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Abstract

We thank Drs. Hoskin, Dinesh, and Agrawal for their comment on our article. Although our editorial focused on the necessity of establishing an ophthalmic trauma registry in the United States, we agree with the authors that there is a gap in knowledge for ophthalmic trauma that extends internationally. An ideal ophthalmic trauma registry would include global data to guide prognostication and management of injuries with great potential for blindness and visual morbidity.The International Globe and Adnexal Trauma Epidemiology Study is a recently established study through the international collaboration of investigators in Asia, North America, Europe, and Australia, which is a cloud-based registry for open globe and adnexal injuries with the purpose of developing a prognostic classification system and revising the Ophthalmic Trauma Score. 1,2 The International Globe and Adnexal Trauma Epidemiology Study has recently published preliminary data from Central India which found that initial visual acuity, hyphema, corneal laceration involving the visual axis, and retinal detachment are significant prognostic factors for open globe injuries. 2 A significant challenge for any registry is how to facilitate sustainable data collection. For the United States Eye Injury Registry, although it successfully made significant advances for eye trauma, including standardizing terminology and establishing a prognostication score, manual data collection was ultimately not maintainable. 3,4 In establishing an ophthalmic trauma registry in the modern era, the automation of data collection is crucial for a successful database. With the American Academy of Ophthalmology's Intelligent Research in Sight Registry, a key foundation for its success has been automated data extraction through integration with electronic health records. 5 An anticipated challenge for developing an international ophthalmic trauma registry would be developing a process for automated data collection, given that the use of electronic health records may be variable in different countries.We heartily agree with Dr. Hoskin and colleagues that there is a global need for a comprehensive ophthalmic trauma registry through international collaboration. This database would require the use of standardized nomenclature to develop universally applicable prognostic tools and management guidelines. Furthermore, this international registry should encompass all types of ophthalmic injuries, including open globes and adnexal injuries, as well as hyphemas and orbital fractures for broader applications.