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Geriatrik Popülasyonda Göz Acilleri: 2015-2023 Tek Merkez Sonuçları

Year 2025, Volume: 15 Issue: 1, 94 - 99, 03.01.2025

Abstract

Amaç: Acil servise göz şikayetleri ile başvuran geriatrik hastaların klinik ve demografik özelliklerini değerlendirmek, risk faktörlerini belirlemek, uygun önleme stratejilerini tasarlamak ve mevcut olanların geliştirilmesini sağlamaktır.
Gereç ve Yöntemler: Acil servise oftalmik şikayetlerle başvuran ≥ 65 yaş hastaların kayıtları geriye dönük olarak değerlendirildi. Hastalar başvuru şikayetlerine göre travmatik ve travmatik olmayan olarak iki gruba ayrıldı.
Bulgular: Çalışmaya yaş ortancası 72 (65-100) olan iki yüz beş hasta dahil edildi. Hastaların 81'i (%39,51) ortanca yaşı 74 (65-100) olan kadın ve 124'ü (%60,48) ortanca yaşı 71,5 (65-93) olan erkeklerden oluşmaktaydı. Hastaların 124'ü (%60,48) travmaya bağlı nedenlerle, 81'i (%39,51) travmatik olmayan nedenlerle başvuruda bulundu. Travmaya bağlı nedenlerle başvuru yapan hastaların 25'i (%20,16) kadın, 99'u (%79,83) erkekti. Travma dışı nedenlerle başvuru yapan hastaların 56'sı (%69,13) kadın, 25'i (%30,86) erkekti. Travmaya bağlı nedenlerle başvuru yapan hastalarda en sık düşmeler (%24,19) izlendi. Cinsiyete göre göz travmaları, erkek hastalarda kadın hastalara göre istatistiksel olarak anlamlı bir şekilde daha sık izlendi (p<0,001). Travma dışı nedenlerle başvuru yapan hastalarda en sık bulanık görme (%19,75) izlendi.
Sonuç: Geriatrik yaş grubunda görülen göz acilleri çoğunlukla erkeklerde ve travmaya bağlı nedenlerle ortaya çıkarken, kadınlarda başvurular daha çok travmatik olmayan nedenlerle yapılmaktadır. Geriatrik yaş grubunda görülen göz acilleri, nedeni ne olursa olsun önemli bir sağlık sorunu teşkil etmektedir.

Ethical Statement

Çalışma, Sivas Cumhuriyet Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu tarafından onaylandı (2023-11/10).

Supporting Institution

Yazarlar tarafından beyan edilen bir durum yok.

Project Number

2023-11/10

Thanks

Yazarlar tarafından beyan edilen bir durum yok.

References

  • Babineau MR, Sanchez LD, Ophthalmologic procedures in the emergency department. Emerg Med Clin North Am. 2008; 26(1): 17-34.
  • Swenor BK, Lee MJ, Tian J, Varadaraj V, Bandeen-Roche K. Visual impairment and frailty: Examining an understudied relationship. J Gerontol A Biol Sci Med Sci. 2020; 75(3): 596-602.
  • Iftikhar M, Latif A, Farid UZ, Usmani B, Canner JK, Shah SMA. Changes in the incidence of eye trauma hospitalizations in the United States from 2001 through 2014. JAMA Ophthalmol. 2019; 137(1): 48-56.
  • Bergen G, Stevens MR, Burns ER. Falls and fall injuries among adults aged ≥ 65 years - United States, 2014. MMWR Morb Mortal Wkly Rep. 2016; 65(37): 993-8.
  • Mohseni M, Blair K, Gurnani B, Bragg BN. Blunt eye trauma. StatPearls; 2023.
  • Tarff A, Behrens A. Ocular emergencies: Red eye. Med Clin North Am. 2017; 101(3): 615-39.
  • Chen AJ, Kim JG, Linakis JG, Mello MJ, Greenberg PB. Eye injuries in the elderly from consumer products in the United States: 2001-2007. Graefes Arch Clin Exp Ophthalmol. 2013; 251(3): 645-51.
  • Andreoli MT, Andreoli CM. Geriatric traumatic open globe injuries. Ophthalmology. 2011; 118(1): 156-9.
  • Sastry SM, Copeland RA Jr, Mezghebe HM, Siram SM, Spencer M, Cowan CL Jr. Consumer product-related ocular trauma. J Natl Med Assoc. 1995; 87(5): 349-52.
  • McGwin G Jr, Hall TA, Seale J, Xie A, Owsley C. Consumer product-related eye injury in the United States, 1998-2002. J Safety Res. 2006; 37(5): 501-6.
  • McGwin G Jr, Owsley C. Incidence of emergency department-treated eye injury in the United States. Arch Ophthalmol. 2005; 123(5): 662-6.
  • Usmani B, Latif A, Iftikhar M. Eye trauma in falls presenting to the emergency department from 2006 through 2015. Br J Ophthalmol. 2021; 105(2): 198-204.
  • Iftikhar M, Canner JK, Hall L, Ahmad M, Srikumaran D, Woreta FA. Characteristics of orbital floor fractures in the United States from 2006 to 2017. Ophthalmology. 2021; 128(3): 463-70.
  • Aslan D, Ozcebe H, Temel F, Takmaz S, Topatan S, Sahin A, et al. What influences physical activity among elders? A Turkish experience from Ankara, Turkey. Arch Gerontol Geriatr. 2008; 46(1): 79-88.
  • Atman ÜC, Dinç G, Oruçoğlu A, Uğurlu H, Ecebay A. Manisa Muradiye Sağlık Ocağı bölgesinde yaşlılarda kaza sıklığı ve kaza ile ilişkili faktörler. Türk Geriatri Dergisi. 2007; 10(2): 83-7.
  • Chiu SL, Chu CL, Muo CH, Chen CL, Lan SJ. The prevalence and the incidence of diagnosed open-angle glaucoma and diagnosed angle-closure glaucoma: Changes from 2001 to 2010. J Glaucoma. 2016; 25(5): 514-9.
  • Park SJ, Park KH, Kim TW, Park BJ. Nationwide incidence of acute angle closure glaucoma in Korea from 2011 to 2015. J Korean Med Sci. 2019; 34(48): e306.
  • Tognetto D, Brézin AP, Cummings AB, Malyugin BE, Evren Kemer O, Prieto I, et al. Rethinking elective cataract surgery diagnostics, assessments, and tools after the COVID-19 pandemic experience and beyond: Insights from the EUROCOVCAT group. Diagnostics (Basel). 2020; 10(12): 1035
  • Puzo M, Sánchez-Monroy J, Porcar-Plana CA, Bartol-Puyal FA, Dotti-Boada M, Peña-Urbina P, et al. Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study. BMC Ophthalmol. 2021; 21(1): 408.
  • Ilhan MN, Tüzün H, Kiliç R, Yildirim N. Nonpharmaceutical interventions in Turkey and worldwide during COVID-19 pandemic. Turk J Med Sci. 2021; 51(Si-1): 3207-14.

