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Geriatric ocular trauma and mortality: A retrospective cohort study
Vincent Q Pham1, Hannah M Miller2, Elise O Fernandez2
1Northeast Ohio Medical University, Rootstown, Ohio, United States of America.
Plos One
|May 28, 2025
Summary
Geriatric patients with eye injuries face higher mortality risks than those with cataracts. Prompt identification and follow-up of periorbital trauma are crucial for improving outcomes in elderly individuals.
Area of Science:
- Ophthalmology
- Geriatric Medicine
- Public Health
Background:
- Ocular trauma is a significant concern in the geriatric population.
- Understanding the long-term health implications, particularly mortality, is essential for this demographic.
Purpose of the Study:
- To evaluate the 5-year mortality rate in geriatric patients (≥65 years) who sustained ocular trauma.
- To compare this mortality risk against age-matched controls with age-related nuclear cataracts.
Main Methods:
- A retrospective cohort study utilizing data from the I2B2 Carolina Data Warehouse.
- Inclusion criteria: patients aged 65+ with ocular trauma (study group) or age-related nuclear cataracts (control group).
- Statistical analysis involved Chi-squared tests to compare mortality rates.
Main Results:
- The study included 602 patients with ocular trauma and 1066 controls.
- Five-year mortality was 11.30% in the ocular trauma group versus 6.47% in the cataract control group.
- Annual mortality rates showed a consistently higher trend in the ocular trauma cohort over the 5-year period.
Conclusions:
- Geriatric patients experiencing ocular trauma exhibit an elevated risk of mortality compared to age-matched peers without such injuries.
- Findings emphasize the need to identify causes of periorbital trauma in the elderly.
- Close patient follow-up is critical for mitigating adverse outcomes.
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