Shantilal Shanghvi Cornea Institute (SSCI), Kode Venkatadri Chowdary (KVC) Campus, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh 521134, India.
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Injury. 2024 Dec;55(12):112003. doi: 10.1016/j.injury.2024.112003. Epub 2024 Oct 31.
To evaluate the visual outcomes and identify prognostic factors in patients with ocular bird beak injuries treated at a tertiary eye care center in South India.
We conducted a comprehensive analysis of patients with bird beak injuries, considering factors such as age, gender, mode of injury, and size of laceration. The affected eyes underwent detailed examinations using slit-lamp biomicroscopy, and B-scan ultrasonography was performed to assess the status of the posterior segment. Postoperatively, the best-corrected visual acuity (BCVA) was measured at the last follow-up visit.
Our findings demonstrated significant improvements in visual outcomes, including BCVA and uncorrected visual acuity (UCVA), over a follow-up period ranging from 1 week to 3 years (p < 0.05). No significant changes were observed in endophthalmitis, intraocular pressure (IOP), lens status, or retinal abnormalities during the study duration.
This retrospective study highlight the potential for favorable long-term visual improvement in patients with ocular injuries caused by bird beaks and emphasize the importance of timely intervention. Delayed surgical treatment and the requirement for multiple surgeries within the first week were found to negatively impact visual acuity. Hence, it is crucial to raise public awareness, particularly in rural areas, to prevent these potentially devastating injuries and ensure early intervention for optimal visual recovery.
评估在印度南部一家三级眼科中心接受治疗的眼部鸟嘴伤患者的视力结果，并确定其预后因素。
我们对鸟嘴伤患者进行了全面分析，考虑了年龄、性别、受伤方式和撕裂口大小等因素。使用裂隙灯生物显微镜对受影响的眼睛进行详细检查，并进行 B 型超声扫描以评估后段情况。术后在最后一次随访时测量最佳矫正视力（BCVA）。
我们的研究结果表明，在 1 周到 3 年的随访期间（p < 0.05），视力结果包括 BCVA 和未矫正视力（UCVA）均有显著改善。在研究期间，眼内炎、眼压（IOP）、晶状体状况或视网膜异常均无明显变化。
这项回顾性研究强调了由鸟嘴引起的眼部损伤患者具有良好的长期视力改善潜力，并强调了及时干预的重要性。发现延迟手术治疗和在第一周内需要多次手术会对视力产生负面影响。因此，提高公众意识，特别是在农村地区，以预防这些潜在的破坏性损伤并确保早期干预以获得最佳视力恢复至关重要。
