The application of clinical registries in ophthalmic trauma—the International Globe and Adnexal Trauma Epidemiology Study (IGATES)

Ng, Sean Ming Sheng; Low, Rebecca; Hoskin, Annette K.; Rousselot, Andrés; Gunasekeran, Dinesh Visva; Natarajan, Sundaram; Sundar, Gangadhara; Chee, Caroline Ka Lin; Mishra, Chitaranjan; Sen, Parveen; Pradhan, Eli; Irawati, Yunia; Kamalden, Tengku Ain; Shah, Mehul; Yan, Hua; Woreta, Fasika A.; Subramanian, Prem S.; Kuhn, Ferenc; Watson, Stephanie; Agrawal, Rupesh

doi:10.1007/s00417-021-05493-6

Cited by 14 publications

(21 citation statements)

References 29 publications

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“…The exploration using prospective data collection and/or standardized ocular trauma registry in further studies might overcome these limitations. 44 Nonetheless, information from this study supports the evidence of no vision survival following OGI in agricultural settings and defines some potential points that are essential for preventing eye injuries and their visual prognoses.…”

Section: Discussionsupporting

confidence: 63%

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: 63%

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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“…Therefore, this study highlights the need for ongoing education of clinical staff on these vital components of a comprehensive ophthalmological examination to ensure that ocular injuries are not overlooked. Furthermore, it highlights the role of a structured clinical tool such as the one found in the IGATES registry, which can assist in providing streamlined guidance to ensure these components are completed and adequately documented in stressful clinical situations 13,27,53 …”

Section: Discussionmentioning

confidence: 99%

Closed globe and adnexal eye injuries: Epidemiology, clinical and surgical outcomes, and an economic cost analysis

Lee

Samarawickrama

2023

Clinical Exper Ophthalmology

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Background: To examine the epidemiology, visual outcomes, surgical interventions, and socioeconomic costs of closed globe (CGI) and adnexal injuries. Methods: A retrospective 11-year tertiary-trauma centre study of 529 consecutive CGI was conducted using the Revised Globe and Adnexal Trauma Terminology classification in individuals aged ≥16 years. Outcome measures included best-corrected visual acuity (BCVA), operating theatre visits, and socioeconomic costs. Results: CGI disproportionately impacted young males during work (89.1%)and sports (92.2%), with eye protection only worn in 11.9% and 2.0%, respectively. Home was the most prevalent location (32.5%) due to falls (52.3%) in older females (57.9%). Concomitant adnexal injuries occurred frequently (71.5%), particularly in assaults (88.1%), and included eyelid lacerations (20.8%), orbital injuries (12.5%), and facial fractures (10.2%). Final median BCVA improved to 0.2 logMAR [6/9] (IQR 0-0.2) from 0.5 logMAR [6/18] (IQR 0-0.5) (p < 0.001). Surgery was required in 89 CGI (16.8%) in 123 theatre visits. In multivariable logistical regression modelling, presenting BCVA was predictive of final BCVA (odds ratio [OR] 8.4, 95% confidence interval [95%CI] 2.6-27.8, p < 0.001), while involvement of the lids (OR 2.6, 95%CI 1.3-5.3, p = 0.006), nasolacrimal apparatus (OR 74.9, 95%CI 7.9-707.4, p < 0.001), orbit (OR 5.0, 95%CI 2.2-11.2, p < 0.001), and lens (OR 8.4, 95%CI 2.4-29.7, p < 0.001) predicted for operating theatre visits. Economic costs totalled AUD20.8-32.1 million (USD16.2-25.0 million) and were estimated at AUD44.5-77.0 million (USD34.7-60.1 million) annually for Australia.Conclusions: CGI is a prevalent and preventable burden on patients and the economy. To mitigate this burden, cost-effective public health strategies should target at-risk populations.

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“…Information about the use of eye protection was missing from many of the papers reviewed. As eye injuries are relatively rare, a larger prospective data set, using an international registry such as International globe and adnexal trauma epidemiology study22 23 could be used for future studies to better understand the risk factors as well as the impact of an intervention such as improved eye protection compliance.…”

Section: Discussionmentioning

confidence: 99%

Badminton-related eye injuries: a systematic review

2022

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ObjectivesTo report the nature of badminton-related eye injuries in the published literature.MethodsA review of the literature with key word and MeSH terms: ‘Eye injury’, ‘Ocular trauma’, ‘Badminton’ ‘Shuttlecock’ using CENTRAL, MEDLINE, EMBASE and Informit Health Collection databases. Papers were reviewed to assess the circumstances of the injury, patient demographics and clinical data.Results19 studies from 1974 to 2020 from 12 countries reported 378 monocular badminton-related eye injuries from 378 patients with a male-to-female ratio of 2.5:1. A closed globe injury was sustained in 97% of eyes and a shuttlecock responsible for 85% of injuries. Doubles play, the shuttlecock and a lack of eye protection were associated with eye injury.ConclusionVision impairment was associated with the majority of badminton-related eye injuries, and doubles play, the shuttlecock and a lack of eye protection were risk factors.

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The application of clinical registries in ophthalmic trauma—the International Globe and Adnexal Trauma Epidemiology Study (IGATES)

Cited by 14 publications

References 29 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

Closed globe and adnexal eye injuries: Epidemiology, clinical and surgical outcomes, and an economic cost analysis

Badminton-related eye injuries: a systematic review

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