Time Trends in the Incidence of Hospitalized Ocular Trauma

Tielsch, James M.; Parver, Leonard M.; Shankar, B S

doi:10.1001/archopht.1989.01070010533025

Cited by 175 publications

(159 citation statements)

References 10 publications

Supporting

Mentioning

117

Contrasting

Unclassified

Order By: Relevance

“…We used the same definitions of principal and secondary diagnosis as previously reported. [10][11][12] The principal diagnosis is defined as the condition that, after investigation, was determined to be the main reason for admission to hospital, listed in the first diagnostic field of the hospital discharge form. The secondary diagnosis refers to those hospital admissions for which ocular trauma was not the principal diagnosis but which listed an ocular trauma code as an additional diagnosis in any of the seven secondary diagnosis fields (for example, 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 Year FIGURE 1.…”

supporting

confidence: 42%

“…The finding of assault being the second leading source of eye injury highlights the role of off-duty activities and highrisk behavior in this population and is consistent with reports based on civilian populations. 10 Efforts to resolve conflicts by nonviolent means and changes in drinking behavior may be effective in reducing this burden of assault-related injuries.…”

Section: Resultsmentioning

confidence: 46%

“…Downward time trends for hospitalized ocular injury were noted in the civilian sector by Tielsch and associates, 10 who attributed the decline in hospitalization rates to changes in the payment system and the treatment of certain injuries outside of hospitals. Changing indications for hospitalization may also account for our observed data.…”

Section: Resultsmentioning

confidence: 46%

See 2 more Smart Citations

Ocular trauma in the United States Army: hospitalization records from 1985 through 1994

Wong

Smith

Lincoln

et al. 2000

American Journal of Ophthalmology

View full text Add to dashboard Cite

supporting

confidence: 42%

Section: Resultsmentioning

confidence: 46%

See 1 more Smart Citation

Ocular trauma in the United States Army: hospitalization records from 1985 through 1994

Wong

Smith

Lincoln

et al. 2000

American Journal of Ophthalmology

View full text Add to dashboard Cite

“…Reasons for this high incidence of eye injuries in older females are not entirely clear, but are likely to relate to the incidence of falls in this age group and subsequent fracture of the orbital floor. However, this bimodal distribution of injuries is consistent with that published in other studies [22][23][24].…”

Section: Discussionmentioning

confidence: 44%

Hospitalised Eye Injuries in New South Wales, Australia

Long¹,

Mitchell²

2009

TOEPIJ

View full text Add to dashboard Cite

Abstract:Purpose: This is the first population-based descriptive study of hospitalised eye injuries in New South Wales (NSW), Australia that also estimates the cost of these injures to the health system. The purpose is to describe the incidence and cause of hospitalised eye injuries in NSW from 1 July 2000 to 30 June 2005.Method: Hospitalised eye injuries in NSW were obtained from information recorded in the NSW Admitted Patients Data Collection and were identified using relevant International Classification of Disease, version 10 Australian modification (ICD-10-AM) codes pertaining to eye injury. Results:The annual rate of hospitalised eye injuries for NSW residents was 25.5 per 100,000 population. Males had higher rates of hospitalisation than females and males 20-24 years and females aged 85 years or over had the highest rates of hospitalisation for each gender. Injuries of the eye and orbit were the most common type of injury (40.8%) and interpersonal violence was the most common type of injury mechanism (27.4%). The home was the most common specified location of the incident and eye injuries were identified as work-related in 9.8% of cases. Conclusions:Eye injuries are an important cause of hospitalised injury in NSW. Preventive approaches to ocular trauma should be promoted to populations identified at risk.

show abstract

“…Trauma from violent behaviour accounts for a large proportion of open globe injuries. [1][2][3][4] Highly populated urban areas account for the more common and serious injuries. 5 Desai et al 6 reported an incidence of 8.14 per 100 000 population for ocular trauma in Scotland annually.…”

Section: Introductionmentioning

confidence: 99%

Open globe injuries: factors predictive of poor outcome

Rahman

Maino

Devadason

et al. 2005

Eye

225

162

View full text Add to dashboard Cite

Objective Despite advances in ocular and orbital imaging, instrumentation, materials, and surgical procedures, the management of open globe injuries continues to pose difficult management dilemmas. In this retrospective study, we identify clinical characteristics and outcome of a series of open globe injuries presenting to a major UK centre. Method Operating department records were reviewed to identify all patients who had undergone repair of an open globe injury from 1 January 1998 to 1 January 2003 at the Manchester Royal Eye Hospital. Case notes were examined to determine demographic data, mechanisms of injury, influence of alcohol/drugs, and location of injury. The Snellen visual acuity on presentation and initial clinical signs were recorded. Results In total, 115 cases of open globe injury were identified of which 107 cases notes were available for review. Injury to the eye with a sharp object accounted for 71/107 (66%) cases and blunt mechanisms for 30/107 (28%) cases. In six (6%) cases the cause of injury was unknown. The rate of secondary enucleation in our series of 107 open globe injuries was 13/107 (12%). Significant risk factors on presentation associated with eventual enucleation included relative afferent pupillary defect (Po0.001), absence of a red reflex (Po0.001), presence of a lid laceration (Po0.02), a blunt mechanism of injury (Po0.02), and an initial VA worse than 6/60 (P ¼ 0.03). Conclusion From this retrospective study, we have identified several factors that may aid the clinician in deciding on the prognostic value of primary repair. Blunt injuries associated with adnexal trauma, with poor initial visual acuity, the presence of an RAPD or retinal detachment, and the absence of a red reflex are associated with a significantly higher rate of subsequent enucleation.

show abstract

Time Trends in the Incidence of Hospitalized Ocular Trauma

Cited by 175 publications

References 10 publications

Ocular trauma in the United States Army: hospitalization records from 1985 through 1994

Ocular trauma in the United States Army: hospitalization records from 1985 through 1994

Hospitalised Eye Injuries in New South Wales, Australia

Open globe injuries: factors predictive of poor outcome

Contact Info

Product

Resources

About