The clinical characteristics of alcohol-related ocular rupture

Liu, Jianwei; Zhen-bo, Hu; Wang, Shuna; Deng, Aijun

doi:10.1007/s00417-014-2809-x

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…This proportion increased to 85.2% for the Indigenous subgroup. The relationship between alcohol consumption and the incidence and severity of ocular trauma has previously been reported 29‐32 and the results of our study support this association.…”

Section: Discussionsupporting

confidence: 90%

Epidemiology of severe ocular trauma following the implementation of alcohol restrictions in Far North Queensland

Dorman

O’Hagan

Gole

2020

Clinical Exper Ophthalmology

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Importance: Indigenous communities of Far North Queensland (FNQ) have one of the highest incidences of alcohol-related ocular trauma globally. Background: To review the epidemiology of closed-and open-globe trauma admitted to Cairns Hospital from FNQ health districts following the implementation of alcohol restrictions in Indigenous communities. Design: Retrospective study of cases from January 2014 to December 2018. Participants: A total of 142 cases identified from ICD-10 clinical-coding data. Methods: Records were reviewed to determine demographics, clinical details and outcomes. Main Outcome Measures: Annual incidence by demography and ethnicity (Indigenous vs non-indigenous). Results: Estimated annual incidence was 10.4/100 000 population (openglobe: 3.6/100 000, closed-globe: 6.8/100 000 population). Incidence rate ratio was 2.8× higher in Indigenous (22.8/100 000 population) compared to nonindigenous populations. Injury from assault was 8.2× higher in the Indigenous population. Alcohol was involved in 76% of assaults. Paediatric injuries comprised 20.4% of the cohort, with Indigenous children over-represented (44.8% of children). Visual acuity (VA) at presentation ranged from −0.08 logMAR to no-perception of light (NPL), with 41.8% poorer than +1.00 logMAR. Final VA ranged from −0.18 logMAR to NPL. Mean final VA was significantly better for closed-than open-globe injuries (+0.43 vs +1.01 logMAR). Ruptures had the poorest outcomes (mean +1.65 logMAR). Conclusions and relevance: The overall incidence of severe ocular trauma in FNQ has decreased compared to that reported from 1995 to 2002. The extremely high incidence observed in the Indigenous communities of Cape York has decreased dramatically since the introduction of Alcohol Management Plans. Nevertheless, the Indigenous population still experiences significantly higher rates of severe ocular trauma, particularly from assault.

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Section: Discussionsupporting

confidence: 90%

Epidemiology of severe ocular trauma following the implementation of alcohol restrictions in Far North Queensland

Dorman

O’Hagan

Gole

2020

Clinical Exper Ophthalmology

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“…Intoxicated patients are more prone to road side accidents/assaults. Alcohol-related ocular injuries have been found to be associated with severe globe rupture with high incidence of adnexal injuries and were associated with worse visual outcome and higher rates of evisceration102. Among addicts, polydrug use is very common; so, variable ocular and systemic effects can be seen due to combined mechanisms.…”

Section: Central Nervous System (Cns) Depressantsmentioning

confidence: 99%

Illicit drugs: Effects on eye

2019

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There is a myriad of changes that can be produced in the eye by toxic drugs ranging from mild/no symptoms to severe loss of vision from endophthalmitis. The routes of administration include oral ingestion, smoking, nasal inhalation, intravenous injection, topical application or application to other mucosal surfaces. It is important to recognize certain clinical signs and symptoms in the eye produced by these toxins. This article describes in brief some of the ocular effects of commonly abused drugs. For identification of a particular poisoning, in addition to the clinical presentation, pulse, blood pressure, respiration and body temperature, pupillary size, pupillary reaction to light, ocular convergence and nystagmus can be useful indicators of the type of drug the patient is exposed to. Unmasking these features help the clinician in an early and accurate diagnosis of the offending drug as well as timely management.

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“…The worst prognosis is for injuries resulting from assault/beating and injuries sustained in motorcycle accidents [4]. Additionally, it has been demonstrated that the state under the influence of alcohol is not only conducive to the occurrence of serious eye injury but also tends to worsen the prognosis when the injury occurs [5]. Work-related eye injuries can be categorized as traumatic injuries and exposure injuries.…”

Section: Introductionmentioning

confidence: 99%

Numerical and clinical analysis of an eyeball injuries under direct impact

Koberda¹,

Skorek²,

Kl̵osowski³

et al. 2023

Int J Occup Med Environ Health

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Objectives:The objective of this study was to develop a numerical model of the eyeball and orbit to simulate a blunt injury to the eyeball leading to its rupture, as well as to conduct a comparative analysis of the results obtained using the finite element method against the clinical material concerning patients who had suffered an eyeball rupture due to a blunt force trauma. Material and Methods: Using available sclera biometric and strength data, a numerical model of the eyeball, the orbital contents, and the bony walls were developed from the ground up. Then, 8 different blunt force injury scenarios were simulated. The results of numerical analyses made it possible to identify possible locations and configurations of scleral rupture. The obtained results were compared against the clinical picture of patients hospitalized at the Department of Ophtalmology, Medical University of Gdańsk in 2010-2016 due to isolated blunt force trauma to the eyeball. Results: It has been demonstrated that the extent of damage observed on the numerical model that indicated a possible location of eyeball rupture did not differ from the clinically observed configurations of the scleral injuries. It has been found that the direction of the impact applied determines the location of eyeball rupture. Most often the rupture occurs at the point opposite to the clock-hour/positions of the impact application. The eyeball rupture occurs in the first 7-8 ms after the contact with the striking rigid object. It has been established that the injuries most often affected the upper sectors of the eyeball. Men are definitely more likely to sustain such injuries. Eyeball ruptures lead to significant impairment of visual acuity. Conclusions: This study may contribute to a better understanding of injury mechanisms and better treatment planning. It may also contribute to the development of eyeball protection methods for employees exposed to ocular injuries.

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The clinical characteristics of alcohol-related ocular rupture

Cited by 5 publications

References 22 publications

Epidemiology of severe ocular trauma following the implementation of alcohol restrictions in Far North Queensland

Epidemiology of severe ocular trauma following the implementation of alcohol restrictions in Far North Queensland

Illicit drugs: Effects on eye

Numerical and clinical analysis of an eyeball injuries under direct impact

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