Paediatric ocular and adnexal injuries requiring hospitalisation in Western Australia

Yardley, Anne-Marie E.; Hoskin, Annette K.; Hanman, Kate; Sanfilippo, Paul; Lam, Geoffrey C.; Mackey, David A.

doi:10.1111/cxo.12486

Cited by 28 publications

(31 citation statements)

References 18 publications

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“…Males in the current study were 1.7 times more likely to suffer eye injury than females and 2.25 times as likely to suffer permanent visual impairment. This male preponderance is consistent with other studies investigating childhood ocular injury . Ocular injury of any cause was on average less common, but more severe, with increasing age.…”

Section: Discussionsupporting

confidence: 90%

“…Final best‐corrected VA in the affected eye was better than 6/12 in 80.3% (n = 106) of patients presenting to Auckland Hospital. These results are comparable with other international studies reporting rates of permanent visual impairment in children presenting to hospital with ocular injury (63.4%‐88%) . Of the cases that resulted in permanent visual impairment in the affected eye (n = 26), 50% (n = 13) involved a penetrating eye injury.…”

Section: Discussionsupporting

confidence: 87%

“…These rates are lower than a previous estimate of the incidence of childhood ocular trauma presenting to emergency departments in the United States of 1431/100 000 children/year . The incidence of childhood ocular injury requiring admission to hospital (6.4/100 000 children/year) was also lower than previous international estimates of 6.8 to 15.2/100 000 children/year reported in Australia, Scotland and the United States …”

Section: Discussioncontrasting

confidence: 69%

“…This grouping allows meaningful comparisons to be made across various stages of childhood development and associated risk factors such as exposure to sharp objects, sporting equipment and workplace environments. Children aged 0 to 4 years have the highest rate of ocular injury of all age groups as noted elsewhere . This age group was most commonly injured as a result of “trips and falls” or being “struck by an object.” Children of this age are developing balance and coordination and may also be subject to poorly controlled emotions which contribute to an increased risk of accidental traumatic injury .…”

Section: Discussionmentioning

confidence: 73%

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New Zealand childhood ocular trauma study: Analysis of 75 601 cases of ocular injury from 2007 to 2016

Ferguson

Sung

McKelvie

2019

Clinical Exper Ophthalmology

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Importance Childhood ocular injury is a common, preventable cause of potentially severe permanent disability. Background This study evaluates the nationwide incidence, demographics and visual outcomes of children with ocular injury in New Zealand. Design Nationwide retrospective review. Participants All children in New Zealand aged 0 to 17 years from 2007 to 2016 with ocular injury requiring assessment by a medical practitioner. Methods New Zealand national and regional datasets were used to evaluate population‐level statistics for ocular injury over a 10‐year period. Visual and clinical outcome data were assessed using a randomized sample of 150 patients. Main Outcome Measures Annual incidence, aetiology, demographics, injury location, visual outcomes, protective eyewear use, surgical intervention and follow‐up. Results A national total of 75 601 cases were included with a mean incidence of 719/100 000 children/year. Cases were predominantly male (63.2%) and of New Zealand‐European ethnicity (60.8%), aged 0 to 4 years (30.66%). Injury cause was most commonly “struck by object” (53.7%) and occurred in the home (50.9%). Tertiary hospital assessment and treatment was required in 17.7% where final visual acuity of 6/12 or worse was noted in 19.7% and protective eyewear use was reported in 2.7%. Maori and Pacific ethnicities were associated with higher rates of permanent visual impairment. Conclusions and Relevance Children with the highest risk of ocular injury are males aged 0 to 4 years. Children of Maori or Pacific Island ethnicity and aged 15 to 17 years have the highest risk of ocular injury resulting in permanent visual impairment. Protective eyewear use is uncommon in children presenting with ocular injury. Promotion of appropriate injury prevention strategies is an important public health message.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 73%

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New Zealand childhood ocular trauma study: Analysis of 75 601 cases of ocular injury from 2007 to 2016

Ferguson

Sung

McKelvie

2019

Clinical Exper Ophthalmology

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“…Males in the current study were 3.2 times more likely to suffer eye injury than females and 2.5 times as likely to have a visual outcome equal to or worse than 6/12 in the injured eye. This male preponderance is consistent with other studies of both adult and childhood ocular injury . Ocular injury of any cause was on average less common with increasing age.…”

Section: Discussionsupporting

confidence: 90%

New Zealand adult ocular trauma study: A 10‐year national review of 332 418 cases of ocular injury in adults aged 18 to 99 years

Wallace

Ferguson

Sung

et al. 2019

Clinical Exper Ophthalmology

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Importance Ocular injury is a common, preventable cause of temporary and permanent disability. Background The current study evaluates the nationwide incidence, demographics and visual outcomes of adults with ocular injury in New Zealand. Design Nationwide retrospective review. Participants New Zealanders aged 18‐99 years from 2007 to 2016 with ocular injury requiring assessment by a registered medical practitioner. Methods New Zealand national and regional datasets were used to evaluate population‐level statistics over a 10‐year period. Visual and clinical outcome data were assessed using a random sample of 150 patients from a tertiary hospital. Main Outcome Measures Annual incidence, aetiology, demographics, injury location, visual outcomes, protective eyewear use, surgical intervention and follow‐up. Results A total of 332 418 adult eye injuries were recorded nationally. The annual incidence of eye injury was 1007/100 000 population/year. Patients were predominantly male (76.1%), of New Zealand‐European ethnicity (74.6%) and aged between 20 and 29 years (21.1%). The most common mechanism of injury was “struck by object” (55.4%). Injuries occurred most commonly at home (48.4%), followed by commercial (15%) and industrial locations (13.8%). Injuries were more common in rural regions (P < .001). Protective eyewear use was reported in 6% of cases (n = 9, 95% confidence interval = 3.2‐11.0). Most ocular injuries were managed exclusively in primary care (70.5%). Conclusions and Relevance Adults with the highest risk of ocular injury are rural males aged 20 to 29 years. Protective eyewear use is uncommon in adults presenting with ocular injury and the majority of injuries are managed in primary care. Promotion of appropriate injury prevention strategies is an important public health message.

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

Hoskin

Low

Sen

et al. 2021

Graefes Arch Clin Exp Ophthalmol

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Paediatric ocular and adnexal injuries requiring hospitalisation in Western Australia

Abstract: Based on the outcomes of our review, paediatric ocular and adnexal trauma are significant causes for hospital attendance in childhood. Identifying associated risk factors will help develop injury prevention strategies to promote eye safety for children.

Cited by 28 publications

References 18 publications

New Zealand childhood ocular trauma study: Analysis of 75 601 cases of ocular injury from 2007 to 2016

New Zealand childhood ocular trauma study: Analysis of 75 601 cases of ocular injury from 2007 to 2016

New Zealand adult ocular trauma study: A 10‐year national review of 332 418 cases of ocular injury in adults aged 18 to 99 years

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

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