Epidemiological findings of childhood ocular trauma in a public hospital in Colombia

Abstract Background Eye injury is a serious worldwide public health problem that may cause blindness. In children, blindness has functional impact and psychosocial implications. As indicated in many worldwide studies, identification of risk factors associated with the socio-cultural context may prevent eye injuries. The objetive of the study is to describe the sociodemographic and epidemiological characteristics of pediatric eye injury and its effects on ocular structures in a public hospital from Colombia. Method A retrospective cross-sectional study was carried out between January 1, 2015, and December 31, 2017, in a tertiary public hospital of a medium-sized city located in the Northeast of Colombia. Children under 15 years old with trauma to the eyeball or its adnexa were included. The Birmingham Eye Trauma Terminology System (BETTS) was used. Eye burns and Ocular adnexa were also included. Results 61 cases of eye injuries were recorded, 67.21% (41 cases) of which were males. 57.37% (35 cases) corresponded to closed-globe injuries both contusion and lamellar laceration. Visual acuity fluctuated between 20/20 and 20/40. 14.75% (9 cases) were open-globe injuries while 50% (4 cases) were penetrating trauma. 27.86% of the injuries (17 cases) did not directly compromise the eyeball, 58.82% (10 of these cases) of which corresponded to eyelid wounds, and neither of those had visual acuity information. Conclusion The study showed that the majority of eye injuries in children under 15 years old, from a public hospital in the Northeast of Colombia, are closed globe, caused by blows, and occur in males.

Download Full-text

Pediatric Ocular Trauma From A Tertiary Public Hospital in Colombia: Epidemiological Characterization

10.21203/rs.3.rs-147891/v1 ◽

2021 ◽

Author(s):

Valeria D'Antone ◽

Diana Palencia Flórez ◽

Claudia Lopez García ◽

Flor Cáceres Manrique ◽

Nahyr Lopez Barbosa

Keyword(s):

Visual Acuity ◽

Cultural Context ◽

Public Hospital ◽

Pediatric Population ◽

Penetrating Trauma ◽

Public Health Problem ◽

Eye Injury ◽

Eye Injuries ◽

Open Globe ◽

Epidemiological Characteristics

Abstract BackgroundEye injury is a serious public health problem being in the world, that causes unilateral blindness, a particular condition in children due to the functional impact and psychosocial implications. The eye injury can be prevented thanks to the identification of risk factors associated with the socio-cultural context, this aspect has motivated studies in the pediatric population in United States, India, Australia, Cuba, Egypt, United Kingdom, Brazil, Colombia, Marathwada and Canada, among others. So the objetive of the present study is to describe the sociodemographic and epidemiological characteristics of pediatric eye injury and its effects on ocular structures in a tertiary public hospital from Colombia.MethodA retrospective cross-sectional study was carried out between January 1, 2015, and December 31, 2017, in a tertiary public hospital of a medium-sized city located in the Northeast of Colombia. Children under 15 years old with trauma to the eyeball or its adnexa were included. The Birmingham Eye Trauma Terminology System (BETTS) was used. Eye burns and Ocular adnexa were also included.Results61 cases of eye injuries were recorded, 67.21% (41 cases) of which were males. 57.37%(35 of the cases) corresponded to closed-globe injuries both contusion and lamellar laceration. Visual acuity fluctuated between 20/20 and 20/40. 14.75% (9 cases) were Open-globe injuries while 50% (4 cases) were penetrating trauma. 27.86% of the injuries (17 cases) did not directly compromise the eyeball, 58.82% (10 of these cases) of which corresponded to eyelid wounds, and neither of those had the visual acuity informationConclusionThe study showed that the majority of eye traumas are closed globe, caused by

Download Full-text

Frequency and Characteristics of Ocular Trauma in a Tertiary Care Hospital in Lodhran

Pakistan Journal of Ophthalmology ◽

10.36351/pjo.v34i2.953 ◽

2019 ◽

Vol 34 (2) ◽

Author(s):

Muhammad Luqman Ali Bahoo Ahmad Zeeshan Jamil Beenish Karamat

Keyword(s):

Visual Acuity ◽

Ocular Trauma ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Sampling Technique ◽

