma-score-as-prognostic-value-in-traumatic-ocular-injuries-due-to-rotating-wire-brushes
#4
Konstantine Purtskhvanidze, Florian Rüfer, Alexa Klettner, Christoph Borzikowsky, Johann Roider
PURPOSE: Rotating wire brushes are used, e.g., for rust removal. Detaching fragments can cause severe eye injuries. The purpose of this study was to investigate mechanism, severity, clinical outcome, validity of Ocular Trauma Score (OTS) and to assess the likelihood of final visual acuity. METHODS: Twenty patients with traumatic ocular injuries by rotating wire brushes were included. Location and type of injury, grade of injury according to OTS, surgical procedure, and development of visual acuity were evaluated...
March 16, 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/28291481/self-reported-visual-quality-of-life-after-combat-ocular-trauma
#5
Andrew McLaughlin, Marcus H Colyer, Denise S Ryan, Rose K Sia, Eric D Weichel, Andrew Spiegelman, S G Eaddy, Robert A Mazzoli, Kraig S Bower
OBJECTIVES: To describe the visual outlook and quality of life of service members after combat ocular trauma. METHODS: In a single-center, prospective observational study of service members sustaining ocular trauma, participants underwent a series of ocular examinations and noninvasive tests, including the National Eye Institute Visual Functioning Questionnaire (VFQ-25). RESULTS: Of the 165 enrolled participants, 137 completed the VFQ-25. The mean VFQ-25 composite score was 74...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28274942/socioeconomic-deprivation-and-serious-ocular-trauma-in-scotland-a-national-prospective-study
#6
Liying Low, James Hodson, Daniel Morris, Parul Desai, Caroline MacEwen
OBJECTIVE: To identify the population at risk of serious ocular trauma by exploring relationships with socioeconomic factors. DESIGN: National, prospective, population-based, cross-sectional and follow-up study. PARTICIPANTS: Patients with serious ocular trauma requiring hospital admission in Scotland. METHODS: Case definition and ascertainment-cases of serious ocular trauma necessitating admission to hospital under the care of a consultant ophthalmologist were identified using the British Ophthalmological Surveillance Unit reporting scheme...
March 8, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28224290/pediatric-ocular-trauma-score-as-a-prognostic-tool-in-the-management-of-pediatric-traumatic-cataracts
#7
Mehul A Shah, Rupesh Agrawal, Ryan Teoh, Shreya M Shah, Kashyap Patel, Satyam Gupta, Siddharth Gosai
OBJECTIVE: To introduce and validate the pediatric ocular trauma score (POTS) - a mathematical model to predict visual outcome trauma in children with traumatic cataract METHODS: In this retrospective cohort study, medical records of consecutive children with traumatic cataracts aged 18 and below were retrieved and analysed. Data collected included age, gender, visual acuity, anterior segment and posterior segment findings, nature of surgery, treatment for amblyopia, follow-up, and final outcome was recorded on a precoded data information sheet...
February 22, 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/28190503/monitoring-equine-head-related-pain-with-the-equine-utrecht-university-scale-for-facial-assessment-of-pain-equus-fap
#8
Johannes P A M van Loon, Machteld C Van Dierendonck
This study validates a recently described pain scale, the Equine Utrecht University scale for facial assessment of pain (EQUUS-FAP), in horses with acute or postoperative pain originating from the head, including dental pain, ocular pain, or trauma to the skull. This cohort study of 23 horses with head-related pain and 23 normal, healthy controls revealed significant differences in EQUUS-FAP scores between control horses and horses with acute or postoperative pain (P <0.001). Moreover, pain scores after surgery decreased significantly over time (P <0...
February 2017: Veterinary Journal
https://www.readbyqxmd.com/read/28168043/a-possible-regression-equation-for-predicting-visual-outcomes-after-surgical-repair-of-open-globe-injuries
#9
Huseyin Gursoy, Mustafa Deger Bilgec, Afsun Sahin, Ertugrul Colak
Background. To analyze the effects of factors other than the ocular trauma score parameters on visual outcomes in open globe injuries. Methods. Open globe injuries primarily repaired in our hospital were reviewed. The number of surgeries, performance of pars plana vitrectomy (PPV), lens status, affected tissues (corneal, scleral, or corneoscleral), intravitreal hemorrhage, intraocular foreign body, glaucoma, anterior segment inflammation, loss of iris tissue, cutting of any prolapsed vitreous in the primary surgery, penetrating injury, and the time interval between the trauma and repair were the thirteen variables evaluated using linear regression analysis...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27960623/surgical-management-and-outcome-of-open-globe-injuries-with-posterior-segment-complications-a-10-year-review
#10
Tian Xia, Alain Bauza, Nishant G Soni, Marco A Zarbin, Paul D Langer, Neelakshi Bhagat
PURPOSE: To describe the characteristics, management, and outcomes of open globe injured (OGI) eyes that underwent pars plana vitrectomy (PPV) for posterior segment complications. METHODS: Retrospective chart review of cases that underwent PPV for posterior segment complications associated with OGI between 2003-2012 at University Hospital, Newark, NJ. RESULTS: 120 eyes were identified and classified as follows: "early retinal detachment (RD)" (within 30 days of OGI), 64 (53%) eyes; "delayed RD" (≥30 days after OGI), 30 (25%) eyes; and "no RD," 26 (22%) eyes...
