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Analysis of ophthalmic emergencies

Year 2016, Volume: 41 Issue: 2, 326 - 332, 30.06.2016
https://doi.org/10.17826/cutf.210447

Abstract

Purpose: The aim of this study was to determine the admission complaints, demographic characteristics, etiology, diagnosis, and outcome of patients who admitted to emergency department with eye-related complaints.
Material and Methods: All patients, over the age of 18, who admitted to emergency department with eye-related complaints between June 2011 and May 2012, were included prospectively in this study. Demographic characteristics, etiology, admission complaints, diagnosis, and outcome of the patients in the emergency department were evaluated with statistical analysis.
Results: At the time of the study, a total of 201427 adult patients admitted to our emergency department and 3256 (1.6%) were included in the study. 77.5% of the patients (2524) were males. The most frequent diagnosis was trauma (30.3%) in female gender, whereas it was superficial foreign bodies (46.2%) in male gender. The most common cause of trauma was home accidents (57.4%) in females, whereas it was work accidents (73%) in males. Of patients admitted due to vision loss (0.46%), it was identified that these patients were older and visual loss is more dependent on non-traumatic ophthalmic emergencies. 
Conclusions: The majority of cases of ophthalmic emergencies are work accidents in young active workingmen patients group. The most common complaints of patients are trauma and superficial foreign bodies. Vision loss depends mostly on non-traumatic ophthalmic emergencies seen in the elderly.

References

  • Jafari AK, Bozorgui S, Shahverdi N, Ameri A, Akbari MR, Salmasian H. Different causes of referral to ophthalmology emergency room. J Emerg Trauma Shock. 2012;5:16-22.
  • Skegro I, Kordić R, Kuzman T, Perić S, Kutija MB, Jandroković S et al. Ocular related emergencies in Zagreb University Hospital Centre-ten month analysis. Coll Antropol. 2013;37:141-3.
  • Cheung CA, Rogers-Martel M, Golas L, Chepurny A, Martel JB, Martel JR. Hospital-based ocular emergencies: epidemiology, treatment, and visual outcomes. Am J Emerg Med. 2014;32:221-4.
  • Scruggs D, Scruggs R, Stukenborg G, Netland PA, Calland JF. Ocular injuries in trauma patients: an analysis of 28,340 trauma admissions in the 2003- 2007 National Trauma Data Bank National Sample Program. J Trauma Acute Care Surg. 2012;73:1308- 12.
  • Négrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol. 1998;5:143-69.
  • MacEwen CJ. Ocular injuries. J R Coll Surg Edinb. 1999;44:317-23.
  • Verma L, Arora R, Tewari HK, Khosla PK. Eye casualty department. J R Soc Med. 1994;87:217-18.
  • Nash EA, Margo CE. Patterns of emergency department visits for disorders of the eye and ocular adnexa. Arch Ophthalmol. 1998;116:1222-6.
  • Khare GD, Symons RC, Do DV. Common ophthalmic emergencies. Int J Clin Pract. 2008;62:1776-84.
  • Serinken M, Turkcuer I, Cetin EN, Yilmaz A, Elicabuk H, Karcioglu O. Causes and characteristics of work-related eye injuries in western Turkey. Indian J Ophthalmol. 2013;61:497-501.
  • Joseph E, Zak R, Smith S, Best WR, Gamelli RL, Dries DJ. Predictors of blinding or serious eye injury in blunt trauma. J Trauma. 1992;33:19-24.
  • Alotaibi AG, Osman EA, Allam KH, Abdel-Rahim AM, Abu-Amero KK. One month outcome of ocular related emergencies in a tertiary hospital in Central Saudi Arabia. Saudi Med J. 2011;32:1256-60.
  • Chiapella AP, Rosenthal AR. One year in an eye casualty clinic. Br J Ophthalmol. 1985;69:865-70.
  • Ngo CS, Leo SW. Industrial accident-related ocular emergencies in a tertiary hospital in Singapore. Singapore Med J. 2008;49:280-5.
  • Gyasi M, Amoaku W, Adjuik M. Epidemiology of hospitalized ocular injuries in the upper East region of ghana. Ghana Med J. 2007;41:171-5.
  • Krishnaiah S, Nirmalan PK, Shamanna BR, Srinivas M, Rao GN, Thomas R. Ocular trauma in a rural population of southern India: the Andhra Pradesh Eye Disease Study. Ophthalmology. 2006;113:1159- 64.
  • Ho CK, Yen YL, Chang CH, Chiang HC, Shen YY, Chang PY. Epidemiologic study on work-related eye injuries in Kaohsiung, Taiwan. Kaohsiung J Med Sci. 2007;23:463-9.
  • Mela EK, Dvorak GJ, Mantzouranis GA, et al. Ocular trauma in a Greek population: review of 899 cases resulting in hospitalization. Ophthalmic Epidemiol. 2005;12:185-90.
  • Desai P, MacEwen CJ, Baines P, Minassian DC. Epidemiology and implications of ocular trauma admitted to hospital in Scotland. J Epidemiol Community Health.1996;50:436-41.
  • Baker RS, Wilson MR, Flowers CW Jr, Lee DA, Wheeler NC. Demographic factors in a population- based survey of hospitalized, work-related, ocular injury. Am J Ophthalmol. 1996;122:213-9.
  • Patel BC, Morgan LH. Work-related penetrating eye injuries. Acta Ophthalmol. (Copenh) 1991;69:377-81.