Care Hospital ◽

Eye Injuries ◽

Cross Sectional ◽

Home Setting ◽

Open Globe

Purpose: To find the frequency and characteristics of ocular trauma in a tertiary care hospital in Lodhran. Study design: Cross sectional study. Sampling Technique: Convenient non-probability sampling. Place and duration of study: This study was conducted at Shahida Islam Teaching Hospital affiliated with Shahida Islam Medical College, Lodhran from December 2016 to September 2018. Material and Methods: Detailed history and ocular examination were performed with regard to age, gender, classification of ocular trauma, aetiology of trauma, place where trauma occurred, note of ocular damage, nature of object, activity at the time of injury, presenting visual acuity and time lapse before presentation to hospital after trauma were recorded. Results: There were 393 patients included in this study. Mean age of patients was 28.97 ± 12.59 years. There were 198 (50.4%) closed globe and 195 (49.6%) open globe injuries. In 53 (13.5%) cases injury was caused by metal object. In 132 (33.6%) cases injury was classified as contusion. In 146 (37.2%) cases cornea was involved. There were 95 (24.2%) cases that occurred in home. In 156 (39.7%) cases presenting visual acuity was less than 6/60. There were 272 (69.2%) males and 121 (30.8%) females. There were 342 (87.0%) patients who presented within 1 day after trauma. In 122 (31.0%) cases there was prolapse of ocular contents. Conclusion: Ocular trauma occurred more commonly in males. It was blunt and occurred in home setting in most of the times. Most of the eye injuries aetiological agent was metal and wood. Key Words: Blindness. Contusion. Corneal injuries. Ocular trauma.

Download Full-text

Mechanical eye injuries in children aged 0-15 years treated at the Clinic of Eye Diseases in Belgrade: Frequency, causes and preventive measures

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1310586j ◽

2013 ◽

Vol 141 (9-10) ◽

pp. 586-591 ◽

Cited By ~ 1

Author(s):

Milos Jovanovic ◽

Aleksandar Medarevic ◽

Miroslav Knezevic ◽

Vera Krstic

Keyword(s):

Visual Acuity ◽

Eye Diseases ◽

Eye Injury ◽

Older Children ◽

Eye Injuries ◽

Gender And Age ◽

Production And Distribution ◽

Open Injuries ◽

Severe Health Problem

Introduction. Eye injuries represent a significant problem in children. Objective. The aim of the study was to determine the incidence and causes of the eye injury and to propose measures of the eye injury prevention in children up to 15 years of age. Methods. This was a retrospective study of 552 children with the eye injuries treated at the Clinic of Eye Diseases in Belgrade during the period March 1999 to February 2010. Gender and age of the children, time of injury, the type and site of injuries, visual acuity upon admission and at discharge, as well as the time of surgery in relation to time of injury were analyzed. Results. The ratio between the injured boys and girls was 3.6:1. The highest percentage of injured children was in the group 6-10 years old (39.7%); the injuries were almost evenly distributed according to months during the year and days during the week. The percentages of severe closed and open injuries of the eyeball were almost equal. Visual acuity upon discharge and subsequent follow-up examinations were significantly improved after the applied treatment in comparison with the visual acuity upon admission. Conclusion. Eye injuries in children still represent a severe health problem. Regarding the youngest age group of children, adults are mainly responsible for these injuries due to their lack of attention, while in older children these injuries are the result of the production and distribution of inappropriate toys and a failure to implement the legal traffic regulations applicable to children. The prevention of eye injuries is essential.

Download Full-text

Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients

Journal of Ophthalmology ◽

10.1155/2017/5084319 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4 ◽

Cited By ~ 5

Author(s):

Katarzyna Nowomiejska ◽

Tomasz Choragiewicz ◽

Dorota Borowicz ◽

Agnieszka Brzozowska ◽

Joanna Moneta-Wielgos ◽

...

Keyword(s):

Visual Acuity ◽

Retinal Detachment ◽

Silicone Oil ◽

Vitreoretinal Surgery ◽

Eye Injuries ◽

Primary Vitrectomy ◽

Eye Trauma ◽

Open Globe ◽

Pars Plana ◽

23 Gauge

Purpose.To evaluate functional and anatomical results of pars plana vitrectomy (PPV) in the retinal detachment (RD) followed by severe eye trauma.Methods.Retrospective analysis of medical records of forty-one consecutive patients treated with 23-gauge PPV due to traumatic RD. Age, gender, timing of PPV, visual acuity, and presence of intraocular foreign body (IOFB) and proliferative vitreoretinopathy (PVR) were included in the analysis.Results.Mean age of patients was 47 years; the majority of patients were men (88%). Closed globe injury was present in 21 eyes and open globe injury in 20 eyes (IOFB in 13 eyes, penetration injury in 4 eyes, and eye rupture in 3 eyes). Mean follow-up period was 14 months; mean timing of PPV was 67 days. Twenty-seven (66%) eyes had a functional success; 32 eyes (78%) had anatomical success. As a tamponade silicone oil was used in 33 cases and SF6 gas in 8 cases.Conclusions.Severe eye injuries are potentially devastating for vision, but vitreoretinal surgery can improve anatomical and functional outcomes. Among analysed pre- and intra- and postoperative factors, absence of PVR, postoperative retinal attachment, and silicone oil as a tamponade were related to significantly improved visual acuity.

