Ophthalmic Trauma Correlation Matrix (OTCM) : a potential novel tool for evaluation of concomitant ocular tissue damage in open globe injuries

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

PURPOSE: To introduce a novel tool to investigate the correlation between concomitant injuries and primary open globe injury (OGI) in the setting of ophthalmic trauma, the "Ophthalmic Trauma Correlation Matrix" (OTCM).

METHODS: Retrospective cohort review, performed at a tertiary referral eye care center in Eastern Nepal, involving all eyes with OGI meeting the inclusion criteria from 2015-2018. Clinical data including details of primary injury, concurrent injuries, and clinical course were noted from hospital medical records. A correlation matrix chart was devised using matrix correlation and Pearson's correlation coefficient. This chart was then used to evaluate the association of the various injuries in the setting of OGI.

RESULTS: A total of 109 eyes with OGI were included. Majority of the eyes (78, 71.6%) had zone I injuries, while most of the eyes (66, 60.6%) had penetrating injury. The most frequent concomitant injuries in all zones of OGI were traumatic lens injury (77, 70.64%), followed by hyphema (48, 44.03%), and vitreous hemorrhage (35, 32.11%). The most common concomitant injury associated with zone I was hyphema (0.873), while traumatic subluxation/cataract (0.894) and vitreous hemorrhage (0.972) were commonly associated with zone II and III, respectively.

CONCLUSIONS: OTCM could be a useful tool to manage injuries related to the primary ocular injury. This additional information will aid in the prognostication, planning, and management of OGI and potentially prevent repeat surgeries and inadequate treatments.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:260

Enthalten in:

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie - 260(2022), 5 vom: 18. Mai, Seite 1773-1778

Sprache:

Englisch

Beteiligte Personen:

Khatri, Anadi [VerfasserIn]
Shrestha, Saurav M [VerfasserIn]
Kuhn, Ferenc [VerfasserIn]
Subramanian, Prem [VerfasserIn]
Hoskin, Annette K [VerfasserIn]
Pradhan, Eli [VerfasserIn]
Agrawal, Rupesh [VerfasserIn]

Links:

Volltext

Themen:

Concurrent ocular injuries
Eye trauma
Heat map analysis
Journal Article
Ocular injury
Ophthalmic trauma

Anmerkungen:

Date Completed 15.04.2022

Date Revised 15.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00417-021-05491-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM33330232X