Epidemiology of Adult Open Globe Injury

Batur, Muhammed; Seven, Erbil; Esmer, Oktay; Akaltun, Mahmut Nedim; Yaşar, Tekin; Çinal, Adnan

doi:10.1097/scs.0000000000003001

Cited by 34 publications

(51 citation statements)

References 12 publications

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“…The proportion of monocular blindness was over 4/5 th of all patients that presented with corneal laceration in the subspecialty clinic. This is in accordance with the earlier report that stated that ocular trauma is a major cause of monocular blindness and visual impairment worldwide [1,5]. It therefore remains a significant cause of vision loss [1].…”

Section: Discussionsupporting

confidence: 93%

“…Reasons for the male preponderance have been well documented in the literature being that males are more involved in riskladened activities than their female counterparts [16,18]. A young age group was also observed to present with corneal laceration for which repair was done in this study as seen in the literature [1,5,7]. The incidence in the young age group could be reduced as documented in the literature by engaging in parental education and closer supervision of children in and outside the home and the use of protective eye wear in sports activities [7].…”

Section: Discussionsupporting

confidence: 62%

“…Corneal laceration results from injury to the globe which is a significant cause of visual loss and remains a serious public health problem [1]. Open globe injury is an ophthalmologic emergency and requires definitive management by an ophthalmologist [1]. Over 90% of these open globe injuries are thought to be preventable [2].…”

Section: Introductionmentioning

confidence: 99%

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Visual Outcome of Corneal Laceration Repair in a Tertiary Hospital, Southwestern, Nigeria

Omotoye¹,

Ajayi²,

Ajite³

et al. 2019

Trop J Ophthalmol Otolaryngol

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Objective: This study aimed at assessing the visual outcome of patients that had corneal laceration repair with their influencing factors in order to reduce the significant consequential vision loss in the patients. Design: A cross sectional study. Subjects: All patients who had open globe injury and corneal repair procedures. Methods: Clinic and theatre records of all patients who had open globe injury and corneal repair procedures between January 2015 and July 2017 were retrieved. Demographic characteristics, main eye complaints, duration of symptoms, laterality, presenting visual acuity, corneal repair procedures and six weeks post operative visual acuity were obtained from the records. All patients who had open globe injury but had primary Enucleation or Evisceration were excluded from the study. Data obtained were recorded and analyzed using Statistical Package for Social Sciences (SPSS) version 25. Results: Forty patients had corneal repair procedure constituting 22.2% of all ophthalmic procedures. There were 30 (75.0%) males and 10(25.0%) females. At the oculoplastic clinic, majority of the patients 33 (82.5%) presented with monocular blindness (VA<3/60) while, only the dependent group of patients 5 (12.5%) presented with normal visual acuity ≥6/18. There was 10% improvement in vision after corneal repair procedure. There was positive correlation between pre-operative visual acuity and post-operative visual acuity. Conclusion: Corneal laceration injury has a relatively high incidence with a 10% improvement in vision after corneal repair procedure. Timely presentation, prompt clinical assessment and early intervention when non-avoidable ocular injury occurs remain the key to a good functional post-operative vision.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 62%

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Visual Outcome of Corneal Laceration Repair in a Tertiary Hospital, Southwestern, Nigeria

Omotoye¹,

Ajayi²,

Ajite³

et al. 2019

Trop J Ophthalmol Otolaryngol

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“…Specifically, blunt trauma injuries including hyphema and BOF had peaks between May and October, a period associated with increased participation in outdoor activities. However, OGIs, including PCCS and IOFB removals, showed less seasonality, probably because of the high relevance of occupational accidents 18,19 .…”

Section: Discussionmentioning

confidence: 99%

Incidence and seasonality of major ocular trauma: a nationwide population-based study

Kwon

Choi

Bae

2020

Sci Rep

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We designed this study to identify the epidemiological characteristics and trends of various types of ocular trauma in the population of the Republic of Korea. We conducted a nationwide, populationbased, cross-sectional study using the Korean national Health insurance claims database for January 2010 to December 2018. We compiled the monthly numbers of patients diagnosed with hyphema and those who received open reduction surgery due to orbital blowout fracture (Bof), primary closure of the cornea or sclera (pccS), or intraocular foreign body (iofB) removal. We obtained annual and monthly incidence rates, and differences according to age, sex, yearly trends, and seasonal variations. The incidence rate (per 100,000 person-years) was high in the order of hyphema (18.43), BOF (11.58), PCCS (1.99) and IOFB removal (0.39). Male predominance was evident in all types of major ocular trauma, but the age distribution varied with the type: hyphemas were most prevalent at 10-14 years of age, BOFs at 25-29 years of age, and open globe injuries (OGIs) at age 60 and older. Although all types of trauma showed significant seasonality, hyphemas (amplitude: 174.81) and BOFs (23.17) showed higher amplitudes compared to OGIs (PCCS: 11.96; IOFB removal: 6.72). While the incidence of blunt trauma injuries, including hyphemas and orbital BOFs, decreased steadily from 2010 to 2018, that of OGIs showed no remarkable change. Ocular trauma is an important cause of visual impairment 1-3 , and the World Health Organization has reported that globally 55 million people experience serious ocular trauma every year 4. Depending on the type and severity of the trauma, not only the cost for treatments could be high, but also it could remain irreversible poor visual impairments following the injury 5. Additionally, blindness under the age of 20 is predominantly due to ocular trauma and its socioeconomic cost is very large 2, 6-8. The eyeball injury is classified as either closed globe injury or open globe injury (OGI) 9-11. The OGI, defined as full thickness wound in cornea or sclera, is classified as rupture and laceration. Corneal or scleral laceration is further classified as perforation, penetrating injury, and intraocular foreign body (IOFB) 9. Usually, the OGIs require primary closure of the cornea or sclera (PCCS) or surgery of IOFB removal. Epidemiological studies identifying trends or causes of ocular trauma are essential for establishing appropriate prevention measures. However, previous reports have limitations such as targeting a specific type of ocular trauma 12 , analyzing only emergency visits 1, 2 , small populations 3 , or including a limited number of institutions 11. In the present study, we sought to identify the epidemiological features of major types of ocular trauma, including closed globe injuries such as hyphemas and orbital blowout fractures (BOFs) and OGIs, based on the Korean National Health Insurance (NHI) claims database. Results Hyphema. From 2010 to 2018, the average annual incidence (per 100,000 person-years) of hyphe...

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“…This is at variance with previous studies reporting work related injuries to be more common. 4,[26][27][28][29][30] These findings have implications for health and safety strategies in prevention of serious eye injuries. The current emphasis on safe work environments must be expanded to include the home environment.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and Implications of Ocular Trauma Admitted to a Tertiary Care Hospital in North India

Singh¹,

Mutreja²,

Bhattacharyya³

et al. 2017

US Ophthalmic Review

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P urpose: To study the aetiology, epidemiological profile of patients presenting with ocular trauma and compare visual outcomes of early versus late presentatiod. Design: Prospective observational study performed over fifteen month interval. Methods: Patients' epidemiological characteristics were evaluated along with cause of trauma, place of injury, time lag post injury, and postoperative management. Injuries were classified by Birmingham Eye Trauma Terminology (BETT). Final visual and anatomical outcome after providing tailored surgical management was evaluated. All patients had a minimum follow up of 6 months. Statistical Analysis: All the data collected was analysed using SPSS version 17.0 software. Results: One hundred and three cases of incident ocular injury were included in the study. Open globe: closed globe injuries were 78:22% respectively with intraocular foreign body present in 9% of cases. Actively working adults younger than 25 years of age were the commonest age group affected (64%). The commonest place of injury was at home (32%) followed by workplace environment (29%). Good outcome (vision of > 6/60 Snellen) could be achieved in 50% cases, of which 53% had purely anterior segment injury and 20% concomitant retinal injury. Good outcome had a direct correlation with early presentation in 57% and poor outcome with late presentation seen in 64% cases. Conclusion: Serious ocular trauma frequently occurs at home with the younger population maximum at risk. Good visual acuity is associated with early intervention and purely anterior segment injuries.

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Epidemiology of Adult Open Globe Injury

Abstract: Open globe injuries remain a serious public health problem, resulting in significant vision loss. Open globe injuries are mostly seen in the young, middle-aged, and male working population. Additional preventive measures should be taken for the individuals in these groups.

Cited by 34 publications

References 12 publications

Visual Outcome of Corneal Laceration Repair in a Tertiary Hospital, Southwestern, Nigeria

Visual Outcome of Corneal Laceration Repair in a Tertiary Hospital, Southwestern, Nigeria

Incidence and seasonality of major ocular trauma: a nationwide population-based study

Epidemiology and Implications of Ocular Trauma Admitted to a Tertiary Care Hospital in North India

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