Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

Kyriakaki, Elli Do; Detorakis, Εfstathios T.; Bertsias, Antonios; Tsakalis, Nikolaos G; Karageorgiou, Ioannis; Chlouverakis, Gregory; Symvoulakis, Emmanouil K.

doi:10.3390/healthcare11060885

Cited by 2 publications

(2 citation statements)

References 36 publications

(52 reference statements)

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“…In our study, the majority of eye injuries (48.7 %) occurred during work-related activities, predominantly among men. This trend aligns with recent findings in a retrospective study conducted in Crete, Greece, where work-related eye injuries accounted for 60.9 % of cases [15]. What is concerning is that a significant proportion of patients with work-related eye injuries did not wear protective eyewear (85.6 %), even in high-risk activities where its use should be obligatory.…”

Section: Discussionsupporting

confidence: 88%

“…This problem extends beyond our country, as studies conducted in Asia and Australia have reported similarly high rates of noncompliance with protective eyewear among individuals with work-related ocular trauma [16], with some studies reporting even more alarming figures [13,17]. Kyriakaki et al reported that 90.5 % of their retrospective cohort did not wear protective eyewear in work-related eye injuries [15]. It is worth emphasising that a significant number of these eye injuries could have been prevented or avoided if protective eyewear were used.…”

Section: Discussionmentioning

confidence: 90%

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Ocular Trauma Characterization in a Reference Emergency Eye Centre in Colombia (FOSCAL)

Pedraza-Concha,

Tello,

Diaz

et al. 2024

Klin Monbl Augenheilkd

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Background Ocular trauma is one of the most important causes of ocular morbidity and inadequate visual acuity in developed and developing countries. In some countries, eye trauma represents the leading cause of monocular blindness. Studies conducted in developing countries like Colombia, a lack of awareness of preventive measures has been questioned. In Colombia there is no countrywide ocular trauma registry. The purpose of the present study is to describe and analyze characteristics of ocular trauma at a tertiary ophthalmology emergency department in Colombia. Patients/methods and material Patients who consulted or were referred to the ophthalmologic emergency department of FOSCAL due to eye injuries between March 1st, 2022, and January 10th, 2023, were included in this cross-sectional study. Results 2,088 eyes of 1,957 patients were included. 78.5% were men, median age was 36 years, and 75.0% lived in urban areas. The median latency between trauma and ophthalmology consultation was 21.8 hours. 1,805 eyes (88.4%) were mechanical or mixed (mechanical plus burn) trauma. 87.5% were unilateral. In terms of the circumstances, 45.9% of injuries occurred during working or educational activities (in 85.6% of these cases, without eye protection), 28.2% in home accidents, and 14.0% in transportation situations. According to BETT, 1,735 eyes (91.1%) were closed globe injuries, and 49 eyes (2.7%) were open globe injuries. Noteworthy, 50 eyes (2.8%) could not be categorized according to BETT at the initial consultation and were classified as “still to be determined”. In OTS, 85.8% were category 5. 93.0% of ocular burn cases were categorized as grade I according to the Roper Hall classification. Conclusions In line with global literature, a much higher proportion of men than women, sought consultation for ocular trauma. The findings suggest a need for improvement in the referral processes from the institutions with the lowest level of care. Lack of awareness about eye protection is an issue. Surgical exploration or additional tests may be necessary for precise injury classification; therefore, we propose adding a "still to be determined" category to the BETT initial classification. These cases may be reclassified later, thus improving the accuracy of OTS calculation. Zusammenfassung Hintergrund Augentrauma ist eine der wichtigsten Ursachen für okuläre Morbidität und unzureichende Sehschärfe in entwickelten Ländern und Entwicklungsländern. In einigen Ländern ist das Augentrauma die Hauptursache für monokulare Erblindung. In Studien, die in Entwicklungsländern wie Kolumbien durchgeführt wurden, wurde ein Mangel an Bewusstsein für Präventivmaßnahmen beanstandet. In Kolumbien gibt es kein landesweites Register für Augentrauma. Ziel der vorliegenden Studie ist die Beschreibung und Analyse der Merkmale von Augenverletzungen in einer tertiären ophthalmologischen Notaufnahme in Kolumbien. Patienten/Methoden und Material In diese Studie wurden Patienten aufgenommen, die zwischen dem 1. März 2022 und dem 10. Januar 2023 die augenärztliche Notaufnahme des FOSCAL wegen Augenverletzungen aufsuchten oder dorthin überwiesen wurden. Ergebnisse 2.088 Augen von 1.957 Patienten wurden eingeschlossen. 78,5 % waren Männer, das Durchschnittsalter betrug 36 Jahre, und 75,0 % lebten in städtischen Gebieten. Der Median der Zeitspanne zwischen Trauma und augenärztlicher Konsultation betrug 21,8 Stunden. Bei 1 805 Augen (88,4 %) handelte es sich um ein mechanisches oder gemischtes Trauma (mechanisch plus Verbrennung). 87,5 % waren unilateral. Was die Umstände betrifft, so ereigneten sich 45,9 % der Verletzungen bei der Arbeit oder in der Ausbildung (in 85,6 % dieser Fälle ohne Augenschutz), 28,2 % bei Unfällen zu Hause und 14,0 % im Verkehr. Laut BETT handelte es sich bei 1.735 Augen (91,1 %) um Verletzungen am geschlossenen Augapfel und bei 49 Augen (2,7 %) um Verletzungen am offenen Augapfel. Bemerkenswert ist, dass 50 Augen (2,8 %) bei der ersten Konsultation nicht nach BETT kategorisiert werden konnten und als "noch zu bestimmen" eingestuft wurden. Bei den OTS waren 85,8 % der Kategorie 5 zuzuordnen. 93,0 % der Fälle von Augenverätzungen wurden nach der Roper-Hall-Klassifikation als Grad I eingestuft. Schlussfolgerungen Im Einklang mit der weltweiten Literatur suchte ein wesentlich höherer Anteil von Männern als von Frauen eine Beratung wegen eines Augentraumas auf. Die Ergebnisse deuten darauf hin, dass die Überweisungsprozesse in den Einrichtungen mit der niedrigsten Versorgungsstufe verbessert werden müssen. Das mangelnde Bewusstsein für den Schutz der Augen ist ein Problem. Für eine genaue Klassifizierung der Verletzungen können eine chirurgische Untersuchung oder zusätzliche Tests erforderlich sein; daher schlagen wir vor, die BETT-Erstklassifizierung um die Kategorie "noch zu bestimmen" zu ergänzen. Diese Fälle können später neu klassifiziert werden, wodurch die Genauigkeit der OTS-Berechnung verbessert wird.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 90%

