A five-year retrospective study of the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in a Mediterranean area
| Autor: | Salvatore Cillino, Francesco Pillitteri, Alessandra Casuccio, Giovanni Cillino, Francesco Pace |
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| Přispěvatelé: | CILLINO S, CASUCCIO A, DI PACE F, PILLITTERI F, CILLINO G |
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Visual acuity Time Factors genetic structures retrospective study ocular trauma Population Visual Acuity Poison control Eye injuries Age Distribution Eye Injuries lcsh:Ophthalmology Injury prevention Epidemiology Medicine Humans Sex Distribution education Retrospective Studies education.field_of_study Trauma Severity Indices business.industry Settore MED/30 - Malattie Apparato Visivo Incidence (epidemiology) Incidence Retrospective cohort study General Medicine Middle Aged medicine.disease eye diseases Hospitalization Ophthalmology Italy lcsh:RE1-994 visual outcomes Female visual outcome medicine.symptom business Research Article Follow-Up Studies |
| Zdroj: | BMC Ophthalmology, Vol 8, Iss 1, p 6 (2008) BMC Ophthalmology |
| Popis: | Background To determine the epidemiological characteristics and visual outcome of ocular trauma in southern Italy. Methods All cases of ocular trauma admitted to Department of Ophthalmology of Palermo University, Italy, from January 2001–December 2005 were retrospectively reviewed for open- or closed-globe injury (OGI or CGI). Data extracted included age, sex, residence, initial and final visual acuity (VA), cause and treatment of injury, hospitalization. The injuries were classified by Ocular Trauma Classification System (OTCS) and Birmingham Eye Trauma Terminology (BETT). We also referred to the Ocular Trauma Score (OTS) in evaluating the final visual outcome. Results Of the 298 eyes, there were 146 OGI and 152 CGI. Fifty eyes (16.8%) had an intraocular foreign body (IOFB). The annual incidence of eye injuries was 4.9 per 100,000. Most injuries occurred in men (84.6%, p < 0.0005), with an average age of 33.0 vs. 49.9 for women (p = 0.005). Cause of injury differed significantly by gender (p = 0.001) and urban vs. rural location (p = 0.009). The most frequent causes in men were outdoor activities related injuries (30.9%), work-related (25.4%), and sport-related (17.5%), and in women were home-related (52.2%) and outdoor activities related injuries (30.4%). In urban areas, road accidents were more frequent; in rural areas, work-related injuries were more frequent with a greater rate of IOFBs than in urban areas (p = 0.002). The incidence of OGI and CGI differed in work-related injuries (p < 0.0005), sport-related injuries (p < 0.0005), and assaults (p = 0.033). The final visual acuity was 20/40 (6/12) or better in 144 eyes (48.3%), 20/40–20/200 (6/12–6/60) in 90 eyes (30.2%), and Conclusion This analysis provides insight into the epidemiology of patients hospitalized for ocular trauma. The findings indicate that ocular trauma is a significant cause of visual loss in this population. |
| Databáze: | OpenAIRE |
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