Evidence map›Paper›PMID 36383277›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2023

The impact of primary repair timing on longitudinal visual outcomes after open globe injury.

Roger K Henry, Albert Bargoud, Sapna Syal, Abanoob Tadrosse, Ibraheem S Shaikh, Robert L Kost, Albert S Khouri

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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Systemic Outcomes in Adults Undergoing Emergent Repair of Orbital Blowout Fractures.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Roger K HenryRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Albert BargoudInstitute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 6100, Newark, NJ, 07103, USA.
Sapna SyalRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Abanoob TadrosseInstitute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 6100, Newark, NJ, 07103, USA.
Ibraheem S ShaikhInstitute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 6100, Newark, NJ, 07103, USA.
Robert L KostHampton Roads Eye Associates, Hampton, VA, USA.
Albert S KhouriInstitute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 6100, Newark, NJ, 07103, USA. khourias@njms.rutgers.edu.
Rutgers New Jersey Medical SchoolJohnson University · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe urgency with which to repair open globe injuries is a debated topic that lacks grounding in longitudinal visual outcomes data. We aim to test the association between primary repair timing and visual recovery potential following OGI. SUBJECTS/

methodsWe performed a retrospective cohort study of medical records from a US academic medical center (7/2017 to 11/2021). We included all patients with a principal diagnosis of OGI, a documented date and time of injury, presentation, repair, and ≥ 3 months of complete follow-up data on visual outcomes. We excluded those with prior OGI in the same eye. We also tested the correlation of injury to repair time (ITR) in hours with best corrected visual acuity (BCVA, in logMAR units) at last follow-up in the general cohort and select subpopulations and the impact of repair delay on visual improvement over the follow-up period.

resultsOne hundred twenty-nine patients with OGI were analyzed (91 patients with ≥ 3 months of follow-up). The majority were male (105/129, 81%) with a median age of 45 years. Most OGI involved zone 1 (57%), followed by zone 3 (24%), and zone 2 injuries (19%). Median ocular trauma score (OTS) was 60 (IQR 37-70); mean presenting BCVA was logMAR 1.9 (median 2.3, IQR 1.0-2.7). Median ITR was 22 h (IQR 15-30 h, range 5-199 h). ITR time did not significantly correlate with final BCVA (n = 91, β = - 0.003, 95% CI - 0.009-0.002, P = 0.233), nor did it significantly increase the odds of developing ocular complications or requiring secondary ocular surgeries (OR 0.985, 95% CI 0.967-1.002, P = 0.085). Additionally, the rate of BCVA improvement over subsequent months of follow-up did not significantly differ based on ITR time. Presenting BCVA (R

conclusionsIn this cohort of OGI patients, repair timing does not significantly correlate with final BCVA, and delays beyond 24 h do not significantly correlate with worse visual recovery potential. Repair time alone should be emphasized to a lesser extent as a prognosticator of visual potential, in favor of significant predictors such as the ocular trauma score and presenting visual acuity.

Indexed as

Eye InjuriesEye Injuries, PenetratingFemaleHumansMaleMiddle AgedOphthalmologic Surgical ProceduresPrognosisRetrospective StudiesVisual AcuityOcular injuryOpen globe injuryPrimary repairTrauma

Identifiers

PMID36383277
OpenAlexW4309159727

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.