Epidemiology and visual outcomes of ocular injuries in a low resource country

Abu, Emmanuel Kwasi; Ocansey, Stephen; Gyamfi, Jennifer A; Ntodie, Michael; Morny, Enyam Komla Amewuho

doi:10.4314/ahs.v20i2.31

Cited by 12 publications

(12 citation statements)

References 25 publications

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“…To the to the best of the authors' knowledge, the present study is the first to explore the psychological status of eye injury patients with visual outcomes in the geographical region of Crete, Greece and there are few published studies on this subject worldwide (2,3). Most of the eye injuries occurred among men, as expected in accordance with other studies (3,(12)(13)(14). The study revealed that most of eye injuries (36.7%) occurred among self-employed and private-public sector employees, in contrast with studies where most of eye injuries occurred among manual force workers, mainly occupied in farming activities in rural areas (3,10).…”

Section: Discussionsupporting

confidence: 92%

Ocular trauma, visual acuity related to time of referral and psychosocial determinants, during COVID‑19 pandemic: A prospective study

et al. 2023

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The aim of the present study was to explore the associations between visual outcomes of ocular injury patients in a tertiary hospital unit with clinical and demographic variables and to evaluate the psychosocial impact of the injury on the patients. An 18-month prospective study of 30 eye-injured adult patients was conducted in the General University Hospital of Heraklion, Crete, a tertiary referral hospital. All severe eye injury case information was prospectively collected between February 1, 2020 and August 31, 2021. Best corrected visual acuity (BCVA) was labelled not poor (>0.5/10 or >20/400 on the Snellen scale, <1.3 in LogMAR scale) and poor (≤0.5/10 or ≤20/400 on the Snellen scale, ≥1.3 on the LogMAR equivalent). Data regarding participants' perceived stress levels, by using Perceived Stress Scale 14 (PSS-14), were collected prospectively, one year after study end. Out of 30 ocular injury patients selected, 76.7% were men and most of them were self-employed and private or public sector workers (36.7%). Not poor final BCVA was related to not poor initial BCVA [odds ratio (OR) 1.714; P=0.006]. No statistical associations were found between visual outcome and demographic or clinical factors, but not poor final BCVA was associated with improved self-reported psychological condition of the sufferers, as examined by a questionnaire sheet developed to collect information for study purpose (8.36/10 vs. 6.40/10; P=0.011). No patient reported job loss or changed work status following the injury. Not poor initial BCVA was a significant predictor for not poor final visual outcomes (OR 1.714; P=0.006). Patients with not poor final BCVA expressed higher levels of positive psychology (8.36/10 vs. 6.40/10; P=0.011) and less fear of eye injury repetition (64.0 vs. 100.0%; P=0.286). Not poor final BCVA was associated with low PSS-14 scores one year after study end (77.3 vs. 0.0%, P=0.003). Collaboration between ophthalmologists, mental health professionals and primary care team may be important in order to help patients to cope with the psychosocial burden sequel to eye trauma.

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Section: Discussionsupporting

confidence: 92%

Ocular trauma, visual acuity related to time of referral and psychosocial determinants, during COVID‑19 pandemic: A prospective study

et al. 2023

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“…Conversely, the proportion of CGI (64.50–67.34%) was higher than that of OGI (26.53–35.5%) in fireworks-related injuries [ 6 , 12 ]. In cases of ocular trauma derived from common causes, CGI was more frequent than OGI [ 14 , 18 , 19 ] with a few exceptions [ 20 ]. The causes and sites of explosion injuries, positional relationship between the injured and the explosives, differences in national or regional working conditions and living standards, and statistical range of eye injury (i.e., simple eye appendage injury or not) are possible reasons for the observed differences.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding eye structure and function, damage that involves the posterior segment is not easily repaired. Involvement of the retina or choroid was revealed as predictive factor of poor VA in previous reports [5,18,27,36]. Few studies have been conducted on ciliary body detachment (CBD), as most case analyses do not include this observation.…”