Göz acillerinin analizi

Year 2016, Volume: 41 Issue: 2, 326 - 332, 30.06.2016
https://doi.org/10.17826/cutf.210447

Abstract

Amaç: Acil servise göz ile ilgili şikayetlerle başvuran hastalarda başvuru şikayetleri, demografik özellikler, etyoloji, tanı ve hastaların sonlanımlarının belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Haziran 2011 ve Mayıs 2012 tarihleri arasında acil servise göz ile ilgili şikayetlerle başvuran 18 yaş üstü tüm hastalar bu çalışmaya prospektif olarak dahil edildi. Demografik özellikler, etyoloji, başvuru şikayetleri, tanı ve hastaların sonlanımları istatiksel analizlerle hesaplandı.
Bulgular: Çalışmanın yapıldığı zamanda acil servise toplamda 201427 erişkin hasta kabul edildi ve 3256’ sı (% 1.6) çalışmaya dahil edildi. Hastaların % 77.5’ i (2524) erkekti. Kadın cinsiyette en sık görülen tanı travma (% 30.3), erkek cinsiyette ise yüzeyel yabancı cisim (%46.2) idi. Kadınlarda en sık travma nedeni ev kazaları (%57.4) iken, erkeklerde iş kazaları (%73) idi. Görme kaybı ile başvuran hastaların (% 0.46) daha yaşlı olduğu ve görme kaybının daha çok travma dışı göz acilleri ile ilgili olduğu tespit edildi. 
Sonuç: Göz acillerinin en büyük kısmı, genç aktif çalışan hasta grubundaki iş kazalarıdır. En sık rastlanan hasta şikayeti travma ve yüzeyel yabancı cisimdir. Görme kaybı sıklıkla yaşlı hastalarda ve travmatik olmayan göz acilleri nedeniyle görülür.

