The epidemiology of Open Globe Injuries presenting to a tertiary referral eye hospital in Australia

Beshay, Nader; Keay, Lisa; Dunn, Hamish; Kamalden, Tengku Ain; Hoskin, Annette K.; Watson, Stephanie

doi:10.1016/j.injury.2017.04.035

Cited by 79 publications

(83 citation statements)

References 21 publications

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“…Other studies showed lesser percentage of pure zone I disease than present study, despite of being most common 9,11,12 type in all studies . Surprisingly only one case (4.2%) was detected with pure Zone II disease in our study, which was rd [9][10][11][12] found in more than 1/3 of cases in earlier studies . We did not found pure Zone II disease in our study.…”

Section: Outcontrasting

confidence: 60%

“…Male: female ratio was 3.8:1. Male predominance was shown by most of other 4,[9][10][11][12] studies as well…”

mentioning

confidence: 83%

“…They are also involved in handling weapon as well as in war. Playing was the most 4 common setting of injury (62.5%) as shown by Bhattarai et al [9][10][11][12] whereas workplace was shown by other studies . The reason may be our most of patient were children as in the study of 4 Bhattarai et al wooden stick was the most frequent (50%) injurious agent in this study similar to the finding of Bhattarai et 4 12 al but Yalcin Tok et al showed metal as frequent injurious agent.…”

Section: Outmentioning

confidence: 99%

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Open Globe Injury in a Tertiary Care Hospital

Thapa

Nath

2018

J. Nepalgunj Med. College

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Introduction: Open Globe Injury (OGI) is a type of mechanical eye injury in which there is a full thickness defect of the outer fibrous coat of eye ball. The Prognosis in the eyes with OGI has improved in these days. 2.4% of blindness in Nepal was due to ocular trauma in 1981. The aim of this study was to describe epidemiological profile, clinical profile and treatment outcome in eyes with open globe injury. Methodology: It is the prospective interventional non randomized hospital based study on the patients of open globe injury presented to the Nepalgunj Medical College, Nepalgunj from April 2017 to May 2018. Visual acuity, anterior and posterior segment evaluation, site and size of wound were recorded. All the eyes were underwent primary repair surgery. Postoperative visual acuity, anterior and posterior segment evaluation was carried out on all follow up. Second surgery was done if required. Results: 0.4% of ophthalmic and 0.016% of all hospital patients had open globe injury. Most of the victims were young males. The mean age of study population was 10.98±17.1 year. Playing (62.5%) was the most common time of injury and wooden stick (50%) was most common agent of injury. Zone I involvement (87.5%) and penetrating type (91.7%) was found in most of cases. 87.5% of eyes were blind, 4.2%were visually impaired and 8.3% had normal vision at the time of presentation. 79.2 % of eye were improved after treatment on visual function, 12.5% remained unchanged while 8.3% deteriorates and leads to pthysis bulbi. Conclusion: The incidence of open globe injury was 0.4% among ophthalmic patients and 0.016% among all patients of Nepalgunj Medical College Teaching Hospital, Nepalgunj. Early Primary repair, use of systemic antibiotics and postoperative care provides encouraging anatomical and functional outcome in these eyes with OGI.

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Section: Outcontrasting

confidence: 60%

“…Male: female ratio was 3.8:1. Male predominance was shown by most of other 4,[9][10][11][12] studies as well…”

mentioning

confidence: 83%

Section: Outmentioning

confidence: 99%

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Open Globe Injury in a Tertiary Care Hospital

Thapa

Nath

2018

J. Nepalgunj Med. College

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“…Beshay et al studied the epidemiology of OGIs in an Australian tertiary centre and reported alcohol to be a contributing factor in 52% of assaults. 34 Alcohol is likely to impair judgement and trigger or aggravate conflict between individuals. Alcohol was also implicated in 25% of falls in the current study.…”

Section: Discussionmentioning

confidence: 99%

Visual and ocular morbidity in severe open‐globe injuries presenting to a regional eye centre in New Zealand

Court

Wang

et al. 2018

Clinical Exper Ophthalmology

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Importance Open‐globe injuries (OGI) are a leading cause of monocular blindness world‐wide with considerable cost to the individual and society. Background To characterize the epidemiology, severity and outcomes of OGI treated at a major ophthalmology centre in New Zealand. Design Retrospective study. Participants A total of 385 eyes of 381 patients over a 10‐year period. Methods Eligible patients were identified using diagnosis and surgery codes on hospital discharge summaries. Clinical notes were reviewed to determine patient demographics, injury details, treatments and outcomes. Main Outcome Measures Complications of injury, visual acuity at 3 months and final follow‐up, and final status of the eye. Results The estimated annual incidence of OGI was 2.8 per 100 000. Working‐age males predominated but age at injury ranged from 9 months to 90 years. Maori and Pacific peoples were over‐represented. Injuries were severe with 58.7% presenting with vision of hand movements or worse. Penetrating injuries (56.4%) were most common, followed by globe ruptures (35.6%). Major complications included retinal detachment (15.8%), enucleation/evisceration (9.1%), phthisis bulbi (9.9%), endophthalmitis (2.6%) and sympathetic ophthalmia (0.26%). Despite the injury severity, 46% of eyes achieved final BCVA of ≥6/12. The Ocular Trauma Score (OTS) was a useful prognostic tool for stratifying severity of injury and predicting visual outcome (Fisher's exact test P < 0.001). Conclusions and Relevance The incidence and severity of OGI in NZ are comparable to global statistics. Surgical repair can effectively recover vision, predicted well by the OTS. We identified at‐risk groups to target with education and prevention strategies.