December 14, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27595014/prognostic-factors-for-visual-outcome-in-traumatic-cataract-patients
#11
Ying Qi, Yan F Zhang, Yu Zhu, Ming G Wan, Shan S Du, Zhen Z Yue
Purpose. To investigate the prognostic factors for visual outcome in traumatic cataract patients. Methods. The demographic features of traumatic cataract patients in Central China were studied. The factors that might influence the visual outcome were analyzed. The sensitivity and specificity of OTS (ocular trauma score) in predicting VA were calculated. Results. The study enrolled 480 cases. 65.5% of patients achieved VA at >20/60. The factors associated with the final VA were initial VA, injury type, wound location, the way of cataract removal, and IOL implantation...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27569993/cannabinoid-2-receptor-is-a-novel-anti-inflammatory-target-in-experimental-proliferative-vitreoretinopathy
#12
REVIEW
Anna-Maria Szczesniak, Richard F Porter, James T Toguri, Joanna Borowska-Fielding, Simon Gebremeskel, Anuja Siwakoti, Brent Johnston, Christian Lehmann, Melanie E M Kelly
Proliferative vitreoretinopathy (PVR) can develop after ocular trauma or inflammation and is a common complication of surgery to correct retinal detachment. Currently, there are no pharmacological treatments for PVR. Cannabinoids acting at cannabinoid 2 receptor (CB2R) can decrease inflammation and fibrosis. The objective of this study was to examine the anti-inflammatory actions of CB2R as a candidate novel therapeutic target in experimental PVR. PVR was induced by intravitreal injection of dispase in wild-type (WT) and CB2R genetic knockout (CB2R(-/-)) mice...
February 2017: Neuropharmacology
https://www.readbyqxmd.com/read/27536059/risk-factors-for-poor-outcomes-in-patients-with-open-globe-injuries
#13
Rita D Page, Sumeet K Gupta, Thomas L Jenkins, Zeynel A Karcioglu
PURPOSE: The aim of this study was to identify the risk factors that are predictive of poor outcomes in penetrating globe trauma. PATIENTS AND METHODS: This retrospective case series evaluated 103 eyes that had been surgically treated for an open-globe injury from 2007 to 2010 at the eye clinic of the University of Virginia. A total of 64 eyes with complete medical records and at least 6 months of follow-up were included in the study. Four risk factors (preoperative best-corrected visual acuity [pre-op BCVA], ocular trauma score [OTS], zone of injury [ZOI], and time lapse [TL] between injury and primary repair) and three outcomes (final BCVA, monthly rate of additional surgeries [MRAS], and enucleation) were identified for analysis...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27484082/a-phase-iii-multi-centre-double-masked-randomised-controlled-trial-of-adjunctive-intraocular-and-peri-ocular-steroid-triamcinolone-acetonide-versus-standard-treatment-in-eyes-undergoing-vitreoretinal-surgery-for-open-globe-trauma-ascot-statistical-analysis
#14
Jessica W Lo, Catey Bunce, David Charteris, Philip Banerjee, Rachel Phillips, Victoria R Cornelius
BACKGROUND: Open globe ocular trauma complicated by intraocular scarring (proliferative vitreoretinopathy) is a relatively rare, blinding, but potentially treatable condition for which, at present, surgery is often unsatisfactory and visual results frequently poor. To date, no pharmacological adjuncts to surgery have been proven to be effective. The aim of the Adjunctive Steroid Combination in Ocular Trauma (ASCOT) randomised controlled trial is to determine whether adjunctive steroid (triamcinolone acetonide), given at the time of surgery, can improve the outcome of vitreoretinal surgery in patients with open globe ocular trauma...
