Characteristics of open globe injuries in geriatric patients

Tök, Levent; Tök, Özlem; Özkaya, Dilek Bıyık; Eraslan, Elif; Sönmez, Yonca; Örnek, Firdevs; Bardak, Yavuz

doi:10.5505/tjtes.2011.67503

Cited by 7 publications

(3 citation statements)

References 23 publications

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“…To the best of our knowledge, this is the first study to determine epidemiological characteristics of older adult patients with ocular and periocular injuries and factors associated with severe ocular and periocular injuries using a citywide registry in the Republic of Korea. Similar to previous studies, the results of the present study showed that injury incidence in males was 2.3-times higher than that in females [2,7,[13][14][15]. The male predominance may be related to their increased participation in outdoor activities [16], and a similar pattern was observed due to the overwhelming frequency of male participation in farm work, mowing and grinding/cutting metal in our study.…”

Section: Discussionsupporting

confidence: 90%

“…Falls were also highly associated with open-globe injuries. In Turkey, falls caused only 4% of open-globe injuries among non-older adult patients, but 65% among older adult patients, indicating that falls are the main mechanism of open-globe injury in older adults [14]. Age-related poor balance and mobility associated with deteriorated VA have been known to be one of the risk factors for falls [20].…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology of older adult patients with ocular and periocular injuries and risk factors for severe injuries: a multicenter, observational study

2024

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In an aging society, the annual frequency of older adult patients with ocular and periocular injuries has consistently increased. We aimed to identify the epidemiological characteristics and factors associated with severe ocular and periocular injuries in older adult patients. This retrospective, multicenter study was conducted using the regional eye injury registry of four tertiary teaching hospitals at a single metropolitan city in the Republic of Korea from August 2016 to December 2020. We enrolled adult patients aged ≥65 years and classified them as having severe or mild eye injuries. Next, we compared the epidemiological characteristics of the two study groups and determined the risk factors associated with severe eye injury through logistic regression analyses. Of the 1185 older adult patients, 279 (23.5%) had severe eye injuries. Males comprised most (823, 69.5%) of the study population. The most common location wherein the injury occurred was the street/highway for men and the home for women. Fall was the most common causative activity; however, farm work or mowing predominated as reasons for men and home activity for women. Multivariable logistic regression analysis revealed that male sex (adjusted odds ratio (aOR): 1.91, 95% confidence interval (95% CI): 1.34–2.77), 70–74 years (aOR: 1.49, 95% CI: 1.05–2.11), hammering/nailing (aOR: 5.84, 95%CI: 1.71–21.75), and mowing (aOR: 2.51, 95% CI: 1.04–6.60) acted as risk factors for severe eye injury. In conclusion, older adult patients with ocular and periocular injuries occurred more commonly among men, and the most common causative activity of injury was a fall. Severe eye injury tended to occur in men aged 70–74 years while performing hammering/nailing and mowing activities.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Epidemiology of older adult patients with ocular and periocular injuries and risk factors for severe injuries: a multicenter, observational study

2024

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“… 28 In other studies, falling was the most common reason. 29 , 30 Since ocular trauma in adults is usually related to working conditions in industry, such as the manufacturing industry, plumbing, mining, and agriculture as well as nonoccupational events such as sports injuries and domestic violence, 31 , 32 greater attentions to safety measures in these situations could be effective in reducing ocular trauma in adults.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of ocular trauma in the elderly: A population-based study

Hashemi,

Khabazkhoob

et al. 2023

J Curr Ophthalmol

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Characteristics and outcomes of pediatric open globe injury

Choovuthayakorn

Patikulsila

et al. 2013

Int Ophthalmol

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To describe the epidemiology, mechanism of injury, and final visual and anatomical outcomes of pediatric patients with open globe injury. The medical records of patients aged ≤ 16 years diagnosed with open globe injury between January 2006 and December 2010 were retrospectively reviewed. Forty-nine pediatric patients were diagnosed with open globe injury during the study period. Forty-one of the 49 patients (83.7 %) were male. The mean age of the patients was 9.3 ± 4.6 years, with 49 % of the injuries occurring in patients between the ages of 11 and 16 years. Ocular penetration was the most common type of injury (63.3 %), occurring most frequently in the cornea (63.3 %). Wooden objects were the most common cause of injury. Following surgical intervention, 40.8 % of the patients obtained a final visual acuity (VA) of ≥ 6/60. Pars plana vitrectomy was performed in 51 % of cases, with only 36 % of these patients having a final VA of ≥ 6/60. The presence of retinal detachment was the only statistically significant factor (odds ratio 0.05, p < 0.001) that affected VA improvement of more than one line. Corneal penetration was frequently observed in pediatric patients with ocular trauma. Pediatric patients with a retinal detachment were significantly more likely to have a poor final visual outcome than open globe patients whose retina remained attached. Despite prompt surgical intervention, useful vision was preserved in less than half of the patients requiring pars plana vitrectomy.

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Characteristics of open globe injuries in geriatric patients

Cited by 7 publications

References 23 publications

Epidemiology of older adult patients with ocular and periocular injuries and risk factors for severe injuries: a multicenter, observational study

Epidemiology of older adult patients with ocular and periocular injuries and risk factors for severe injuries: a multicenter, observational study

Epidemiology of ocular trauma in the elderly: A population-based study

Characteristics and outcomes of pediatric open globe injury

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