TY  - JOUR
PY  - 2016//
TI  - Epidemiology, clinical characteristics, prognostic factors, and visual outcomes in patients with open ocular injuries and intraocular foreign bodies
JO  - Harefuah
A1  - Konforty, Neta
A1  - Lior, Yotam
A1  - Levy, Jaime
A1  - Belfair, Nadav
A1  - Bilenko, Natalya
A1  - Lifshitz, Tova
A1  - Klemperer, Itamar
A1  - Knyazer, Boris
SP  - 267
EP  - 71, 324
VL  - 155
IS  - 5
N2  - AIMS: To describe and identify clinical characteristics, prognostic factors and visual outcome in patients with intraocular foreign bodies (IOFB) in southern Israel. <br><br>METHODS: We conducted a retrospective review of all cases of open globe injury with IOFB treated and followed-up for at least 6 months in the Ophthalmology Department at Soroka University Medical Center, Beer Sheva, Israel, from 1995-2011. The study population was subdivided into two groups: 1. Patients whose difference in visual acuity (VA) between presentation and end of follow-up was considered "successful" (n = 54); 2. Patients whose difference in VA between presentation and end of follow-up was considered "non-successful"(n = 14). Comparing these two groups, we analyzed the following: time from trauma to admission, time from admission to operation, location of IOB, wound zone, best corrected VA at admission. <br><br>RESULTS: A total of 97.1% of the study group were males and the mean age was 28.7 ± 15.3 years. Metallic IOB were found in 73.5% of cases. The IOFB penetrated at Zone 1 in 61.8% cases, and were located at the posterior segment in 65.2 % of cases. The two subgroups differed in their best corrected VA (by LogMAR) at presentation (p value = 0.02): the patients who were defined as "successful" (n = 54) had.a higher mean VA (1.2 ± 1.3) than those (n = 14) who were defined as "non-successful" (1.1 ± 0.6). The duration of time from trauma to admission was not found to be of statistical significance (p value = 0.361, and neither did the time from admission to operation (P value = 1). <br><br>CONCLUSION: We present an innovative definition of VA changes during the follow-up period in patients with open globe injuries involving IOFB. Our study showed that patients who presented with worse VA had a better chance of a "successful" outcome.<p />  <p>Language: he</p>
LA  - he
SN  - 0017-7768
UR  - http://dx.doi.org/
ID  - ref1
ER  -