2016: Trials
https://www.readbyqxmd.com/read/27449500/adjunctive-intraocular-and-peri-ocular-steroid-triamcinolone-acetonide-versus-standard-treatment-in-eyes-undergoing-vitreoretinal-surgery-for-open-globe-trauma-ascot-study-protocol-for-a-phase-iii-multi-centre-double-masked-randomised-controlled-trial
#15
Philip J Banerjee, Victoria R Cornelius, Rachel Phillips, Jessica W Lo, Catey Bunce, Joanna Kelly, Caroline Murphy, Rhiannon Tudor Edwards, Elizabeth L Robertson, David G Charteris
BACKGROUND: Eyes sustaining open globe trauma are at high risk of severe visual impairment. Ocular injuries which result in visual loss invariably affect the posterior segment of the eye, and prevention of visual loss involves posterior segment (vitreoretinal) surgery. Despite improvements in vitreoretinal surgical techniques, outcomes in these patients remain unsatisfactory, and development of the intraocular scarring response proliferative vitreoretinopathy is the leading cause. Proliferative vitreoretinopathy is the most common cause of recurrent retinal detachment in these eyes; it is reported to occur in up to 45 % of cases...
2016: Trials
https://www.readbyqxmd.com/read/27275432/ocular-trauma-treated-with-pars-plana-vitrectomy-early-outcome-report
#16
Mohammad Reza Mansouri, Seyed Ali Tabatabaei, Mohammad Soleimani, Mohammad Yaser Kiarudi, Saber Molaei, Mehdi Rouzbahani, Meysam Mireshghi, Mohsen Zaeferani, Mehrbod Ghasempour
AIM: To evaluate demographic variables and visual outcomes, among patients with ocular injuries involving the posterior segment, managed with pars plana vitrectomy. METHODS: The records of patients were studied retrospectively from March to September 2010, to determine the age, gender, place of occurrence of trauma, visual acuity, anatomical site, nature of injury, wound length, the presence of an afferent pupillary defect, and the timing of vitrectomy. The Ocular Trauma Score was measured...
2016: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/26821475/-application-of-ocular-trauma-score-in-mechanical-ocular-injury-in-forensic-medicine
#17
Jian Xiang, Zhao-ming Guo, Xu Wang, Li-li Yu, Hui Liu
OBJECTIVE: To evaluate the application value for the prognosis of mechanical ocular injury cases using ocular trauma score (OTS). METHODS: Four hundred and eleven cases of mechanical ocular trauma were retrospectively reviewed. Of the 449 eyes, there were 317 closed globe injury and 132 open globe injury. OTS variables included numerical values as initial visual acuity, rupture, endophthalmitis, perforat- ing or penetrating injury, retinal detachment and relative afferent pupillary block...
October 2015: Fa Yi Xue za Zhi
https://www.readbyqxmd.com/read/26682179/visual-outcomes-in-patients-with-open-globe-injuries-compared-to-predicted-outcomes-using-the-ocular-trauma-scoring-system
#18
Nagib du Toit, Hamza Mustak, Colin Cook
AIM: To determine the visual outcomes in adult patients who sustained open globe injuries and to determine whether the visual prognosis following an eye injury in an African setting differs from the predicted outcomes according to the Ocular Trauma Score (OTS) study. A secondary aim was to establish the evisceration rate for these injuries and assess how this form of intervention affected outcomes in comparison to the OTS. METHODS: A prospective case series of all patients admitted with open globe injuries over a two-year (July 2009 to June 2011) period...
2015: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/26604528/pediatric-open-globe-injury-a-review-of-the-literature
#19
REVIEW
Xintong Li, Marco A Zarbin, Neelakshi Bhagat
Open globe injury (OGI) is a severe form of eye trauma estimated at 2-3.8/100,000 in the United States. Most pediatric cases occur at home and are the result of sharp object penetration. The aim of this article is to review the epidemiology, diagnosis, management, and prognosis of this condition by conducting a systematic literature search with inclusion of all case series on pediatric OGI published between 1996 and 2015. Diagnosis of OGI is based on patient history and clinical examination supplemented with imaging, especially computed tomography when indicated...
October 2015: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/26491549/prognostic-factors-for-open-globe-injuries-and-correlation-of-ocular-trauma-score-in-tianjin-china
#20
Yu Meng, Hua Yan
Purpose. To investigate prognostic factors that influence the final visual acuity (VA) and to correlate the ocular trauma score (OTS) with the final VA in open globe injuries. Methods. A retrospective review of 298 patients with open globe injuries admitted to Tianjin Medical University General Hospital was carried out from January 1, 2010, till December 31, 2014. Prognostic factors influencing the final VA in patients with open globe injuries and the correlation between OTS and the final VA were examined. Results...
2015: Journal of Ophthalmology
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