Featured Research

from universities, journals, and other organizations

Insight into likelihood of developing retinal detachment following open eye injuries

Date:
January 1, 2014
Source:
Massachusetts Eye and Ear Infirmary
Summary:
Researchers report on the first study in 35 years that reviews the circumstances around retinal detachment after open globe injuries (OGI) and describes a new tool that may help ophthalmologists predict which patients are at higher risk after open globe trauma so they can potentially prevent retinal detachment from happening or identify – and repair – it more quickly, thus saving vision.

Ocular trauma causing open globe injury, or a breach in the wall of the eye, remains an important cause of vision loss, with more than 200,000 open globe injuries occurring worldwide each year. In many cases, retinal detachment follows the traumatic injury, causing significant vision loss or blindness.

Researchers from the Massachusetts Eye and Ear, Harvard Vanguard Medical Associates and Harvard Medical School Department of Ophthalmology report on the first study in 35 years that reviews the circumstances around retinal detachment after open globe injuries (OGI) and describes a new tool that may help ophthalmologists predict which patients are at higher risk after open globe trauma so they can potentially prevent retinal detachment from happening or identify -- and repair -- it more quickly, thus saving vision. The paper is posted online in the journal Ophthalmology and slated for the January print edition of that publication.

Researchers performed a retrospective review of 1,036 consecutive OGIs evaluated by the Eye Trauma Service of the Massachusetts Eye and Ear from Feb. 1, 1999, to Nov. 30, 2011. A total of 143 charts were unavailable for review or incomplete and so were excluded from analysis, yielding a total cohort of 893 eyes. Open globe injuries were treated urgently at presentation. After open globe primary repair, patients were admitted for 48 hours of intravenous antibiotics.

Demographic and clinical data from these 893 charts were entered into a database. Variables included were age, sex, date, time and place of injury, mechanism of injury, initial clinical findings, date and time of open globe repair, ocular trauma score, zone of injury, date of retinal detachment diagnosis, date of retinal detachment surgery, and last date of follow-up (censoring date).

Patients who developed retinal detachment were older (mean age, 46 vs. 38 years; P < 0.0001), had a poorer median visual acuity (light perception vs. 20/400; P < 0.001), were less likely to have a visual acuity of ≥20/200 (1.6% vs. 43%; P < 0.001), were more likely to have an afferent pupillary defect (34% vs. 8%; P < 0.001), and were more likely to have vitreous hemorrhage (85% vs. 32%; P < 0.001) compared with patients who did not develop RD. In both groups, most patients were male (78% vs. 80%; P = 0.65).

"We took this information, along with other variables, and created the Retinal Detachment after Open Globe Injury (RD-OGI) score," said Dean Eliott, M.D., senior author, associate director of the Mass. Eye and Ear Retina Service and Stelios Evangelos Gragoudas Associate Professor of Ophthalmology, Harvard Medical School. "After prospective validation with independent cohorts, the RD-OGI score may be useful to help the ophthalmologist predict which patients are at higher risk for retinal detachment after open globe trauma."


Story Source:

The above story is based on materials provided by Massachusetts Eye and Ear Infirmary. Note: Materials may be edited for content and length.


Journal Reference:

  1. Tomasz P. Stryjewski, Christopher M. Andreoli, Dean Eliott. Retinal Detachment after Open Globe Injury. Ophthalmology, 2013; DOI: 10.1016/j.ophtha.2013.06.045

Cite This Page:

Massachusetts Eye and Ear Infirmary. "Insight into likelihood of developing retinal detachment following open eye injuries." ScienceDaily. ScienceDaily, 1 January 2014. <www.sciencedaily.com/releases/2014/01/140101130605.htm>.
Massachusetts Eye and Ear Infirmary. (2014, January 1). Insight into likelihood of developing retinal detachment following open eye injuries. ScienceDaily. Retrieved April 16, 2014 from www.sciencedaily.com/releases/2014/01/140101130605.htm
Massachusetts Eye and Ear Infirmary. "Insight into likelihood of developing retinal detachment following open eye injuries." ScienceDaily. www.sciencedaily.com/releases/2014/01/140101130605.htm (accessed April 16, 2014).

Share This



More Health & Medicine News

Wednesday, April 16, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Could Even Casual Marijuana Use Alter Your Brain?

Could Even Casual Marijuana Use Alter Your Brain?

Newsy (Apr. 16, 2014) A new study conducted by researchers at Northwestern and Harvard suggests even casual marijuana use can alter your brain. Video provided by Newsy
Powered by NewsLook.com
Ebola Outbreak Now Linked To 121 Deaths

Ebola Outbreak Now Linked To 121 Deaths

Newsy (Apr. 15, 2014) The ebola virus outbreak in West Africa is now linked to 121 deaths. Health officials fear the virus will continue to spread in urban areas. Video provided by Newsy
Powered by NewsLook.com
Cognitive Function: Is It All Downhill From Age 24?

Cognitive Function: Is It All Downhill From Age 24?

Newsy (Apr. 15, 2014) A new study out of Canada says cognitive motor performance begins deteriorating around age 24. Video provided by Newsy
Powered by NewsLook.com
How Mt. Everest Helped Scientists Research Diabetes

How Mt. Everest Helped Scientists Research Diabetes

Newsy (Apr. 15, 2014) British researchers were able to use Mount Everest's low altitudes to study insulin resistance. They hope to find ways to treat diabetes. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins