Ocular injuries - a review

Sukati, V. N.

doi:10.4102/aveh.v71i2.73

Cited by 5 publications

(5 citation statements)

References 23 publications

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“…Most of the eye injuries were work-related (60.9%), as observed by other authors [ 21 , 26 , 27 ]. Manual force workers (construction, welding, electric work, plumbing, farming) formed one of the most commonly affected groups among the admitted patients (29.5%), indicating that these patients have a higher risk of sustaining an eye injury, as highlighted by other studies [ 21 , 28 , 29 , 30 ]. A large proportion of patients were retired and spent their spare time in agricultural labor, which also involves high-risk activities [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 77%

Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

et al. 2023

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Eye injuries are a major cause of visual disability worldwide and may present a burden to both quality of life of the sufferers and healthcare services. The aim of this study was to extract and triangulate information on the demographic, clinical, and social features of eye-injured adult patients admitted to a tertiary hospital in Greece. The design was a five-year retrospective study of eye-injured adult patients, admitted to the General University Hospital of Heraklion, Crete (GUHH), the single tertiary referral hospital on the island. Drawing the profile of eye-injured patients may add to future health planning. Data collected from 1 January 2015 to 31 December 2019, such as sociodemographic features and clinical information, were extracted. One hundred twenty-eight patients were included. Of those, there was no available information on activity during injury for 6 patients, 78 (60.9%) had work-related ocular injuries, and 44 (34.4%) had non-work-related ocular injuries. Patients with no current formal employment, those who were retired, and formally unemployed and manual force workers had the higher rates of work-related injuries. The most common work-related injuries were closed globe injuries, specifically contusions, while ruptures and penetrating wounds were the most frequent of the open globe injuries. Within the univariate analyses, work-related eye injuries were significantly associated with male gender, middle age, and the place related to daily work activity. Determinants of poor final visual acuity (VA) were the initial VA, the type of injury (p < 0.0001), the distance of the place of residence from the hospital, and the time to hospital admission (p < 0.013). In a multivariate analysis, referred patients and those with open globe injuries arrived at hospital after a two-hour interval compared with those who were not referred and those with closed globe injuries (p ≤ 0.05). A reduction in the time to hospital admission deserves further attention. The interconnection of community and health system services through a capacity increase and networking needs further research in order to obtain targeted and viable access for eye-injured patients.

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Section: Discussionmentioning

confidence: 77%

Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

et al. 2023

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“…An open globe injury (an injury penetrating into the globe) involves a full thickness wound of the corneoscleral wall which may result from penetrating or blunt eye trauma (Sukati, 2012). Open globe injury threatens vision and may result in blindness (Schmidt et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Pattern of Childhood Ophthalmic Injuries in Upper Egypt

Abdellah

Shaltout

Ebrahem

et al. 2022

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

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Introduction: Ophthalmic injuries in children represent important health concern that may result in lifelong disfigurements and infirmities. Aim of the work: to describe the pattern of ophthalmic injuries in children admitted to Assiut University Hospitals. Subjects and Methods: This study is a prospective descriptive study included 72 children admitted to causality unit of Assiut University Hospital with ophthalmic injuries in the period from 1 st January 2021 to 30 th June 2021. Detailed history and ocular examination were performed for the included subjects. The visual status after injury and after initial repair was evaluated. Results: Mean age of the patients was 8.23 ± 4.55 years, and the male patients represented more than half of the cases with percentage of 58.34%. Most cases were from rural areas (87.5%). The highest incidence (97.24 %) of the cases was accidental and only 2.78% was homicidal. The commonest type of injury was blunt trauma, accounting for 43.06% of the total and penetrating injuries by sharp and/or pointed instruments represented 37.5% of cases. While Intraocular foreign body represented 16.67% of cases. More than half of cases (52.78%) had closed globe injuries while 47.23% of cases had open globe injuries. The visual status after injury and after initial repair was less than 1/60 in 44.44 % of cases (32 cases). Conclusion: Ocular trauma represents a major health concern and cause of decreased visual acuity in children. Domestic eye trauma is mainly accidental and could be avoided and thus education of safety measures is required.

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“…The prognosis of ocular blunt trauma depends largely on the original injury, with timely and optimal management reduces the risks of further complications. 4 The aim of this study is to present a one-step surgical management process for an intricate blunt facial trauma with complex ophthalmic and nasal injury.…”

Section: Introductionmentioning

confidence: 99%

Multiple Approaches for Managing Complex Ophthalmic Blunt Trauma: A Case Report

Irawati

Soedarman²,

Arianti³

et al. 2021

IMCRJ

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Introduction: Ophthalmic trauma is defined as injuries affecting the ocular structures, including the globe, eyelid, lacrimal system, and surrounding orbital walls. Blunt trauma acts as the leading cause of injury and it may affect both the anterior and posterior parts of the globe. Prompt diagnosis, early management, and sustained follow-up are mandatory for an optimal outcome. Purpose: This report presents a one-step surgery management process for an intricate case of blunt facial trauma with complex ophthalmic and nasal injury. Patients and Methods: A 45-year-old male with blunt force trauma of the left eye from a wooden block, suffered from naso-orbital-ethmoidal fractures, eyelid laceration with canalicular, close-globe injuries of traumatic cataract and vitreous hemorrhage with retinal detachment. A simultaneous one-step surgery was performed by a trauma team of ophthalmological and ENT surgeons during the height of the COVID-19 pandemic to lessen the risk of cross-transmission. After ruling out the possibility of open-globe rupture, traumatic cataract extraction, retinal detachment surgery, the repair of an eyelid laceration with canalicular involvement, and septorhinoplasty were performed on concomitantly. Results: Anatomical success was achieved for the repair of the nasoorbitoethmoidal (NOE) type II fracture and close-globe injuries, including the anatomical reattachment of the retina. However, the functional outcome remained unsatisfactory. Visual acuity failed to show further improvement at a later follow-up. Traumatic optic neuropathy was, at the final follow-up, considered to be the cause of the suboptimal visual acuity. Conclusion:A single-step multi-procedure for a complex ophthalmic blunt trauma, as demonstrated in this case, may be beneficial for reducing the complications that might arise due to treatment delay. The complex nature of the injury, however, creates the higher possibility for residual post-operative complications. Risks of residual functional impairment should be considered in such complex trauma prior to surgery, to determine the surgical prognostic value and provide appropriate consent to the patient.

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Ocular injuries - a review

Abstract: No abstract available

Cited by 5 publications

References 23 publications

Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

Pattern of Childhood Ophthalmic Injuries in Upper Egypt

Multiple Approaches for Managing Complex Ophthalmic Blunt Trauma: A Case Report

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