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Eye injury registries - A systematic review.
Annette K Hoskin1, Stephanie L Watson2, David A Mackey3
1The University of Sydney, Save Sight Institute, Discipline of Ophthalmology, Sydney Medical School, Sydney, New South Wales, Australia; Lions Eye Institute. Nedlands, Western Australia, Australia; Department of Ophthalmology, University of Western Australian, Nedlands, Western Australia, Australia.
Ocular trauma registries are crucial for understanding and preventing eye injuries. This review highlights data quality issues and recommends international guidelines for better evidence-based prevention and improved visual outcomes.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Public Health
Background:
- Ocular trauma registries are essential for monitoring, treating, and preventing eye injuries.
- The effectiveness of registries depends on data quantity, quality, and resource allocation.
- This review examines global ocular trauma registries' quality, completeness, and operational models.
Purpose of the Study:
- To document the quality, completeness, and operational/funding models of ocular trauma registries worldwide.
- To identify best practices and challenges in ocular trauma data collection.
- To inform the development of future registries for improved eye injury prevention and outcomes.
Main Methods:
- Searched CENTRAL, MEDLINE, EMBASE, and Informit Health Collection for ocular trauma registries.
- Utilized clinicaltrials.gov, Trip, MedNar, and Google Scholar for unpublished data.
- Assessed registry data quality against established measures for design, operation, and completeness.
Main Results:
- 28 articles were eligible for review, with the US, Germany, and China being major contributors.
- Patient follow-up, often for 6 months, was reported in 31 studies.
- Data quality issues included incomplete information on eye protection and visual acuity; attrition bias was noted.
Conclusions:
- Ocular trauma registries significantly advance understanding and prevention of eye injuries.
- The US leads in well-resourced registries, but international collaboration is needed.
- Recommended developing international consensus guidelines for standardized data collection to enable global comparison and improve visual outcomes.
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