Clinical features and outcomes of vitrectomy in pediatric ocular injuries-eye injury vitrectomy study.
Indian J Ophthalmol
;
2014 Apr ; 62 (4): 450-453
Article
in English
| IMSEAR
| ID: sea-155597
ABSTRACT
Context Severe pediatric ocular injury remains a frequent and difficult problem. Vitrectomy is a major technique that has been used to manage severely damaged eyes. However, limited follow‑up studies exist currently. Aims:
To evaluate the clinical features and predictive factors of visual and anatomic outcomes in Eye Injury Vitrectomy Study (EIVS). Settings andDesign:
Retrospective, consecutive, interventional case series. Materials andMethods:
Reviewing and analyzing records of children, aged 15 years or younger, who had undergone vitrectomy for eye injuries in EIVS database between January 1997 and December 2009. Statistical analysis used Descriptive analyses and multiple Logistic regressions were employed for all variables using SPSS software (version 17.0, SPSS Inc.).Results:
Eighty‑seven children (89 eyes) with more than 6 months follow‑up and complete records identified in EIVS were included in this study. Average follow‑up was 12.7 months. The mean age was 9.4 ± 3.8 years. Seventy‑seven eyes (86.5%) had open globe injuries, and 12 (13.5%) had closed globe injuries. Seventeen eyes (19.3%) presented with endophthalmitis. Seventy‑five eyes (88.2%) presented with visual acuity of 4/200 or worse; however, 42 eyes (47.7%) achieved 4/200 or better vision with anatomical restoration after vitrectomy. Multiple analysis showed that choroidal damage, large scleral wound, and endophthalmitis were significantly associated with unfavorable outcome, the OR values were 16.7 (95% CI 2.7‑102.4, P = 0.002), 10.9 (95% CI 1.7‑71.6, P = 0.013), and 6.6 (95% CI 1.0‑42.4, P = 0.048), respectively.Conclusions:
Vitrectomy intervention resulted in favorable visual and anatomic outcomes in almost half of the injured eyes. Choroidal damage, large scleral wound, and endophthalmitis were the prognostic indicators of unfavorable outcome.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Indian J Ophthalmol
Year:
2014
Type:
Article
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