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At least 19 recordsLinked to original sources

[Epidemiology of severe eye injuries. United States Eye Injury Registry (USEIR) and Hungarian Eye Injury Registry (HEIR)].

BACKGROUND: Both in industrialized and in developing nations, the devastating impact of ocular trauma on society is increasingly recognized. Lacking standardized surveillance systems, however, comparable epidemiological information has not been available previously. METHODS: For several years, the United States Eye Injury Registry (USEIR) and the Hungarian Eye Injury Registry (HEIR) have been collecting data on all types of serious ocular trauma, based on identical operating criteria and using standardized reporting forms. We performed a retrospective analysis comparing the two datasets, containing over 8,400 injuries from the U.S. and over 1,200 injuries from Hungary. RESULTS: Sixty percent of patients in the U.S. and 52% of patients in Hungary were less than 30 years of age, with an at least 80% male preponderance in both registries. The home was the most frequent place of injury in both countries (USEIR: 41%, HEIR: 35%); industrial premises represented no more than 14%. Guns were responsible for 12% of cases in the USEIR (HEIR, 1%). Champagne corks were identified as a unique and relatively common source of eye injury in Hungary (1.4%, as opposed to 0.07% in the U.S.). In the USEIR, 16% of injuries were caused by assault (HEIR, 24%; chi-square value = 36.7, p < 0.0000001). The enucleation rate was 12% in the U.S. and 1% in Hungary. CONCLUSIONS: The different findings in the two countries identify certain areas for the implementation of preventive measures (supplying champagne bottles with warning labels and a coordinated fight against violence in Hungary, stricter fireworks legislation in the U.S., public awareness for home injuries in both countries, etc.). Based on the encouraging results from this study, we plan to continue our efforts using modified reporting forms and an upgraded software. We invite additional countries to adopt the USEIR model.

Adolescent↗

Eye injury and eye protection: a survey of the chemical industry.

A population-based study of chemical eye injury in the chemical industry is reported. In a population of 62,839 workers studied for one month (approximately 10 million man-hours), 60 eye injuries (45.1 per cent of all eye injuries) were caused by chemicals (eye injury incidence 11.4 per 1000 employees per year). Six patients (10 per cent) required hospital attention. No sight-threatening injuries occurred. Health workers within the industry have recognized that most of these injuries are avoidable. Eye protectors were not a requirement in some situations where injury occurred (one-third of injuries), were not used where specified in some cases, and in others failed to prevent injury even when worn. This low incidence of injury can be reduced further by appropriate selection and wear of protectors, by education and by legislation.

Chemical Industry↗

The epidemiology of serious eye injuries from the United States Eye Injury Registry.

BACKGROUND: Trauma remains a major problem throughout the world. The prognosis of severe eye injuries is commonly bleak. This paper focuses on the epidemiology of eye trauma, the role of ocular epidemiology, and identification and reduction of risk factors. METHODS: An analysis of the first 8,952 patients reported with severe eye injuries, defined as those eye injuries resulting in permanent and significant (measurable and observable on routine eye examination) structural and/or functional changes to the eye, from the United States Eye Injury Registry as of 31 July 1998. RESULTS: The age of patients entered was from the 1st year of life to 103 years. Fifty-eight percent of those injured were less than 30 years of age. The male to female ratio was 4.6:1, reaching 7.4:1 in the fourth decade of life. Almost half of the injuries involved the retina, and 77% of the injured eyes required one or more surgical procedures, including a large proportion which have undergone vitreoretinal surgical procedures. CONCLUSION: Injuries remain the most serious public health problem facing developed nations. Yet, a persistent inadequacy exists both in the standardized documentation of eye injuries and in their treatment. With appropriate surgical and medical intervention, a majority of the reported injured eyes recovered functional levels of visual acuity. It appears that glasses, including prescription glasses and even non-prescription sunglasses, can offer measurable protection which results in a lower incidence of severe eye injuries to those wearing glasses.

Adolescent↗

Injury surveillance in construction: eye injuries.

Occupational eye injuries are both common and preventable. About 20% of occupational eye injuries occur in construction. To investigate the nature of eye injuries among construction workers, we analyzed a large data set of construction worker injuries. In addition, we interviewed 62 workers with eye injuries to further explore circumstances of eye injury and workers' attitudes and behavior toward the use of eye protection. Eleven percent (363 cases) of the 3,390 construction workers in our data set were treated for eye injuries. Welders, plumbers, insulators, painters/glaziers, supervisors, and electricians had a higher proportion of all injuries due to eye injuries than other trades. Nearly half of the diagnoses were abrasions (46%) followed by foreign objects or splash in the eye (29%), conjunctivitis (10%), and burns (5%). In the interviews with 62 workers, we found that employers very frequently required eye protection for all tasks or for high-risk tasks, and workers report wearing eye protection regularly. However, most did not wear eye protection with top and side shields; if we believe the injuries occurred because a particle or liquid passed between the glasses and the workers' faces, increased use of goggles or full shields would have prevented two-thirds of this group of injuries.

Accidents, Occupational↗

[Multiple cranial nerve deficits after eye injury and eye enucleation. A case report].

A 12-year old Simmental x Red Holstein cow was admitted to the clinic eight months after an eye laceration followed by eye extirpation. The region of the excised eye had healed, however, the cow had additional trigeminal and facial nerve palsy. Nevertheless, the cow was in good general condition, and therefore, was sent home without therapy. After delivering a sound calf, her physical condition deteriorated and she was slaughtered. Histologic examination of the brain revealed degeneration of the right optic nerve and right half of the chiasma opticum as well as left tractus opticus (opposite side); furthermore, degenerative changes with slight inflammation of the right vestibular nuclei were observed. Possible pathogenesis is discussed.

