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Ten-year analysis of traumatic open-globe injuries in Edmonton, Canada, from 2009–2018

Published:April 25, 2022DOI:https://doi.org/10.1016/j.jcjo.2022.03.011

      Abstract

      Objective

      To identify and characterize the incidence and correlates of open-globe injuries documented at the Eye Institute of Alberta (EIA) at the Royal Alexandra Hospital in Edmonton.

      Study design

      A 10-year single-centre retrospective chart review.

      Methods

      All patients who underwent traumatic open-globe injury repair at EIA from January 2009–December 2018 were identified using key search terms. Charts were individually assessed for key demographic variables, including mechanism and location of injury. Patterns in open-globe injury incidence over the 10-year period and across demographics were assessed using Poisson regression. Associations between key demographic variables also were analyzed.

      Results

      In total, 551 traumatic open-globe injuries were treated at the EIA from January 2009–December 2018, resulting in an average of 4.63 injuries per month over the 10-year period. Mean patient age was 42 ± 21.56 years. The number of males (n = 442) presenting for open-globe injury repair was 3.9 times higher than that for females (n = 114). Among patients for whom use of eye protection was recorded (n = 186), only 11% reported using eye protection at the time of the trauma. The incidence rate of injuries with zone 3 involvement was significantly higher in males (41.4%) than in females (29.8%).

      Conclusion

      Open-globe injuries remain a significant source of ocular morbidity at EIA, averaging just over 1 emergency case a week. Given the strong association with sex and the infrequent use of eye protection, targeted public health strategies are necessary to mitigate the risk of these sight-threatening injuries.
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