The global incidence and disability of eye injury: an analysis from the Global Burden of Disease Study 2019

Li, Cong; Fu, Yongyan; Liu, Shunming; Yu, Honghua; Yang, Xiaohong; Zhang, Meixia; Liu, Lei

doi:10.1016/j.eclinm.2023.102134

Cited by 7 publications

(3 citation statements)

References 33 publications

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“…The annual cost of work-related eye injuries is estimated at 1 to 3 billion dollars [38]. Most affected individuals are male and younger in age [39]. The incidence and financial burden of eye injuries can be reduced with preventive measures [40].…”

Section: Discussionmentioning

confidence: 99%

Clinical characteristics, etiologies, co-injuries, and visual outcomes of eyelid lacerations

Guclu,

Ozer,

Eroz

2024

Med Hypothesis Discov Innov Optom

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Background: Eyelid trauma may be accompanied by open globe injury, canalicular injury, hyphema, angle recession, or retinal detachment. Therefore, a detailed assessment should be performed during the associated ophthalmological examinations. We assessed the demographic and clinical characteristics, etiologies, co-injuries, and visual outcomes in patients with eyelid lacerations. Methods: This retrospective, cross-sectional study included individuals 18 years of age and older who underwent repair of an eyelid injury at our tertiary referral center between January 2021 and March 2023. Patients with known structural eyelid disorders or previous ocular surgery were excluded. Demographic and clinical data, including injury site and type, mechanism of injury, and presence of additional ocular injuries, were noted. Best-corrected visual acuity (BCVA) was recorded as the logarithm of the minimum angle of resolution (logMAR) notation at the initial and final follow-up visits. Results: Of 195 included patients with a mean (standard deviation [SD]) age of 42.5 (5.6) years, 164 (84.1%) were men. The most common etiology was accidental (n = 70, 35.9%) and almost half of these injuries occurred at the workplace (n = 32 out of 70, 45.8%). Nine patients (4.6%) had no co-injury, 47 (24.1%) had imaging evidence of orbital bone fractures, 25 (12.8%) had nasolacrimal system involvement, and 11 (5.6%) had an open globe injury. The right upper eyelid (n = 62, 31.8%) was the most commonly affected site. Tissue loss was observed in 77 (39.5%) patients; however, no grafting was required. Five patients (2.6%) underwent lateral canthotomy to improve tissue apposition. On initial examination, 24 patients (12.3%) had traumatic myogenic ptosis, 13 (6.7%) had traumatic aponeurotic ptosis, and ptosis persisted in 7 of these 37 patients (18.9%) 6 months after laceration repair. We observed significant improvement in BCVA at the final follow-up visit (P < 0.001); at the preoperative and final visits, mean (SD) BCVA measurements were 0.21 (0.15) and 0.12 (0.07) logMAR, respectively. Conclusions: Eyelid injuries are more common in men, and the most common etiology is accidental. These injuries occur most commonly in the workplace. Isolated eyelid lacerations are rare. Early ocular assessment and prompt management ensure better visual outcomes. We recommend preventive safety precautions for workplaces to reduce the incidence of avoidable injuries. Identifying risk factors in further population-based studies could prevent loss of labor in a productive population. Further multicenter, nationwide, longitudinal studies could estimate the actual burden and prognosis of ocular trauma, particularly that of eyelid lacerations.

