PMID- 28438416
OWN - NLM
STAT- MEDLINE
DCOM- 20180502
LR  - 20220409
IS  - 1879-0267 (Electronic)
IS  - 0020-1383 (Linking)
VI  - 48
IP  - 7
DP  - 2017 Jul
TI  - The epidemiology of Open Globe Injuries presenting to a tertiary referral eye 
      hospital in Australia.
PG  - 1348-1354
LID - S0020-1383(17)30263-2 [pii]
LID - 10.1016/j.injury.2017.04.035 [doi]
AB  - BACKGROUND: Open globe injuries (OGIs) account for 44% of the cost of ocular 
      trauma within Australia. It is estimated that 90% of ocular trauma is 
      preventable. However, there have been few epidemiological studies within 
      Australia that have identified groups at risk of OGIs specifically. The aim of 
      our study was to review the epidemiology of OGIs presenting to a tertiary 
      referral eye hospital in Australia. METHODS: The Birmingham Eye Trauma 
      Terminology (BETT) system was used to classify injuries as globe ruptures, 
      penetrating eye injuries (PEIs), intraocular foreign bodies (IOFBs) or 
      perforating injuries. Demographic data, past ocular history, mechanism of trauma, 
      ocular injuries, and best-corrected visual acuity (BCVA) before and after 
      treatment were recorded. RESULTS: The 205 OGIs included 80 globe ruptures, 71 
      PEIs, 48 IOFBs and six perforating injuries. Falls predominated in older age 
      groups compared to the other mechanisms of injury (p<0.0001). A fall was 
      responsible for 33 globe ruptures and 82% of these had a history of previous 
      intraocular surgery. Globe rupture and perforating injuries had poorer visual 
      outcomes (p<0.05), consistent with previous studies. Alcohol was implicated in 20 
      cases of OGI, with 11 of these due to assault. PEIs and IOFBs commonly occurred 
      while working with metal. BCVA was significantly worse following removal of an 
      intraocular foreign body. We found presenting BCVA to be a good predictor of BCVA 
      at the time of discharge. CONCLUSIONS: The causes of OGI varied in association 
      with age, with older people mostly incurring their OGI through falls and younger 
      adults through assault and working with metal. Globe ruptures occurring after a 
      fall often had a history of intraocular surgery. The initial BCVA is useful for 
      non-ophthalmologists who are unfamiliar with the ocular trauma score to help 
      predict the BCVA following treatment.
CI  - Copyright (c) 2017 Elsevier Ltd. All rights reserved.
FAU - Beshay, Nader
AU  - Beshay N
AD  - Save Sight Institute, University of Sydney, 8 Macquarie Street, Sydney NSW 2000, 
      Australia; Royal North Shore Hospital, Reserve Road, St Leonards, NSW, 2065, 
      Australia. Electronic address: nbeshay@gmail.com.
FAU - Keay, Lisa
AU  - Keay L
AD  - Save Sight Institute, University of Sydney, 8 Macquarie Street, Sydney NSW 2000, 
      Australia.
FAU - Dunn, Hamish
AU  - Dunn H
AD  - Save Sight Institute, University of Sydney, 8 Macquarie Street, Sydney NSW 2000, 
      Australia; Royal North Shore Hospital, Reserve Road, St Leonards, NSW, 2065, 
      Australia.
FAU - Kamalden, Tengku A
AU  - Kamalden TA
AD  - UM Eye Research Centre, Department of Ophthalmology, Faculty of Medicine, 
      University of Malaya, 50603 Kuala Lumpur, Malaysia.
FAU - Hoskin, Annette K
AU  - Hoskin AK
AD  - Lions Eye Institute, 2 Verdun Street, Nedlands, WA 6009, Australia; Centre for 
      Ophthalmology and Visual Science, The University of Western Australia, 35 
      Stirling Highway, Perth, WA 6009, Australia.
FAU - Watson, Stephanie L
AU  - Watson SL
AD  - Save Sight Institute, University of Sydney, 8 Macquarie Street, Sydney NSW 2000, 
      Australia; Sydney Eye Hospital, 8 Macquarie Street, Sydney, NSW 2000, Australia.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20170418
PL  - Netherlands
TA  - Injury
JT  - Injury
JID - 0226040
SB  - IM
MH  - Age Distribution
MH  - Australia/epidemiology
MH  - Eye Foreign Bodies/diagnostic imaging/*epidemiology/physiopathology
MH  - Eye Injuries, Penetrating/diagnostic imaging/*epidemiology/physiopathology
MH  - Humans
MH  - Orbital Diseases/diagnostic imaging/*epidemiology/physiopathology
MH  - Retrospective Studies
MH  - Rupture/*epidemiology
MH  - Sex Distribution
MH  - Terminology as Topic
MH  - *Tertiary Care Centers
MH  - *Tomography, Optical Coherence
MH  - Trauma Severity Indices
MH  - Visual Acuity
OTO - NOTNLM
OT  - Epidemiology
OT  - Injury prevention
OT  - Ocular trauma
OT  - Open globe injury
EDAT- 2017/04/26 06:00
MHDA- 2018/05/03 06:00
CRDT- 2017/04/26 06:00
PHST- 2016/12/24 00:00 [received]
PHST- 2017/04/14 00:00 [revised]
PHST- 2017/04/15 00:00 [accepted]
PHST- 2017/04/26 06:00 [pubmed]
PHST- 2018/05/03 06:00 [medline]
PHST- 2017/04/26 06:00 [entrez]
AID - S0020-1383(17)30263-2 [pii]
AID - 10.1016/j.injury.2017.04.035 [doi]
PST - ppublish
SO  - Injury. 2017 Jul;48(7):1348-1354. doi: 10.1016/j.injury.2017.04.035. Epub 2017 
      Apr 18.