Ocular trauma in the Top End
Author(s)
Wilson-Pogmore, Ario
Jongue, Elysia
Karthik, Hema
Griffith University Author(s)
Year published
2019
Metadata
Show full item recordAbstract
Purpose: To report the epidemiology, aetiology and outcomes of eye injuries at the Royal Darwin Hospital from 2017‐2018.
Methods: A 2‐year retrospective analysis was performed on all patients presenting to the Royal Darwin Hospital with eye injuries. Patients were identified using emergency diagnostic codes. These medical records were analysed with respect to patient demographics, Indigenous status, mechanism of injury, and visual acuity (VA) outcomes.
Results: 169 eye injuries were identified. The mean age was 34.72 (±14.83), 79.4% were male, and 33.3% identified as Indigenous. Notably, 52.12% injuries had an orbital ...
View more >Purpose: To report the epidemiology, aetiology and outcomes of eye injuries at the Royal Darwin Hospital from 2017‐2018. Methods: A 2‐year retrospective analysis was performed on all patients presenting to the Royal Darwin Hospital with eye injuries. Patients were identified using emergency diagnostic codes. These medical records were analysed with respect to patient demographics, Indigenous status, mechanism of injury, and visual acuity (VA) outcomes. Results: 169 eye injuries were identified. The mean age was 34.72 (±14.83), 79.4% were male, and 33.3% identified as Indigenous. Notably, 52.12% injuries had an orbital fracture, 11.5% were a result of chemical injury and 4.8% of were open globe injuries (OGI). The annual incidence of OGI was 5.38 in 100 000. 12.24% of injuries recorded VA of logMAR 1.00 or worse on presentation with 6.9% recording NPL; 52% of these patients improving to VA better than logMAR 1.00 on follow up. Overall mean VA improved by logMAR 0.27 (P = 0.023) from presentation. 50% of injuries were alleged assaults. Indigenous patients were identified to have a relative risk 2.26 times greater than non‐Indigenous patients for assault related injuries. 12.7% patients were intoxicated at the time of injury with 85.7% of these injuries from an assault. Conclusion: 1 in 8 eye injuries present with a VA of 6/60 or worse. Most injuries occurred in men. 33.3% of presentations Identified as Indigenous‐congruent with the Northern Territory population. Indigenous patients were more likely to have sustained ocular injury from an assault. Majority of injuries associated with intoxication were related to assaults.
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View more >Purpose: To report the epidemiology, aetiology and outcomes of eye injuries at the Royal Darwin Hospital from 2017‐2018. Methods: A 2‐year retrospective analysis was performed on all patients presenting to the Royal Darwin Hospital with eye injuries. Patients were identified using emergency diagnostic codes. These medical records were analysed with respect to patient demographics, Indigenous status, mechanism of injury, and visual acuity (VA) outcomes. Results: 169 eye injuries were identified. The mean age was 34.72 (±14.83), 79.4% were male, and 33.3% identified as Indigenous. Notably, 52.12% injuries had an orbital fracture, 11.5% were a result of chemical injury and 4.8% of were open globe injuries (OGI). The annual incidence of OGI was 5.38 in 100 000. 12.24% of injuries recorded VA of logMAR 1.00 or worse on presentation with 6.9% recording NPL; 52% of these patients improving to VA better than logMAR 1.00 on follow up. Overall mean VA improved by logMAR 0.27 (P = 0.023) from presentation. 50% of injuries were alleged assaults. Indigenous patients were identified to have a relative risk 2.26 times greater than non‐Indigenous patients for assault related injuries. 12.7% patients were intoxicated at the time of injury with 85.7% of these injuries from an assault. Conclusion: 1 in 8 eye injuries present with a VA of 6/60 or worse. Most injuries occurred in men. 33.3% of presentations Identified as Indigenous‐congruent with the Northern Territory population. Indigenous patients were more likely to have sustained ocular injury from an assault. Majority of injuries associated with intoxication were related to assaults.
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Conference Title
Clinical & Experimental Ophthalmology
Volume
47
Issue
S1
Subject
Clinical sciences
Ophthalmology and optometry
Science & Technology
Life Sciences & Biomedicine