Traffic Accident–related Open Globe Injuries

Okamoto, Yoshifumi; Morikawa, Shohei; Okamoto, Fumiki; Mitamura, Yoshinori; Ishikawa, Hiroto; Ueda, Takahiro; Sakamoto, Taiji; Sugitani, Kazuhiko; Sawada, Osamu; Mori, Jun; Takamura, Yoshihiro; Oshika, Tetsuro

doi:10.1097/iae.0000000000002012

Cited by 13 publications

(19 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Considering about gender, the result of this study is consistent with other OGI publications, either investigated for overall causes or only for traffic-related injury, which found that male was a major proportion of patients than female, even though varying in ratio [13,15,16,20,22]. This may refer to differences in physical activities between genders.…”

Section: Discussionsupporting

confidence: 88%

“…Nevertheless, in road traffic-related OGI, the disparities in age range have been demonstrated. A study in US by Orr et al presented that nearly half of cases (48%) were young patients between 20 to 40 years whereas a study in Japan by Okamoto et al found that road traffic injury comprised a more proportion of elderly patients with a mean age of 50 years [20,22]. This study, similar to Zhang et al, demonstrated that the highest incidence occurred in young patients between 20 to 39 years which represented teenagers and/or early working groups [10].…”

Section: Discussionsupporting

confidence: 62%

“…About the mechanism of injury, there were pieces of evidence that globe rupture was the most prevalent type (60 to 64%) in road traffic-related OGI [20,22]. This study noted that a similar proportion of patients sustained injuries from globe rupture and penetration (47 versus 45%).…”

Section: Discussionmentioning

confidence: 69%

“…A study by Orr et al reported that nearly all cases (96%) were injured by automobiles and the minority were (4%) injured by motorcycles [20]. Okamoto et al noted that the two most frequent injuries were related to car driving (36%) and bicycle riding (14%), while the minority were related to motorcycle riding (7%) [22].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Open Globe Injury related to Road Traffic Accident: a Retrospective Study

Upaphong

Supreeyathitikul

Choovuthayakorn

2019

Preprint

View full text Add to dashboard Cite

BackgroundTo evaluate epidemiology, clinical characteristics and outcomes of patients who sustained road traffic-related open globe injury (OGI)MethodsMedical records of all road traffic-related OGI patients who were admitted to the hospital from January 2006 to December 2016 were retrospectively reviewed. Data including age, gender, vehicle type, initial ocular presentation, and final visual outcome were extracted.ResultsAmong the overall causes of OGI, road traffic-related accidents comprised 92/978 (9%) of cases. Of these, ten (11%) patients acquired bilateral eye injuries and 72 (78%) were male. Nearly half of the injuries (51%) occurred in the 20-39 years old age group and the majority of cases (59%) involved automobile transportation. Globe rupture, 48 (47%) eyes, occurred in a similar proportion of penetration, 46 (45%) eyes. Following treatments, LogMAR visual acuity (VA) significantly improved from a median (interquartile range) of 2.3 (1.9 - 2.3) to 1.7 (0.3 - 3.0), at the final follow-up appointment. Presence of relative afferent pupillary defect and presence of retinal detachment were predictors for poor final visual outcomes.ConclusionsThis study provides information regarding road traffic-related OGI that had a high prevalence in young. The risky transportation mode were motorcycles in teenager and automobiles in young adult. A considerable proportion of impaired final VA might have a significant impact on the socio-economic system. Establishing effective safety education and encouraging regular adherence to road safety behaviors are challenging issues that need more action.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Open Globe Injury related to Road Traffic Accident: a Retrospective Study

Upaphong

Supreeyathitikul

Choovuthayakorn

2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Moreover, the inhomogeneous distribution of affected age groups may reflect different daily activities of the at risk populations, therefore the demographic data should be taken into consideration when implementing the safety measurements in each country. www.nature.com/scientificreports/ Some specific circumstances were more likely to cause globe rupture than others [18][19][20][21][22][23] . A study by Feng et al reported that violence, explosion, and traffic were the most frequent causes leading to severe ruptured eyes requiring vitreoretinal surgery 24 .…”

Section: Discussionmentioning

confidence: 99%

Globe rupture: a single-center retrospective study of demographic patterns and outcomes

Choovuthayakorn

Chokesuwattanaskul

Upaphong

et al. 2020

Sci Rep

View full text Add to dashboard Cite

Globe rupture is one of the severe mechanisms of eye injury. This study aimed to describe an epidemiologic patterns and visual outcomes of the open globe injury from globe rupture at a tertiary referral centre. Medical records of 167 patients (173 eyes) were retrospectively reviewed. Overall, males were predominant (82%). Road traffic- (26.3%) and work- (23.4%) were the major contributors. However, falling was the main mechanism in the elderly aged over 60 years. At presentation, 91.4% of eyes had initial visual acuity (VA) of worse than 20/200. The mean (SD) VA in logarithm of the minimum angle of resolution (LogMAR) unit at final [1.8 (1.1)] was significantly improved from presenting VA [2.4 (0.6)] (p ˂ 0.001). Predictors for final VA of worse than 20/400 included poor initial VA, presence of relative afferent pupillary defect, and endophthalmitis. In conclusion, this study observed the peak incidence of globe rupture in young teen to early adult patients, with unique characteristics in each age group. Even with significant visual improvement following the treatments, profound visual loss was still a common consequence. Thus, the role of effective prevention along with a multidisciplinary team together with timely and prompt ophthalmic management should be emphasised.

show abstract