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System for Focal, Closed-System Central Nervous System Injury
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Pattern of ocular trauma in Egypt.

Mahmoud M Soliman1, Tamer A Macky

  • 1Department of Ophthalmology, Kasr El Aini Hospital, Cairo University, El-Manial, Cairo, Egypt.

Graefe'S Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie
|December 12, 2007
PubMed
Summary

Serious ocular trauma, primarily open globe injuries from assault, predominantly affects males. Prompt medical care and public education are crucial for preventing severe visual loss and improving outcomes.

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Area of Science:

  • Ophthalmology
  • Epidemiology
  • Trauma Research

Background:

  • Ocular trauma represents a significant cause of preventable vision impairment globally.
  • Understanding the specific epidemiology of serious eye injuries is critical for targeted prevention strategies and resource allocation.

Purpose of the Study:

  • To investigate the epidemiology and clinical characteristics of serious ocular trauma cases admitted to Kasr El Aini Hospital in Cairo, Egypt.
  • To analyze demographic data, injury mechanisms, types of ocular injuries, treatment timeliness, and visual outcomes.

Main Methods:

  • A prospective epidemiological and clinical study was conducted over six months (January-June 2000).
  • Data collected included patient demographics, trauma circumstances, injury type (open vs. closed globe), time to medical care, and visual acuity at presentation and discharge.
  • Statistical analysis was performed to identify significant associations and trends.

Main Results:

  • 147 patients (153 eyes) sustained serious ocular injuries, with 80% occurring in males aged 22 years on average.
  • Open globe injuries (80.4%) were more frequent than closed globe injuries (19.6%), with lacerations being the most common type.
  • Poor presenting visual acuity strongly correlated with poor final visual acuity, and 77.1% of eyes had poor vision at discharge.

Conclusions:

  • Assaultive injuries are the leading cause of serious ocular trauma in this population, predominantly affecting males.
  • Open globe injuries, particularly ruptured globes, result in the worst visual outcomes, highlighting the need for immediate and comprehensive medical intervention.
  • Public education initiatives are essential for eye injury prevention, alongside timely and effective medical care for affected individuals.