July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Traffic accident-related open globe injuries
Author Affiliations & Notes
  • Kimitaka Oda
    Ophthalmology, Tsukuba University, Tsukuba, Ibaraki, Japan
  • Fumiki Okamoto
    Ophthalmology, Tsukuba University, Tsukuba, Ibaraki, Japan
  • Shohei Morikawa
    Ophthalmology, Tsukuba University, Tsukuba, Ibaraki, Japan
  • Yoshifumi Okamoto
    Ophthalmology, Tsukuba University, Tsukuba, Ibaraki, Japan
  • Tetsuro Oshika
    Ophthalmology, Tsukuba University, Tsukuba, Ibaraki, Japan
  • Footnotes
    Commercial Relationships   Kimitaka Oda, None; Fumiki Okamoto, None; Shohei Morikawa, None; Yoshifumi Okamoto, None; Tetsuro Oshika, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 2301. doi:
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    • Get Citation

      Kimitaka Oda, Fumiki Okamoto, Shohei Morikawa, Yoshifumi Okamoto, Tetsuro Oshika; Traffic accident-related open globe injuries. Invest. Ophthalmol. Vis. Sci. 2018;59(9):2301.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To evaluate the clinical characteristics and visual outcomes of patients
with traffic-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, 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 males. 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 (r = 0.81, P = 0.003). The final visual
acuity in patients with traffic-related open globe injuries was significantly better
than that of the total group (P = 0.01).

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

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

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