Ocular Trauma Characterization in a Reference Emergency Eye Centre in Colombia (FOSCAL)

Pedraza-Concha,

Tello,

Diaz

et al. 2024

Klin Monbl Augenheilkd

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Visualizing Ocular Trauma Causes in the Philippines: A Heatmap Analysis

Arguson,

Calleja,

Alcober

et al. 2024

JPDMHD

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This descriptive-developmental study focuses on the development of a web-based application visualizing ocular trauma incidents at the Department of Health Eye Clinic (DOHEC) East Avenue Manila. The Scrum developmental approach was employed as software paradigm while a Gantt chart was necessary on project management to monitor the development of the project. The authors conducted software development checks against a schedule of a 30-day sprint along with designated scrum meetings and software requirement backlog reviews. Microsoft Visual Studio Code was necessary as a source code editor, XAMMP for testing prototypes on localhost computer without an access to the internet, and CodeIgniter building dynamic website with PHP. A beta testing was conducted with the DOHEC consultants and staff to ensure that the web software will comply the software requirements and bugs will be corrected and risks will be mitigated. The study requires both pilot tests for acceptability and software quality evaluation which were conducted with DOHEC officials and computer specialists, respectively. A purposive sampling method was used for determining a sample from the population. This study involved 11 Computing and IT Professionals, 4 or 36.36% of whom were Professors 7 or 63.63% of whom were Industry Computing Professionals in user software quality evaluation using ISO 25010 instrument. On the DOHEC office, only 2 consultants have taken the user acceptance evaluation using Technology Acceptance Model (TAM) instrument. The research instruments were administered online using Google Forms and was then transferred to spreadsheet application for data analysis and statistical treatment. The system was rated by CS and IT professionals with ISO 25010 with a weighted mean score of 4.97. While the respondents from DOHEC Personnel rated the system using TAM instrument with 5.00 weighted mean score indicating that the developed web application qualified to be accepted by the Eye Clinic Doctors.

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Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

Cited by 2 publications

References 36 publications

Ocular Trauma Characterization in a Reference Emergency Eye Centre in Colombia (FOSCAL)

Ocular Trauma Characterization in a Reference Emergency Eye Centre in Colombia (FOSCAL)

Visualizing Ocular Trauma Causes in the Philippines: A Heatmap Analysis

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