Section: Discussionmentioning

confidence: 99%

Explosive eye injuries: characteristics, traumatic mechanisms, and prognostic factors for poor visual outcomes

Zhang

Kang

et al. 2023

Military Med Res

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Background Explosions can produce blast waves, high-speed medium, thermal radiation, and chemical spatter, leading to complex and compound eye injuries. However, few studies have comprehensively investigated the clinical features of different eye injury types or possible risk factors for poor prognosis. Methods We retrospectively reviewed all consecutive records of explosive eye injuries (1449 eyes in 1115 inpatients) in 14 tertiary referral hospitals in China over 12 years (between January 2008 and December 2019). Data on demographics, eye injury types, ocular findings, treatments, and factors affecting visual prognosis were extracted from a standardized database of eye injuries and statistically analyzed. Results Mechanical ocular trauma accounted for 94.00% of explosion-related eye injuries, among which intraocular foreign bodies (IOFBs) resulted in 55.17% of open globe injuries (OGIs) and contusion caused 60.22% of close globe injuries (CGIs). Proliferative vitreous retinopathy (PVR) was more common in perforating (47.06%) and IOFB (26.84%) than in penetrating (8.79%) injuries, and more common with laceration (24.25%) than rupture (9.22%, P < 0.01). However, no difference was observed between rupture and contusion. Ultimately, 9.59% of eyes were removed and the final vision was ≤ 4/200 in 45.82% of patients. Poor presenting vision [odds ratio (OR) = 5.789], full-thickness laceration of the eyeball ≥ 5 mm (OR = 3.665), vitreous hemorrhage (OR = 3.474), IOFB (OR = 3.510), non-mechanical eye injury (NMEI, OR = 2.622, P < 0.001), rupture (OR = 2.362), traumatic optic neuropathy (OR = 2.102), retinal detachment (RD, OR = 2.033), endophthalmitis (OR = 3.281, P < 0.01), contusion (OR = 1.679), ciliary body detachment (OR = 6.592), zone III OGI (OR = 1.940), and PVR (OR = 1.615, P < 0.05) were significant negative predictors for poor visual outcomes. Conclusions Explosion ocular trauma has complex mechanisms, with multiple eyes involved and poor prognosis. In lethal level I explosion injuries, eyeball rupture is a serious condition, whereas contusion is more likely to improve. In level II injuries, IOFBs are more harmful than penetrating injuries, and level IV represents burn-related eye injuries. PVR is more associated with penetrating mechanisms than with OGI. Identifying the risk predictors for visual prognosis can guide clinicians in the evaluation and treatment of ocular blast injuries.

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“…Check for updates the hospital, the management protocol instituted in the hospital [8,9]. Certain occupations, school accidents, domestic accidents and cultural practices have been reported to have direct link with some peculiar ocular injuries in Nigeria [9,10].…”

Section: *Corresponding Author: Olufemi O Oyediran Lecturer Department Of Nursing Science Obafemi Awolowo University Ile-ife Nigeriamentioning

confidence: 99%

Prevalence and Pattern of Ocular Injuries among Ophthalmic Patients in a Referral Centre, Ekiti State, Nigeria

Oyediran¹,

Oladosu²,

Oiwoh³

et al. 2021

Int J Ophthalmol Clin Res

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Epidemiology and visual outcomes of ocular injuries in a low resource country

Cited by 12 publications

References 25 publications

Ocular trauma, visual acuity related to time of referral and psychosocial determinants, during COVID‑19 pandemic: A prospective study

Ocular trauma, visual acuity related to time of referral and psychosocial determinants, during COVID‑19 pandemic: A prospective study

Explosive eye injuries: characteristics, traumatic mechanisms, and prognostic factors for poor visual outcomes

Prevalence and Pattern of Ocular Injuries among Ophthalmic Patients in a Referral Centre, Ekiti State, Nigeria

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