Download Full-text

Six-year epidemiological analysis of post traumatic endophthalmitis in a Brazilian hospital

International Journal of Retina and Vitreous ◽

10.1186/s40942-019-0193-8 ◽

2019 ◽

Vol 5 (1) ◽

Cited By ~ 1

Author(s):

Luis Filipe Nakayama ◽

Vinicius Campos Bergamo ◽

Nilva Simeren Bueno de Moraes

Keyword(s):

Visual Acuity ◽

Foreign Body ◽

Penetrating Trauma ◽

Onset Time ◽

Intraocular Foreign Body ◽

Time Interval ◽

Light Perception ◽

Initial Visual Acuity ◽

Open Globe ◽

Better Than

Abstract Background To evaluate the epidemiology of endophthalmitis cases related to ocular trauma, including visual acuity during and 1 year after trauma, source of trauma and method of treatment. Methods A retrospective study analyzed the epidemiological data of patients with a clinical presentation of endophthalmitis after ocular penetrating trauma between January 2012 and January 2017 at Escola Paulista de Medicina/UNIFESP, a hospital in São Paulo, SP, Brazil. Results A total of 453 patients with antecedent open globe trauma were evaluated, among these, 30 patients with suspected endophthalmitis. All patients were male. The time interval between trauma and ophthalmological evaluation and collection of vitreous and aqueous material was 1 day in 36.66%, 2–7 days in 43.44%, 7–14 days in 10% and more than 15 days in 10% of patients; 66.66% had positive cultures. 11 patients had intraocular foreign body. One year after trauma, visual acuity was classified as no light perception (NLP) in 33.33%, light perception in 6.66%, hand motion in 13.33%, counting fingers in 13.33%, and better than 20/400 in 20% of patients. Considering presence of intraocular foreign body, initial visual acuity and symptoms onset time, only initial visual acuity showed as better prognostic factor in final visual acuity. Conclusion Endophthalmitis is a severe ocular inflammatory condition that may lead to irreversible vision loss. Initially only one patient had visual acuity of NLP, but after 1 year, 33% showed visual acuity of NLP, and only 20% had visual acuity better than 20/400, what is consistent with a severe infection with a guarded prognosis. The high incidence of endophthalmitis after ocular penetrant trauma justifies distinct treatment and greater attention.

Download Full-text

Penetrating eye injuries in pediatric population: An epidemiological study and visual outcome

Asian Journal of Medical Sciences ◽

10.3126/ajms.v7i4.14690 ◽

2016 ◽

Vol 7 (4) ◽

pp. 84-87

Author(s):

Kabindra Bajracharya ◽

Salma KC Rai ◽

Arjun Malla Bhari ◽

Hari Bahadur Thapa ◽

Anjita Hirachan ◽

...

Keyword(s):

Visual Acuity ◽

Pediatric Population ◽

Visual Outcome ◽

Eye Injury ◽

Pediatric Ophthalmology ◽

Eye Injuries ◽

Penetrating Eye Injury ◽

Wooden Stick ◽

One Year ◽

Better Than

Introduction: Penetrating eye injury is an important cause of visual impairment in pediatric population.Aims and Objectives: To study the epidemiology and visual outcome of penetrating eye injuries in pediatric population presented to Lumbini Eye Institute, the tertiary eye hospital of western Nepal.Materials and Methods: This retrospective study was conducted at the Department of Pediatric Ophthalmology and Strabismus, Lumbini Eye Institute over a period of one year from June 2014 to May 2015. All patients of penetrating eye injuries up to the age of 15 years were included in the study. The demographics of the patient, cause and duration of injury were recorded. The presenting and final best corrected visual acuity, anterior and posterior segment findings were recorded in specially designed proforma.Results: A total number of 127 children (127 eyes) presented with penetrating eye injuries during a year. The incidence of penetrating eye injury in one year was 127 out of 12927 new patients. Minimum age was 11 months, while the maximum age was 15 years with mean of 7.29 years (SD= ±3.49). Male and female patients were 99 (78%) and 28 (22%) respectively. Involvement of right eye was seen in 69 cases (54.33%) and left eye 58 (45.67%). The most common cause of injury was wooden stick in 55 cases (43.31%) followed by iron wire 12 (9.45%) and the stone 11 (8.66%). Corneal laceration was found in 102 cases (80.31%), scleral laceration in 10 (7.87%) and corneo-scleral laceration in 15 (11.81%). Seventy three percent patients were blind at the time of presentation whereas at discharge 37.63% were blind and 11.43% of patients had visual acuity better than 6/18 at presentation whereas 35.48% had visual acuity better than 6/18 after treatment.Conclusion: Penetrating eye injury is one of the common causes attending Pediatric Ophthalmology Department. Penetrating eye injury is common in male and majority of trauma is caused by wooden stick. The awareness of ocular trauma and its consequences should be increased to reduce incidence of childhood blindness.Asian Journal of Medical Sciences Vol.7(4) 2016 84-87

