Lens injury in setting of Zone I and II open globe injuries
Purpose: To characterize visual outcomes in Zone I and II open globe injuries with lens involvement. Setting: Level 1 Trauma Center Hospital, Seattle WA. Design: Retrospective case series. Methods: Zone I and II open globe injuries between May 2009 and May 2018 were reviewed for lens involvement, de...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_986_24 |
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| author | Brian W Chou Shu Feng Leona Ding Raghu C Mudumbai |
| author_facet | Brian W Chou Shu Feng Leona Ding Raghu C Mudumbai |
| author_sort | Brian W Chou |
| collection | DOAJ |
| description | Purpose:
To characterize visual outcomes in Zone I and II open globe injuries with lens involvement.
Setting:
Level 1 Trauma Center Hospital, Seattle WA.
Design:
Retrospective case series.
Methods:
Zone I and II open globe injuries between May 2009 and May 2018 were reviewed for lens involvement, demographic data, injury characteristics, associated ocular comorbidities, surgical details, and visual outcomes. Eyes with nontraumatic or surgical injuries, prior penetrating keratoplasty, or a history of cataract extraction were excluded. Visual outcomes were compared using the Kruskal–Wallis and Fisher’s exact tests.
Results:
A total of 145 Zone I and II globe injuries (63 without lens injury and 82 with lens injury) with at least 6 months of follow-up were included. Endophthalmitis was not identified in any patients without lens involvement, while 9 patients with lens injury (11%) developed endophthalmitis. Patients with lens injury demonstrated a more severe ocular trauma score (P = 0.003). Best-corrected visual acuity (BCVA) was significantly better (P = 0.03) in patients without lens injury compared to those with lens injury. The median (interquartile range) BCVA in the no-lens injury group was 20/40 (20/25 – 20/400), while in the lens injury group it was 20/80 (20/40-20/300). The location of intraocular lens (IOL) placement did not influence final visual acuity outcomes (P = 0.76). However, eyes left aphakic had worse BCVA compared to those that received a secondary IOL (P = 0.005).
Conclusions:
Open globe injuries with lens involvement are associated with worse visual prognosis. An increased rate of endophthalmitis may contribute to this difference. In eyes requiring secondary IOL placement, the location of the IOL did not affect final BCVA. |
| format | Article |
| id | doaj-art-e00cd191e7484eb69497ab426169499d |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-e00cd191e7484eb69497ab426169499d2025-01-07T06:27:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-01-01731596310.4103/IJO.IJO_986_24Lens injury in setting of Zone I and II open globe injuriesBrian W ChouShu FengLeona DingRaghu C MudumbaiPurpose: To characterize visual outcomes in Zone I and II open globe injuries with lens involvement. Setting: Level 1 Trauma Center Hospital, Seattle WA. Design: Retrospective case series. Methods: Zone I and II open globe injuries between May 2009 and May 2018 were reviewed for lens involvement, demographic data, injury characteristics, associated ocular comorbidities, surgical details, and visual outcomes. Eyes with nontraumatic or surgical injuries, prior penetrating keratoplasty, or a history of cataract extraction were excluded. Visual outcomes were compared using the Kruskal–Wallis and Fisher’s exact tests. Results: A total of 145 Zone I and II globe injuries (63 without lens injury and 82 with lens injury) with at least 6 months of follow-up were included. Endophthalmitis was not identified in any patients without lens involvement, while 9 patients with lens injury (11%) developed endophthalmitis. Patients with lens injury demonstrated a more severe ocular trauma score (P = 0.003). Best-corrected visual acuity (BCVA) was significantly better (P = 0.03) in patients without lens injury compared to those with lens injury. The median (interquartile range) BCVA in the no-lens injury group was 20/40 (20/25 – 20/400), while in the lens injury group it was 20/80 (20/40-20/300). The location of intraocular lens (IOL) placement did not influence final visual acuity outcomes (P = 0.76). However, eyes left aphakic had worse BCVA compared to those that received a secondary IOL (P = 0.005). Conclusions: Open globe injuries with lens involvement are associated with worse visual prognosis. An increased rate of endophthalmitis may contribute to this difference. In eyes requiring secondary IOL placement, the location of the IOL did not affect final BCVA.https://journals.lww.com/10.4103/IJO.IJO_986_24iolopen globetraumatic cataract |
| spellingShingle | Brian W Chou Shu Feng Leona Ding Raghu C Mudumbai Lens injury in setting of Zone I and II open globe injuries Indian Journal of Ophthalmology iol open globe traumatic cataract |
| title | Lens injury in setting of Zone I and II open globe injuries |
| title_full | Lens injury in setting of Zone I and II open globe injuries |
| title_fullStr | Lens injury in setting of Zone I and II open globe injuries |
| title_full_unstemmed | Lens injury in setting of Zone I and II open globe injuries |
| title_short | Lens injury in setting of Zone I and II open globe injuries |
| title_sort | lens injury in setting of zone i and ii open globe injuries |
| topic | iol open globe traumatic cataract |
| url | https://journals.lww.com/10.4103/IJO.IJO_986_24 |
| work_keys_str_mv | AT brianwchou lensinjuryinsettingofzoneiandiiopenglobeinjuries AT shufeng lensinjuryinsettingofzoneiandiiopenglobeinjuries AT leonading lensinjuryinsettingofzoneiandiiopenglobeinjuries AT raghucmudumbai lensinjuryinsettingofzoneiandiiopenglobeinjuries |