References

  • Jafari AK, Bozorgui S, Shahverdi N, Ameri A, Akbari MR, Salmasian H. Different causes of referral to ophthalmology emergency room. J Emerg Trauma Shock. 2012;5:16-22.
  • Skegro I, Kordić R, Kuzman T, Perić S, Kutija MB, Jandroković S et al. Ocular related emergencies in Zagreb University Hospital Centre-ten month analysis. Coll Antropol. 2013;37:141-3.
  • Cheung CA, Rogers-Martel M, Golas L, Chepurny A, Martel JB, Martel JR. Hospital-based ocular emergencies: epidemiology, treatment, and visual outcomes. Am J Emerg Med. 2014;32:221-4.
  • Scruggs D, Scruggs R, Stukenborg G, Netland PA, Calland JF. Ocular injuries in trauma patients: an analysis of 28,340 trauma admissions in the 2003- 2007 National Trauma Data Bank National Sample Program. J Trauma Acute Care Surg. 2012;73:1308- 12.
  • Négrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol. 1998;5:143-69.
  • MacEwen CJ. Ocular injuries. J R Coll Surg Edinb. 1999;44:317-23.
  • Verma L, Arora R, Tewari HK, Khosla PK. Eye casualty department. J R Soc Med. 1994;87:217-18.
  • Nash EA, Margo CE. Patterns of emergency department visits for disorders of the eye and ocular adnexa. Arch Ophthalmol. 1998;116:1222-6.
  • Khare GD, Symons RC, Do DV. Common ophthalmic emergencies. Int J Clin Pract. 2008;62:1776-84.
  • Serinken M, Turkcuer I, Cetin EN, Yilmaz A, Elicabuk H, Karcioglu O. Causes and characteristics of work-related eye injuries in western Turkey. Indian J Ophthalmol. 2013;61:497-501.
  • Joseph E, Zak R, Smith S, Best WR, Gamelli RL, Dries DJ. Predictors of blinding or serious eye injury in blunt trauma. J Trauma. 1992;33:19-24.
  • Alotaibi AG, Osman EA, Allam KH, Abdel-Rahim AM, Abu-Amero KK. One month outcome of ocular related emergencies in a tertiary hospital in Central Saudi Arabia. Saudi Med J. 2011;32:1256-60.
  • Chiapella AP, Rosenthal AR. One year in an eye casualty clinic. Br J Ophthalmol. 1985;69:865-70.
  • Ngo CS, Leo SW. Industrial accident-related ocular emergencies in a tertiary hospital in Singapore. Singapore Med J. 2008;49:280-5.
  • Gyasi M, Amoaku W, Adjuik M. Epidemiology of hospitalized ocular injuries in the upper East region of ghana. Ghana Med J. 2007;41:171-5.
  • Krishnaiah S, Nirmalan PK, Shamanna BR, Srinivas M, Rao GN, Thomas R. Ocular trauma in a rural population of southern India: the Andhra Pradesh Eye Disease Study. Ophthalmology. 2006;113:1159- 64.
  • Ho CK, Yen YL, Chang CH, Chiang HC, Shen YY, Chang PY. Epidemiologic study on work-related eye injuries in Kaohsiung, Taiwan. Kaohsiung J Med Sci. 2007;23:463-9.
  • Mela EK, Dvorak GJ, Mantzouranis GA, et al. Ocular trauma in a Greek population: review of 899 cases resulting in hospitalization. Ophthalmic Epidemiol. 2005;12:185-90.
  • Desai P, MacEwen CJ, Baines P, Minassian DC. Epidemiology and implications of ocular trauma admitted to hospital in Scotland. J Epidemiol Community Health.1996;50:436-41.
  • Baker RS, Wilson MR, Flowers CW Jr, Lee DA, Wheeler NC. Demographic factors in a population- based survey of hospitalized, work-related, ocular injury. Am J Ophthalmol. 1996;122:213-9.
  • Patel BC, Morgan LH. Work-related penetrating eye injuries. Acta Ophthalmol. (Copenh) 1991;69:377-81.
There are 21 citations in total.

Details

Primary Language English
Journal Section Research
Authors

Müge Gülen

Mehmet Ay This is me

Selen Acehan This is me

Haldun Akoğlu This is me

Ferhat İçme This is me

Nalan Kozacı This is me

Mustafa Seğmen This is me

Salim Satar This is me

Publication Date June 30, 2016
Published in Issue Year 2016 Volume: 41 Issue: 2

Cite

MLA Gülen, Müge et al. “Analysis of Ophthalmic Emergencies”. Cukurova Medical Journal, vol. 41, no. 2, 2016, pp. 326-32, doi:10.17826/cutf.210447.