Download Full-text

25-Gauge Vitrectomy in Open Eye Injury with Retained Foreign Body

Journal of Ophthalmology ◽

10.1155/2017/3161680 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

G. Sborgia ◽

N. Recchimurzo ◽

A. Niro ◽

L. Sborgia ◽

A. Sborgia ◽

...

Keyword(s):

Visual Acuity ◽

Foreign Body ◽

Clinical Status ◽

Case Series ◽

Eye Injury ◽

Retained Foreign Body ◽

Open Globe ◽

Open Globe Injuries ◽

25 Gauge Vitrectomy

Purpose. Ocular trauma with retained foreign body is an important cause of visual impairment in working-age population. Clinical status impacts on the timing and planning of surgery. In the last year small gauge vitrectomy has become safer and more efficient, extending the range of pathologies successfully treated.Aims. To evaluate the safety and outcomes in patients with open eye injury with retained foreign body that underwent early 25-gauge vitrectomy.Methods. In this retrospective, noncomparative, interventional case series, we performed 25-gauge vitrectomy on 10 patients affected by open globe injuries with retained foreign body, over 3 years. We analyzed age, wound site, foreign body characteristics, ocular lesions correlated, relative afferent pupillary defect, visual acuity, and intraocular pressure. Follow-up evaluations were performed at 1, 3, and 6 months. According to the clinical status we performed other procedures to manage ocular correlated lesions.Results. The median age of patients was 37 years. The foreign body median size was 3.5 mm (size range, 1 to 10 mm). 25-gauge vitrectomy was performed within 12 hours of trauma. Foreign body removal occurred via a clear corneal or scleral tunnel incision or linear pars plana scleral access. Visual acuity improved in all patients. Endophthalmitis was never reported. Only two cases reported postoperative ocular hypertension resolved within the follow-up. Retinal detachment recurred in one case only.Conclusions. 25-gauge vitrectomy could be considered as early approach to manage open globe injuries with a retained posterior segment foreign body in selected cases with good outcomes and low complication rate.

Download Full-text

Work Related Ocular Injury: Nepal

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v10i1.21689 ◽

2018 ◽

Vol 10 (1) ◽

pp. 47-56 ◽

Cited By ~ 1

Author(s):

Ben Limbu ◽

Grant Moore ◽

Amir H. Marvasti ◽

Mariel E. Poole ◽

Rohit Saiju

Keyword(s):

Ocular Injury ◽

Eye Injury ◽

Eye Injuries ◽

Community Based ◽

Cross Sectional ◽

Prospective Survey ◽

Work Related ◽

Work Related Injury ◽

Modifiable Factors ◽

Eye Examination

Introduction: Occupational eye injuries comprise a major source of ocular trauma. Knowledge of the epidemiology of occupational eye injuries is essential to formulate viable safety strategies.Objectives: To evaluate the demographics, patterns of protective eye wear use, and patterns of occupational eye injury among workers in Hetauda, Nepal.Materials and methods: Community based cross-sectional prospective survey was carried out from September 2010 to July 2011. Survey included all workers irrespective of their age and those who are willing to participate in survey by filling details on structured questioners and comprehensive eye examination at community level.Results: 1236 surveys were collected. 38.3% (473) of workers surveyed reported experiencing a work-related eye injury. Over two-thirds [68.3% (844)] of workers surveyed reported never wearing safety eyewear while at work. There was a positive correlation between male sex (P<0.001), reported previous work-related injury (P<0.001), and attending school (P=0.016) and use of personal protective equipment (PPE).Conclusions: The population studied demonstrates a significant level of work related injury. There are potentially modifiable factors that could lead to increased use of eye protection.

Download Full-text

Epidemiological characteristics of COVID-19 travel-associated cases in Vojvodina, Serbia, during 2020

PLoS ONE ◽

10.1371/journal.pone.0261840 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0261840

Author(s):

Tatjana Pustahija ◽

Mioljub Ristić ◽

Snežana Medić ◽

Vladimir Vuković ◽

Mirjana Štrbac ◽

...

