Patterns of ocular trauma in elderly patients in an urban population-the Bronx
            experience

Chocron, Isaac; Goduni, Lediana; Poulsen, David; Mbekeani, Joyce N.

doi:10.5935/0004-2749.20200025

Cited by 7 publications

(10 citation statements)

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“…Among the age groups studied, elderly patients were more likely to be admitted as IP (2.9%) or transferred to a short-term hospital (2.1%). These findings are consistent with other analyses of eye trauma hospitalizations, which report an increasing number of eye trauma cases in patients ≥ 65 years due to falls [ 29 , 36 ] and an increased likelihood for elderly patients to be admitted for eye-related trauma [ 37 ]. Interestingly, in 2021 Usmani et al reported that the overall incidence of elderly ED fall-related eye trauma increased between 2006 to 2014, with a decline seen in 2015 [ 37 ].…”

Section: Discussionsupporting

confidence: 91%

Incidence, Characteristics, and Cost of Eyelid Lacerations in the United States from 2006 to 2014

et al. 2022

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Introduction To report the incidence, demographics, and cost of eyelid lacerations (ELs) in the USA. Methods The Nationwide Emergency Department Sample is the largest publicly available emergency department database in the US. We conducted a retrospective longitudinal analysis to identify all emergency department (ED) visits in the sample from 2006 to 2014 with a primary or secondary diagnosis of EL. Descriptive statistics were calculated for hospital characteristics, patient demographics, and inflation-adjusted patient ED and in-patient (IP) charges. Results The incidence of primary and total ELs from 2006 to 2014 decreased by 50 per million and 7.1 per million, respectively. In the same period, the total ED and average ED charge, corrected for inflation, increased by almost $37 million and $1600 per person, respectively. Motor vehicle accidents (MVAs) were the mechanism of injury (MOI) associated with the highest average ED and IP costs at $5391 and $42,677, respectively. However, object- (42.2%) and fall-related (28.8%) were the most reported MOI overall. Peak months of EL presentations were seen in May and July, and > 90% of primary ELs were classified as periocular. Most ELs occurred in men and children, representing 69% and 44% of all primary EL cases, respectively. Conclusion The incidence of ELs declined from 2006 to 2014. ELs occurred most frequently in children and young adults. The high proportion of object and fall-related injuries in this population highlights an area to develop strategies to reduce the frequency of preventable eye injuries. Supplementary Information The online version contains supplementary material available at 10.1007/s40123-022-00605-9.

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Section: Discussionsupporting

confidence: 91%

Incidence, Characteristics, and Cost of Eyelid Lacerations in the United States from 2006 to 2014

et al. 2022

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“…In older adults, it especially occurs as a result of falls or accidental injuries associated with age-related changes like decreased vision, impaired balance, and frailty. 13 , 14 Cade et al 1 reported that falls were the most common factor for older patients, accounting for 74% of cases. Consistent with the literature, patients 65 and over in our study were usually injured in falls (92.3%).…”

Section: Discussionmentioning

confidence: 99%

Demographic, Etiological, and Clinical Characteristics of Eyelid Lacerations

Doğan,

Coşkun,

Sönmezoğlu

et al. 2024

tjo

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Objectives: To evaluate the demographic, etiological, and accompanying clinical factors in eyelid lacerations (EL). Materials and Methods: The records of patients who presented to our clinic between 2018 and 2022 with eyelid trauma were retrospectively reviewed. Age, gender, cause of injury, clinical findings, accompanying ocular findings, and additional complications were analyzed. Results: The study included 135 patients (106 male, 29 female) with a mean age of 37.0±18.6 years. Among the patients, 29 (21.4%) were 18 years old or younger, 93 (68.8%) were between 19 and 64 years old, and 13 (9.6%) were 65 years old or older. EL were most caused by various sharp objects in 44 patients (33%), blunt trauma in 40 patients (30%), falls in 30 patients (22%), and traffic accidents in 21 patients (15%). Fifteen eyes (11.1%) had foreign bodies at the wound site. Thirty patients (22.2%) (20 lower eyelid, 10 upper eyelid) had accompanying canalicular lacerations. Twenty-three (17%) patients had accompanying conjunctival lacerations, 14 (10.3%) had open-globe injury, 10 (7.4%) had corneal epithelial defects, 9 (6.6%) had intravitreal hemorrhage, 6 (4.4%) had hyphema, and 5 (3.7%) had retinal detachment. Four patients had lid notching and 1 patient (0.7%) had ectropion. Five patients (3.7%) required suturing. No additional complications were observed. Conclusion: EL are more commonly seen in young adulthood and in males. The most common mechanism of injury is impact by various objects. Eyelash margin and canalicular lacerations frequently accompany these injuries. Serious ocular pathologies such as hyphema and open-globe injury can accompany eyelid trauma.

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“…Ocular trauma is seen generally more common in men, when all age groups, gender and all etiological causes are considered [ 8 ]. However, fall-related eye trauma is more common in women [ 3 , 9 , 10 ]. In studies conducted on patients over the age of 65 years, women comprise 60–65% of the patients with open globe injuries due to falls [ 3 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

Fall-related ocular trauma in patients over 90 years in tertiary ophthalmic center in Germany: 90-TOSG Report 1

Uzel,

Gosheva,

Neubauer

et al. 2023

Graefes Arch Clin Exp Ophthalmol

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Purpose To investigate the clinical characteristics of fall-related ocular trauma in patients over 90 years of age. Methods Retrospective, medical record reviews. Patients over the age of 90 years treated in a tertiary center with fall-related ocular trauma were included in the study. Results Fifty consecutive patients (fifty eyes) were analyzed. The mean age was 93.6 ± 1.8 years and 41 patients (82%) were female. The most common site of the injuries was orbital fracture (18 patients, 36%), accompanied with open globe rupture (OGR) in three patients, and globe contusion in two patients. Seventeen patients (34%) presented with OGR. Ocular trauma score in those patients was category 1 in 10 patients (58.8%) and category 2 in the others. Conjunctival hemorrhage and/or periocular contusion was seen in 14 patients (28%) and globe contusion in six patients (12%). At the presentation, the mean best corrected visual acuity (BCVA) was 2.82 ± 0.24 logMAR in patients with OGR and 1.98 ± 0.81 logMAR in six patients with globe contusion. Three of the patients with OGR had a final vision of 20/200 or better whereas the remaining patients had hand movements or less. The most common risk factors were female gender (82%) and use of antihypertensive drugs (46%). Conclusion Patients with OGR had a poor visual outcome despite the early treatment. It is important to raise public awareness about of the poor prognosis of ocular injuries due to falls in the elderly population in order to establish preventive measures.

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Patterns of ocular trauma in elderly patients in an urban population-the Bronx experience

Cited by 7 publications

References 0 publications

Incidence, Characteristics, and Cost of Eyelid Lacerations in the United States from 2006 to 2014

Incidence, Characteristics, and Cost of Eyelid Lacerations in the United States from 2006 to 2014

Demographic, Etiological, and Clinical Characteristics of Eyelid Lacerations

Fall-related ocular trauma in patients over 90 years in tertiary ophthalmic center in Germany: 90-TOSG Report 1

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