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“…Estos resultados son similares a los reportados por Cai y Zhang el año 2015, quienes encontraron que los pacientes con traumatismos oculares tenían una media de 37 años [17] . Así mismo, concuerdan con otros estudios [18,19] en los que los varones jóvenes era el grupo más afectado. Esto se explicaría por una mayor exposición a accidentes laborales debido al tipo de trabajo que se desempeñaría en dichas edades.…”

Section: Discussionunclassified

Características epidemiológicas de los traumatismos oculares en un instituto oftalmológico de referencia regional, Trujillo Perú, 2016 - 2017

Díaz-Mendoza¹,

Chirinos-Saldaña²,

Uribe-Villarreal

et al. 2019

Acta Med Peru

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Características epidemiológicas de los traumatismos oculares en un instituto oftalmológico de referencia regional, Trujillo Perú, 2016 -2017 Epidemiological characteristics of eye injuries at one ophthalmological institute of regional reference, Trujillo Perú, 2016 -2017 RESUMEN Objetivo: Describir las características epidemiológicas de los traumatismos oculares atendidos en el Instituto Regional de Oftalmología (IRO). Materiales y métodos: Estudio descriptivo y prospectivo, en el cual se aplicó un protocolo estandarizado de registro de datos demográficos y clínicos de pacientes con traumatismos oculares que acudieron al servicio de emergencia del IRO, entre enero 2016 y abril 2017. Resultados: Un total de 1 288 pacientes cumplieron los criterios de selección, la edad promedio fue de 37 años, en su mayoría los afectados fueron varones (84,7 %) y el grupo etario más afectado fue el de 21 a 40 años (46,7 %). Los accidentes laborales fueron la causa más frecuente (63,7 %), ocurriendo principalmente en trabajadores de metalmecánica, construcción y albañilería; seguido de los accidentes domésticos (19,2 %). El 95,4 % fueron traumatismos cerrados, predominantemente con compromiso unilateral, ocupando el primer lugar los cuerpos extraños corneales (73,4 %), seguido de las contusiones (16,2 %). El 56,2 % de traumatismos abiertos fueron penetrantes restringiéndose el daño principalmente a la córnea (64,9 %). El 52,6 % de pacientes con traumatismo abierto terminaron con agudeza visual entre 4/200 y no percepción de luz. Conclusiones: Los traumatismos oculares cerrados fueron los más frecuentes y afectaron a pacientes jóvenes, de sexo masculino que laboraban en industria metalmecánica y construcción; siendo los cuerpos extraños corneales metálicos el principal tipo. La mayoría de los traumatismos abiertos tuvieron un pobre pronóstico visual luego de su reparación quirúrgica. ABSTRACTObjective: To describe the epidemiological characteristics of eye injuries treated at Regional Ophthalmology Institute (IRO). Material and Methods: A descriptive and prospective study, in which a standardized protocol was developed to obtain and record demographic and clinical data of patients with ocular trauma who attended the emergency department of IRO between January 2016 and April 2017. Results: 1 307 patients with eye injuries were evaluated, 19 were excluded due to incomplete information, resulting in a sample of 1 288 patients, aged between 5 and 70 years, mostly of male gender (84.7 %), being more frequent patients from 21 to 40 years (46.7 %). Occupational accidents were the most frequent cause (63.7 %), occurring mainly in metal-mechanic workers, welders and workers, followed by domestic accidents (19.2 %). A total of 95.4 % were closed injuries, mostly unilateral. Corneal foreign bodies accounted of 73.4 % of cases, followed by contusions (16.2 %). 56.2 % of open-globe injuries were penetrating, restricting damage mainly to the cornea (64.9 %). 52.6 % of patients with openglobe injury ended up with visual acuity between 4/200 and no...

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The epidemiology of Open Globe Injuries presenting to a tertiary referral eye hospital in Australia

Cited by 79 publications

References 21 publications

Open Globe Injury in a Tertiary Care Hospital

Open Globe Injury in a Tertiary Care Hospital

Visual and ocular morbidity in severe open‐globe injuries presenting to a regional eye centre in New Zealand

Características epidemiológicas de los traumatismos oculares en un instituto oftalmológico de referencia regional, Trujillo Perú, 2016 - 2017

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