Keyword(s):

Public Health ◽

Age Groups ◽

Public Health Problem ◽

Cross Sectional Study ◽

International Travel ◽

Cross Sectional ◽

Travel And Tourism ◽

Working Age ◽

Using Data ◽

Epidemiological Characteristics

Coronavirus disease 2019 (COVID-19) is currently the biggest public health problem worldwide. Intensive international travel and tourism have greatly contributed to its rapid global spreading. This study is the first comprehensive analysis of the epidemiological characteristics and clinical outcomes of the travel-associated COVID-19 cases in Vojvodina, Serbia, from March 6 to December 31, 2020 and it concerns permanent residents of Serbia. A cross-sectional study was conducted using data from the dedicated surveillance database of the Institute of Public Health of Vojvodina. Overall, 650 travel-associated COVID-19 cases were recorded in Vojvodina during the observed period, mainly imported from Bosnia and Herzegovina, followed by Austria and Germany (N = 195, 30%; N = 79, 12.15% and N = 75, 11.54%, respectively). The majority of cases were in the working-age groups, 18–44 and 45–64 years (56.46% and 34.15%, respectively). Overall, 54 (8.31%) patients developed pneumonia. In comparison to patients without pneumonia, those with pneumonia were older (mean age = 55.39 years vs. 41.34 years, p<0.01) and had a higher percentage of comorbidities (57.41% vs. 16.61%). Men were more likely to develop pneumonia than women (OR = 2.22; 95% CI: 1.14–4.30, p = 0.02), as well as those in retired-age group (OR = 4.11; 95% CI: 2.0–8.46, p<0.01). Obesity (OR = 14.40; 95% CI: 3.8–54.6, p<0.01), diabetes (OR = 9.82; 95% CI: 3.15–30.61, p<0.01) and hypertension (OR = 7.99; 95% CI: 3.98–16.02, p<0.01) were the most prominent main comorbidities as predictors of pneumonia. Our results represent general epidemiological and clinical dynamics of COVID-19 disease in Vojvodina. Also, they provide evidence that the predictors of pneumonia were: increasing age, male sex, having underlying comorbidities, an increasing number of days from the return to laboratory confirmation of COVID-19 (OR = 1.08, 95% CI: 1.03–1.12, p<0.01), as well as an increasing number of days from symptoms onset to diagnosis (OR = 1.14, 95% CI: 1.07–1.21, p<0.01), while anosmia and ageusia were protective factors for developing it (OR = 0.31, 95% CI: 0.12–0.79, p = 0.01).

Download Full-text

Open globe injuries in geriatric population in Iran: characteristics and outcomes

International Journal of Ophthalmology ◽

10.18240/ijo.2021.08.16 ◽

2021 ◽

Vol 14 (8) ◽

pp. 1237-1240

Author(s):

Maryam Zamani ◽

◽

Akbar Fotouhi ◽

Morteza Naderan ◽

Mohammad Soleimani ◽

...

Keyword(s):

Visual Acuity ◽

Ocular Trauma ◽

Final Visual Acuity ◽

Open Globe Injury ◽

Geriatric Population ◽

Cross Sectional ◽

Female Ratio ◽

Globe Rupture ◽

Open Globe ◽

Open Globe Injuries

AIM: To investigate the patterns and outcomes of open globe injuries in the elderly population in Iran. METHODS: In this retrospective cross-sectional chart review, medical records of 248 patients (aged 60y and more) with the diagnosis of open globe injury from 2006 to 2016 were reviewed. Demographic features, type, and mechanism of open globe injury, ocular trauma score (OTS), visual acuity before and after treatment, the zone of injuries, and the associated injuries found at the presentation or thereafter were documented. RESULTS: A total of 248 eyes of 248 patients were included. The mean age was 69.2±5.8y (range: 60-90y). Male/ female ratio was about 3:1 (187 vs 61). The three most common causes of injury were falling (25.2%), sharp objects (18.9%), and tree branches (13.9%). Penetrating injury accounted for most of the geriatric ocular trauma (50.4%), followed by globe rupture (40.3%), intraocular foreign body (IOFB; 7.3%), and perforating injury (2.0%). The median raw OTS for the population was 60.5 and the most common OTS class was 3. The injuries tend to affect zone I more than zone II and zone III. The only predictor of final visual acuity was the class of OTS (P<0.001). CONCLUSION: Geriatric open globe injury should be valued specifically. The most common type of open globe injury in Iran is penetrating injuries but falling remain the main cause. The OTS class must be considered as an important predictor of final visual acuity.

Download Full-text