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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References
- A 24-month review of globe rupture in a tertiary referral hospital.Ir J Med Sci. 2020; 189: 723-726
- The epidemiology of open globe injuries presenting to a tertiary referral eye hospital in Australia.Injury. 2017; 48: 1348-1354
- Gender differences in etiology and outcome of open globe injuries.J Trauma. 2005; 59: 175-178
- Epidemiology and outcomes following open globe injury in agricultural region: an 11-year experience.Ophthalmic Epidemiol. 2020; 27: 246-251
- Demographic trends of open globe injuries in a large inpatient sample.Eye (Lond). 2021; 35: 2270-2276
- Epidemiology of United States inpatient open globe injuries from 2009–2015.Ophthalmic Epidemiol. 2021; 28: 469-478
- A system for classifying mechanical injuries of the eye (globe).Am J Ophthalmol. 1997; 123: 820-831
- Gender disparities in open globe injuries: ten-year review of an urban population.Br J Med Med Res. 2013; 3: 1380-1387
- Peer influence on risk taking, risk preference, and risky decision making in adolescence and adulthood: an experimental study.Dev Psychol. 2005; 41: 625-635
- Open-globe-injury: a single center Spanish retrospective 5-year cohort study.Eur J Ophthalmol. 2021; 31: 2710-2716
- Fall prevention in community-dwelling older adults.Ann Intern Med. 2018; 169: 81-96
- Globe rupture: a single-center retrospective study of demographic patterns and outcomes.Sci Rep. 2020; 10: 19139
- Open-globe injury: update on types of injuries and visual results.Ophthalmology. 1996; 103: 1798-1803
- Eye injuries across history and the evolution of eye protection.Acta Ophthalmol. 2019; 97: 637-643
- Ophthalmologists say 90 percent of work-related eye injuries can be avoided by wearing eye protection.American Academy of Ophthalmology Newsroom, 2017 (Available atwww.aao.org/newsroom/news-releases/detail/90-percent-of-work-related-eye-injuries-avoidable#_ftn2. Accessed May 5, 2021)
- Prevention of work related eye injuries: long term assessment of the effectiveness of a multicomponent intervention among metal workers.Occup Environ Med. 2005; 62: 830-835
- Intraocular foreign bodies: a review.Surv Ophthalmol. 2016; 61: 582-596
Article Info
Publication History
Published online: April 25, 2022
Accepted:
March 30,
2022
Received in revised form:
March 22,
2022
Received:
November 11,
2021
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
