Standardized classification of mechanical ocular injuries: Efficacy and shortfalls

dc.authorid0000-0001-9829-7268
dc.authorid0000-0002-8851-6559
dc.contributor.authorDoğramacı, Mahmut
dc.contributor.authorKaraman Erdur, Sevil
dc.contributor.authorŞentürk, Fevzi
dc.date.accessioned2023-03-31T06:27:21Z
dc.date.available2023-03-31T06:27:21Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göz Hastalıkları Ana Bilim Dalı
dc.description.abstractObjectives: The aim of this study was to examine the efficacy and the shortfalls of the Birmingham Eye Trauma Terminology classification system for ocular trauma in predicting the visual outcome. Methods: The records of 256 eyes of 246 patients with a diagnosis of mechanical ocular trauma admitted to the Osman Gazi University Hospital ophthalmology department between 1995 and 2000 were retrospectively reviewed. The zone, type, grade, and pupil status of the injuries were determined according to the Birmingham classification system. Injuries with a good prognosis were defined as injuries that resulted in vision of equal to or better than counting fingers at 1 meter. Fischer’s exact test was used to determine the statistical significance of relationships between the final visual acuity and the initial clinical findings. Results: Open eye injuries restricted to zone I, those with no afferent pupillary defect, and those graded as 3 or better or classed as type B were significantly associated with a better visual outcome (p<0.05). Open eye injuries that extended to zone III, had an afferent pupillary defect, or were graded as 4 or worse were significantly associated with a poorer visual outcome (p<0.05). Closed eye injuries classified as type B or grade 4 were significantly associated with a poor visual outcome (p<0.05). Conclusion: The Birmingham classification system for mechanical ocular trauma offers a standardized method for both open and closed eye injuries, however, adding subclasses to type C (injuries with foreign body involvement) could enhance the classification method and help to understand the influence of foreign body properties and sizes on the outcome.
dc.identifier.citationDoğramacı, M., Karaman Erdur, S. ve Şentürk, F. (2021). Standardized classification of mechanical ocular injuries: Efficacy and shortfalls. Beyoglu Eye Journal, 6(3), 236-242. https://dx.doi.org/10.14744/bej.2021.01488
dc.identifier.doi10.14744/bej.2021.01488
dc.identifier.endpage242
dc.identifier.issn2459-1777
dc.identifier.issn2587-0394
dc.identifier.issue3
dc.identifier.pmid35005522
dc.identifier.startpage236
dc.identifier.trdizinid476450
dc.identifier.urihttps://dx.doi.org/10.14744/bej.2021.01488
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10780
dc.identifier.volume6
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorKaraman Erdur, Sevil
dc.institutionauthorŞentürk, Fevzi
dc.language.isoen
dc.relation.ispartofBeyoglu Eye Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectBirmingham Classification
dc.subjectClassification
dc.subjectMechanical Trauma
dc.titleStandardized classification of mechanical ocular injuries: Efficacy and shortfalls
dc.typeArticle

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