Animals↗

[Retinal detachment after perforating eye injuries. III. Analysis of retinal detachment after perforating eye injuries and determination of the characteristics of the retinal detachment after perforating eye injuries].

In 1977-1987 the authors operated, using the cryosurgical method post-traumatic retinal detachment in 69 patients. Retinal detachment developed in 37 patients after simple perforation of the eye by a foreign intraocular body. In all patients the perforation penetrated as far as the vitreous space. In patients with retinal detachment the authors investigated the following: the patient's age, refraction, period of retinal detachment, extent of retinal detachment, the state of the macula, the characteristics of the retinal defect (site, size and number), type of retinal detachment and associated adverse factors. In the characteristics of retinal detachment after perforating eye injuries the first place was held by prognostically adverse vitreous traction in 73.9%.

Adolescent↗

Eye injury and sport: sport-related eye injuries presenting to an eye casualty department throughout 1995.

A survey was undertaken of all patients attending the Eye Casualty Department at Waterford Regional Hospital with sports injuries in the twelve-month period 1st January 1995 to 31st December 1995. Ninety eight patients had problems associated with sport. Hurling was responsible for the largest group (30%) and football of different codes accounted for 29%. The next largest group was the racquet sports (13%). The most common injuries were to the anterior chamber (hyphaema and microhyphaema: 36%). There were three orbital fractures. 26 patients (27%) were admitted. 83 patients (85%) were male. The median age was 20 years. Sport is a significant cause of eye injury, which is often serious, and affects mostly young healthy males.

Adult↗

Epidemiology of motor vehicle crash-related serious eye injuries.

The Eye Injury Registry of Alabama has been collecting epidemiologic, treatment, final outcome, and rehabilitation information on serious ocular trauma since 1982. By December 31, 1989, 150 motor vehicle crash-related eye injuries had been registered. This is the largest series of motor vehicle crash-related serious eye injuries reported. The mean age of those injured was 29 years; 61% were between 16 and 35 years of age, and 73% were males. Ten individuals (7%) suffered bilateral eye injuries. The retina was injured in 47% of eyes. The initial visual acuity was 19/200 or worse (legal blindness) in 47% of eyes. Of eyes with at least 3 months of follow-up, 63% had worse than 20/200 initial visual acuity and 41% remained legally blind. Twelve percent of eyes required removal. Possibly due to the large number of blunt ruptures, motor vehicle crash-related eye trauma carries a particularly unfavorable treatment prognosis. Prevention of these injuries is therefore of extraordinary importance.

Accidents, Traffic↗

Eye Injury Registry of Alabama (preliminary report): demographics and prognosis of severe eye injury.

Each year an estimated 1.3 million Americans suffer eye injuries. There is little information in the literature regarding the prevalence, demographic characteristics, and prognosis of these patients. The Eye Injury Registry of Alabama (EIRA) serves as the first and only statewide system of its kind for the collection of information on serious eye injuries. We have analyzed 736 cases of serious eye injury (injury involving permanent structural or functional change) accumulated by the EIRA between August 1982 and May 1986. Prognosis was found to be related to early diagnosis and initial vision. Individuals with follow-up vision of 20/40 or better were found in all early diagnostic groups, and 13% of patients with no light perception on initial examination had some improvement on follow-up. The worst visual prognosis was among those patients suffering blunt eyeball rupture, of whom 40% had no light perception and 25% regained vision of 20/100 or better.

Accidents, Home↗

Sports-related eye injuries: floorball endangers the eyes of young players.

The objectives of this study were to determine the distribution of different sports-related eye injuries and to identify injury types to enable recommendations to be made about the use of protective eyewear. The study population comprises all 565 eye trauma patients examined at the Ophthalmology Emergency Clinic of the Helsinki University Central Hospital over a 6-month period. Data were collected from patient histories and questionnaires. In addition, three severe floorball eye injury cases are presented. Of the 565 eye traumas, 94 (17%) were sports related. Of these, 42 (45%) were associated with floorball. Countrywide, in Finland, estimated over 300 (+95% CI 228-415) floorball eye injuries occur annually. The mean age of floorball patients was 22 years. The most common finding (55%) in sports injury patients was hyphema. Clinically severe eye injuries during this period accounted for one-fourth of all cases. During the study period, no eye injury was found in an organized junior ice hockey, where facial protection is mandatory. Floorball is estimated to belong to the highest risk group in sports, and thus, the use of protective eyewear is strongly recommended. We conclude that national floorball federations should make protective eyewear mandatory.

Adult↗

[Occupational eye injuries].

Occupational eye injuries are common. The authors found that these constituted 2.5% of all the injuries treated in the Central Hospital in Esbjerg during the period 1.8.1987-31.12.1987. A total of 224 patients were included in the investigation. Of these, 145 had not employed any form of protection of the eyes when the injury occurred. This was mandatory where 34% were concerned and not mandatory for 66%. Occupational eye injuries resulted in 0-4 days of sick-leave and young men were particularly affected. Metal workers were most exposed and unskilled workers employed with grinding and welding. Forty-five patients had sustained more than two occupational eye injuries within the past year. Twenty-one of these had not notified any of the injuries, 11 had notified some of the injuries and 13 had notified all of the injuries. Approximately 80% had received instruction about employment of protective measures.

Accidents, Occupational↗

[Histopathology of perforating eye injuries].

Perforating eye injuries endanger the eye due to the loss of internal structures; hypertonia; the proliferation of vascular tissue, glia, and epithelium; hemorrhages, and inflammations. This is illustrated with histologic pictures.

Cataract↗