PMID- 33634728 OWN - NLM STAT- MEDLINE DCOM- 20211028 LR - 20211028 IS - 1744-5205 (Electronic) IS - 0882-0538 (Linking) VI - 36 IP - 7 DP - 2021 Oct 3 TI - Socioeconomic Status and Decreasing Incidence of Ocular Injuries in Bosnia and Herzegovina. PG - 517-522 LID - 10.1080/08820538.2021.1893350 [doi] AB - Purpose: To examine the epidemiologic and clinical characteristics of ocular injuries and their association with socioeconomic status (SES).Material and Methods: All cases of ocular injuries hospitalized in Department of Ophthalmology of University Clinical Center Tuzla, Bosnia and Herzegovina, from January 2009 to December 2012 and January 2017 and December 2019 were prospectively followed. The injuries were classified according to Ocular Trauma Classification System (OTCS) and Birmingham Eye Trauma Terminology (BETT).Results: This study included a total of 420 eyes from 396 patients. There were 162 (38.57%; 95%CI: 32.86-44.99) open globe injuries (OGI) and 258 (61.43%; 95%CI: 54.16-69.4) closed globe injuries (CGI). The decrease in incidence of ocular trauma requiring hospitalization was noted from 16.7 per 100 000 (95%CI: 13.11-20.97) in 2009 to 9.25 per 100 000 (95%CI: 6.64-12.55) in 2019 (p=0.006). Most injuries occurred in males 341 (81.19%; 95%CI: 72.8-90.28), active working patients 258 (61.43%, 95%CI:54.16-69.4), and patients with rural residence 285 (67.86%; 95%CI: 60.21-76.21). Almost all ocular injuries 418 (99.52%; 95%CI: 90.21-109.54) occurred in patients with middle and lower SES categories, and home was the most prevalent place of injury in 258 (61.43%, 95%CI: 54.16-69.4) patients. The total of 289 (70.49%; 95%CI: 62.59-79.1) patients had good final best corrected visual acuity (BCVA). Poor final BCVA was associated with lower ocular trauma score (OTS) (p=0.000), poor initial BCVA (p=0.000), penetrating injuries of cornea (p=0.004) and sclera (p=0.001), Zone III injuries (p=0.000), intraocular foreign body presence (p=0.000), cataract (p=0.002), retinal detachment (p=0.001), endophthalmitis (p=0.000) and vitreous hemorrhage (p=0.010).Conclusion: This study provides a detailed insight into epidemiology and socio-economic characteristics of patients hospitalized for ocular injuries. FAU - Zvornicanin, Jasmin AU - Zvornicanin J AD - Department of Ophthalmology, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina. AD - Private Healthcare Institution Vase zdravlje, Tuzla, Bosnia and Herzegovina. FAU - Zvornicanin, Edita AU - Zvornicanin E AD - Department of Ophthalmology, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina. AD - Private Healthcare Institution Vase zdravlje, Tuzla, Bosnia and Herzegovina. LA - eng PT - Journal Article DEP - 20210226 PL - England TA - Semin Ophthalmol JT - Seminars in ophthalmology JID - 8610759 SB - IM MH - Bosnia and Herzegovina/epidemiology MH - *Eye Foreign Bodies/epidemiology MH - *Eye Injuries/epidemiology MH - *Eye Injuries, Penetrating MH - Humans MH - Incidence MH - Male MH - Prognosis MH - Retrospective Studies MH - Sclera MH - Social Class MH - Visual Acuity OTO - NOTNLM OT - Epidemiology OT - Tuzla Canton OT - eye injuries OT - ocular trauma score OT - tThe index of social status EDAT- 2021/02/27 06:00 MHDA- 2021/10/29 06:00 CRDT- 2021/02/26 08:36 PHST- 2021/02/27 06:00 [pubmed] PHST- 2021/10/29 06:00 [medline] PHST- 2021/02/26 08:36 [entrez] AID - 10.1080/08820538.2021.1893350 [doi] PST - ppublish SO - Semin Ophthalmol. 2021 Oct 3;36(7):517-522. doi: 10.1080/08820538.2021.1893350. Epub 2021 Feb 26.