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Section: Discussionmentioning

confidence: 99%

Clinical characteristics, etiologies, co-injuries, and visual outcomes of eyelid lacerations

Guclu,

Ozer,

Eroz

2024

Med Hypothesis Discov Innov Optom

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“…The typical location where eye injuries occur has changed from the work environment in the past to the home or public areas at present [ 15 , 16 ] . Moreover, studies have demonstrated that eye injuries are now the main factor contributing to socioeconomic burden in low- and middle-income nations [ 17 , 18 ] .…”

Section: Introductionmentioning

confidence: 99%

“…Ineffective or unavailable medical care can have several negative effects, including substantial financial hardship. Thus, to implement preventive strategies, we must systematically investigate the epidemiologic features of eye injury [ 18 ] . While our homes serve as safe havens for our families, accidents may happen, especially involving the eyes.…”

Section: Introductionmentioning

confidence: 99%

Ocular injuries sustained at home in five metropolitan cities: a review of 5008 cases

Sharifi,

Sedaghat,

Vaseie

2024

Med Hypothesis Discov Innov Ophthalmol

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Background: In Iran, ocular injuries sustained at home are a growing public health issue, and few studies have explored their prevalence and the frequencies of different causes of these injuries. We investigated the features of ocular injuries at home among children and adolescents (aged < 18 years), adults (18 – 64 years), and the elderly (greater than or equal to 65 years) in five metropolitan cities. Methods: In this cross-sectional study, we recruited individuals with ocular injuries sustained at home who presented to 12 public/teaching hospitals in five metropolitan cities during a 5-month period. Using clinical records within the emergency department archives, we collected the following data: age, sex, frequency of injuries requiring hospital admission or surgical intervention, and causes of eye injuries, documented as 1) cleaning products, 2) chemical products, 3) kitchen items, 4) cooking activities, 5) toys, 6) falls from height, 7) sports equipment, 8) penetrating or cutting, 9) abrasions, 10) foreign bodies, and 11) direct blows by other individuals. Results: Of 5008 participants from the five cities, 74% (n = 3711) were male and 26% (n = 1297) were female. The most frequent causes of injury among children and adolescents, adults, and the elderly were toys, kitchen items, and cooking activities, respectively. In children and adolescents, injuries were caused by kitchen items, toys, foreign bodies, and direct blows by other individuals more frequently than in adults or the elderly, and by cleaning products and abrasions more frequently than in the elderly (all P < 0.05). In adults, injuries were caused by cleaning products, cooking activities, falls from height, sports equipment, penetrating or cutting, and abrasions more frequently than in children and adolescents or the elderly (all P < 0.05), and by kitchen items, toys, and blows by other individuals more frequently than in the elderly (all P < 0.05). In the elderly, injuries were caused by chemical products more frequently than in children and adolescents or adults, and by cooking activities, falls from height, and sports equipment more frequently than in children and adolescents (all P < 0.05). In adults, the frequency of ocular injuries was significantly higher in Tehran and lower in Mashhad when comparing each with that of the other four cities (all P < 0.05). We found a significantly higher frequency of ocular injuries by cleaning and chemical products in Tehran, by toys in Shiraz, by falls from height in Isfahan, and by direct blows by other individuals in Ahvaz when comparing each to that of the other four cities (all P < 0.05). Regarding the prevalence of severe ocular injuries among the children/adolescent and adult age groups, conditions were relatively better in Shiraz and relatively unfavorable in Mashhad. Conclusions: Ocular trauma was more common in male individuals and the younger age groups. Approximately half of the causes were kitchen items, toys, and foreign bodies, which are avoidable by enhancing public eye health awareness. The prevalence of severe ocular injuries in individuals aged < 18 years was high, highlighting the necessity of nationwide preventive strategies for pediatric ocular injuries.

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Disability-Adjusted Life Years Resulting from Ocular Injury among Deployed Service Members, 2001–2020

Travor,

Levine,

Catomeris

et al. 2024

Ophthalmology

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The global incidence and disability of eye injury: an analysis from the Global Burden of Disease Study 2019

Cited by 7 publications

References 33 publications

Clinical characteristics, etiologies, co-injuries, and visual outcomes of eyelid lacerations

Clinical characteristics, etiologies, co-injuries, and visual outcomes of eyelid lacerations

Ocular injuries sustained at home in five metropolitan cities: a review of 5008 cases

Disability-Adjusted Life Years Resulting from Ocular Injury among Deployed Service Members, 2001–2020

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