Ocular trauma and prevention measures

Hoskin, Annette K.; Watson, Stephanie

doi:10.1111/ceo.13850

Cited by 7 publications

(19 citation statements)

References 13 publications

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“…Indeed, the commonest cause of monocular blindness in Aboriginal and Torres Strait Islander Australians is ocular trauma 20 . Preventative strategies focusing on Indigenous Australians, particularly in regional and remote areas are urgently needed 7 . and should take account of cultural and socio‐economic factors including unemployment and incarceration 21 .…”

Section: Discussionmentioning

confidence: 99%

“…Adult supervision of children whilst using toys with projectile components and legislation requiring display of warnings and age appropriateness on packaging may also reduce ocular trauma. Indeed, Australian standards, legislation and eye protection recommendations have been effective strategies at preventing ocular trauma 7,27 . A registry of paediatric ocular injury, accessible to all medical practitioners managing patients with ocular trauma may capture a greater number of and range of severity of cases.…”

Section: Discussionmentioning

confidence: 99%

“…20 Preventative strategies focusing on Indigenous Australians, particularly in regional and remote areas are urgently needed. 7 and should take account of cultural and socio-economic factors including unemployment and incarceration. 21 For children, education at school and in the community of the dangers of objects likely to cause OGIs is needed along with the need to attend for aftercare.…”

Section: Discussionmentioning

confidence: 99%

“…Ocular trauma results in complications, including loss of the eye; visual loss or impairment with subsequent amblyopia, with children incurring further developmental barriers 4 . Beyond childhood, there is a lifelong impact on mental health and morbidity 7 …”

Section: What Is Already Known On This Topicmentioning

confidence: 99%

“…4 Beyond childhood, there is a lifelong impact on mental health and morbidity. 7 Approximately 116 000 eye injuries occur annually with a cost of $155 million nationally in Australia. 8 A significant proportion (15.6%) of eye-related emergency department presentations occur in people under 19 years of age, whilst 12% of hospital admissions for ocular trauma occur in people of 14 years or younger.…”

Section: What This Paper Addsmentioning

confidence: 99%

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Epidemiology, aetiology and outcome of paediatric ocular trauma in Sydney

Liu

Hoskin

Watson

2021

J Paediatrics Child Health

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Aim: Report epidemiology, aetiology and outcomes of eye injuries in children 0-16 years treated at quaternary referral and paediatric hospitals in Sydney, Australia. Methods: A retrospective review of cases January 2009 to December 2015 using hospital diagnostic and International Classification of Diseases, 10th Revision codes. Medical records confirmed open globe injury (OGI) or closed globe injury (CGI) diagnosis and demographic, injury mechanism, ocular and best-corrected visual acuities (BCVA) before and after treatment. Results: A total of 295 patients, 298 eyes were included (96 OGIs, 202 CGIs.) Injuries were commonest in males (72%) with OGI peaks in 3-5-, and CGI, 12-14-year-old males. A projectile was the commonest mechanism (106, 36%) then being struck (101, 34%). Commonest agents were sporting equipment (13%), toys (10%) and sticks (10%). Another child was involved in 32.9% OGI and 27.6% CGI. Initial BCVA was a good predictor of final BCVA. Poor prognostic factors included lens injury, vitreous haemorrhage and relative afferent pupillary defect. Final BCVA 6/12 or better was achieved in 69% cases, including 40% of OGIs and 85% of CGIs. Enucleation and evisceration rates were both 1% (n = 3). Conclusion: Paediatric ocular trauma most commonly occurred in males from projectiles or being struck, with injuries commonly occurring from sporting equipment, toys and sticks. Vision was poorer with open than closed globe injuries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: What Is Already Known On This Topicmentioning

confidence: 99%

Section: What This Paper Addsmentioning

confidence: 99%

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Epidemiology, aetiology and outcome of paediatric ocular trauma in Sydney

Liu

Hoskin

Watson

2021

J Paediatrics Child Health

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Intimate Partner Violence and the Role of Ophthalmology

Hoskin

Watson

2023

JAMA Ophthalmol

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Globe trauma associated with falls at Australian tertiary centres

Bartimote,

Hoskin,

Fraser

et al. 2023

Emerg Medicine Australasia

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ObjectiveFalls frequently cause globe and adnexal trauma, particularly in the elderly. The morbidity decreases confidence, independence and quality of life. We aimed to improve the understanding of fall‐related globe and adnexal trauma and the involvement of ophthalmology at two tertiary trauma centres.MethodsA retrospective medical record review was conducted at Royal North Shore Hospital and Royal Prince Alfred Hospital of patients admitted with fall‐related globe and/or adnexal trauma between January 2015 and December 2019. International Classification of Disease Tenth Revision codes were used to identify patients for inclusion. Medical records were reviewed to extract data on demographics, trauma, ocular examination and referrals to ophthalmology.ResultsFrom January 2015 to December 2019, 346 patients, 186 were female (54%) and median age 76 years (interquartile range 24 years), were admitted to Royal North Shore Hospital and Royal Prince Alfred Hospital with fall‐related globe and/or adnexal trauma. One hundred and twenty‐five (36%) suffered globe trauma with 48 (14%) classified as severe. Patients over 65 years old had at least three risk factors contributing to falls. Alcohol and illicit substances were involved in 20% of falls and occurred predominantly in younger populations. There were significantly more patients with globe trauma if orbital/mid‐facial fractures were present (55% vs 36%, P < 0.001).ConclusionFall‐related globe and adnexal trauma were more common in the elderly. Alcohol and illicit substances have a role in falls in younger populations. Thorough ocular assessment is required especially in mid‐facial/orbital trauma to exclude globe trauma. Further, research is required to determine the effect of fall prevention strategies in preventing globe trauma.

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Ocular trauma and prevention measures

Cited by 7 publications

References 13 publications

Epidemiology, aetiology and outcome of paediatric ocular trauma in Sydney

Epidemiology, aetiology and outcome of paediatric ocular trauma in Sydney

Intimate Partner Violence and the Role of Ophthalmology

Globe trauma associated with falls at Australian tertiary centres

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