Epidemiology and outcomes of open globe injuries: the international globe and adnexal trauma epidemiology study (IGATES)

Hoskin, Annette K.; Low, Rebecca; Sen, Parveen; Mishra, Chitaranjan; Kamalden, Tengku Ain; Woreta, Fasika A.; Shah, Mehul; Pauly, Marian; Rousselot, Andrés; Sundar, Gangadhara; Natarajan, Sundaram; Keay, Lisa; Gunasekeran, Dinesh Visva; Watson, Stephanie; Agrawal, Rupesh

doi:10.1007/s00417-021-05266-1

Cited by 18 publications

(12 citation statements)

References 25 publications

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“… 26 , 27 In a recent multicenter study, a distinct distribution of mechanisms, locations, and objects causing OGI varied between different geographical centers. 29 Similar to our study, Beshay et al reported the majority of OGI occurred in middle-aged adults who were exposed to work involving high-velocity metallic objects. 30 The three main activities related to no vision survival in this study were construction, gardening/farming, and mowing.…”

Section: Discussionsupporting

confidence: 91%

Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score

Porapaktham¹,

Choovuthayakorn²,

Nanegrungsunk³

et al. 2023

OPTH

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Purpose To determine characteristics and factors associated with no vision survival (included no light perception, enucleation, and evisceration) following open globe injury (OGI) and to correlate the proportion of final vision to predictive values of ocular trauma score (OTS). Patients and Methods The medical records of consecutive patients diagnosed as OGI between January 2015 and December 2020 were retrospectively reviewed. Data collected included demographics, mechanisms and modes of injuries, ophthalmic presentations, managements, and visual outcomes at the final visit. Results Three hundred and seventy-one patients with a mean (standard deviation, SD) age of 44.0 (17.4) years were included. Male with workplace injury was the most frequent scenario. High-velocity metallic objects were the predominant causative materials. Following treatments, fifty-six eyes (14.9%) obtained no vision survival. Factors associated with no vision survival following OGI were low presenting vision, globe perforation, larger wound, presence of relative afferent pupillary defect, retinal detachment, and vitreous hemorrhage. Compared to OTS predictive values, eyes in OTS categories 1 and 2 had a lower proportion of no vision survival. Conclusion This study identified the importance of workplace injuries. Overall, there were comparable final visions between OTS and this study. However, a reduced proportion of no vision survival among severely injured eyes signifies the challenges of OGI management.

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Section: Discussionsupporting

confidence: 91%

Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score

Porapaktham¹,

Choovuthayakorn²,

Nanegrungsunk³

et al. 2023

OPTH

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“…Black patients were at greater odds of experiencing open wounds and periocular area injuries, and White patients were at greater odds of experiencing contusions of the eyelids and periocular areas. Given the variation in the nature of IPV-related ocular injury, an international registry with common systematic language and definitions, such as the International Globe and Adnexal Trauma Epidemiology Study (IGATES), 4 may help us gain better insight into the types of injuries associated with IPV.…”

Section: Ipv and Eye Injuriesmentioning

confidence: 99%

“…The profile of ocular trauma internationally across almost all age groups is characterized by a significantly disproportionate rate of male individuals affected compared with female individuals affected (up to 6:1), who are most often aged 21 to 40 years and thus of working age. 4 The only reversal of this trend appears in the population older than 61 years, when female individuals were more likely to present with fall-related ocular injuries. 5 The rate of IPV-related ocular injuries affecting female individuals in the recently reported cohort was 1.5:1 with a mean age of 45.2 years for all patients.…”

Section: Demographicsmentioning

confidence: 99%

Intimate Partner Violence and the Role of Ophthalmology

Hoskin

Watson

2023

JAMA Ophthalmol

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“…[ 5 6 7 ] Trauma is a major mental health problem in most developing societies, and trauma causes more deaths in people under 30 than in other diseases. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

Comparing the effectiveness of bupivacaine administration through chest tube and intercostal blockage in patients with rib fractures

Yazdani¹,

Nasr-Esfahani²,

Kolahdouzan³

et al. 2022

Adv Biomed Res

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Background: There are several methods to control pain, especially in traumatic patients with rib fractures. Intrapleural analgesia (IPA) and intercostal block methods are recommended in patients with rib fractures to control pain. Here, we aimed to evaluate and compare the effects of IPA and intercostal block on patients’ clinical conditions. Materials and Methods: This is a randomized clinical trial that was performed in 2020–2021 on thirty traumatic patients with rib fractures. We collected the results of arterial blood gas in all patients before interventions including HCO3, pH, pO2, and pCO2 and also evaluated pain of patients. The first group underwent intercostal blockade with standard method with bupivacaine, and for the second group of patients, a chest tube was implanted. Patients were monitored for up to 12 h for pain intensity and need for analgesics. Results: The mean levels of HCO3 decreased in both groups after the interventions, and this decrease was more significant in patients in the intercostal blockade group ( P < 0.05). The mean levels of pO2 increased in both groups after interventions, especially in patients in the intercostal blockade group ( P < 0.05). The mean pCO2 levels also decreased in both groups ( P < 0.05). The mean pain intensity in both groups decreased significantly after the intervention ( P < 0.05) and also the mean pain intensity in the intercostal blocking group decreased significantly more than the group treated with chest tube ( P < 0.05). Conclusion: Intercostal blockade through bupivacaine is more effective than chest tube administration of bupivacaine in patients with rib fractures.

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Epidemiology and outcomes of open globe injuries: the international globe and adnexal trauma epidemiology study (IGATES)

Cited by 18 publications

References 25 publications

Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score

Open Globe Injury in a Tertiary Hospital of Northern Thailand: No Vision Survival and Ocular Trauma Score

Intimate Partner Violence and the Role of Ophthalmology

Comparing the effectiveness of bupivacaine administration through chest tube and intercostal blockage in patients with rib fractures

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