Eye Emergencies in the Geriatric Population: Single Center Results from 2015-2023

Year 2025, Volume: 15 Issue: 1, 94 - 99, 03.01.2025

Abstract

Aim: To evaluate the clinical and demographic characteristics of geriatric patients who apply to the emergency department with ophthalmic complaints, to determine risk factors, design appropriate prevention strategies, and improve existing ones.
Material and Methods: The records of patients aged ≥ 65 years who applied to the emergency department with ophthalmic complaints were evaluated retrospectively. The patients were divided into two groups traumatic and non-traumatic based on their presenting complaints.
Results: The study included two hundred-five patients with a median age of 72 (65-100). Among the patients, 81 (39.51%) were women with a median age of 74 (65-100), and 124 (60.48%) were men with a median age of 71.5 (65-93). One hundred and twenty-four (60.48%) of the patients were admitted for traumatic reasons and 81 (39.51%) for non-traumatic reasons. Of the patients admitted for traumatic reasons, 25 (20.16%) were women and 99 (79.83%) were men; Of the patients admitted for non-traumatic reasons, 56 (69.13%) were women and 25 (30.86%) were men. Falls (24.19%) were the most common in those admitted for traumatic reasons. According to gender, eye traumas were statistically significantly more common in men than in women (p<0.001). Blurred vision (19.75%) was most frequently observed in patients admitted for non-traumatic reasons.
Conclusion: While eye emergencies seen in the geriatric age group mostly occur in men and for traumatic reasons, applications in women are mostly made for non-traumatic reasons. Eye emergencies seen in the geriatric age group constitute a significant health problem, regardless of the cause.

Ethical Statement

The study was approved by the Non-Interventional Clinical Researches Ethics Committee of Sivas Cumhuriyet University (2023-11/10).

Supporting Institution

None declared by the authors.

Project Number

2023-11/10

Thanks

None declared by the authors.

References

  • Babineau MR, Sanchez LD, Ophthalmologic procedures in the emergency department. Emerg Med Clin North Am. 2008; 26(1): 17-34.
  • Swenor BK, Lee MJ, Tian J, Varadaraj V, Bandeen-Roche K. Visual impairment and frailty: Examining an understudied relationship. J Gerontol A Biol Sci Med Sci. 2020; 75(3): 596-602.
  • Iftikhar M, Latif A, Farid UZ, Usmani B, Canner JK, Shah SMA. Changes in the incidence of eye trauma hospitalizations in the United States from 2001 through 2014. JAMA Ophthalmol. 2019; 137(1): 48-56.
  • Bergen G, Stevens MR, Burns ER. Falls and fall injuries among adults aged ≥ 65 years - United States, 2014. MMWR Morb Mortal Wkly Rep. 2016; 65(37): 993-8.
  • Mohseni M, Blair K, Gurnani B, Bragg BN. Blunt eye trauma. StatPearls; 2023.
  • Tarff A, Behrens A. Ocular emergencies: Red eye. Med Clin North Am. 2017; 101(3): 615-39.
  • Chen AJ, Kim JG, Linakis JG, Mello MJ, Greenberg PB. Eye injuries in the elderly from consumer products in the United States: 2001-2007. Graefes Arch Clin Exp Ophthalmol. 2013; 251(3): 645-51.
  • Andreoli MT, Andreoli CM. Geriatric traumatic open globe injuries. Ophthalmology. 2011; 118(1): 156-9.
  • Sastry SM, Copeland RA Jr, Mezghebe HM, Siram SM, Spencer M, Cowan CL Jr. Consumer product-related ocular trauma. J Natl Med Assoc. 1995; 87(5): 349-52.
  • McGwin G Jr, Hall TA, Seale J, Xie A, Owsley C. Consumer product-related eye injury in the United States, 1998-2002. J Safety Res. 2006; 37(5): 501-6.
  • McGwin G Jr, Owsley C. Incidence of emergency department-treated eye injury in the United States. Arch Ophthalmol. 2005; 123(5): 662-6.
  • Usmani B, Latif A, Iftikhar M. Eye trauma in falls presenting to the emergency department from 2006 through 2015. Br J Ophthalmol. 2021; 105(2): 198-204.
  • Iftikhar M, Canner JK, Hall L, Ahmad M, Srikumaran D, Woreta FA. Characteristics of orbital floor fractures in the United States from 2006 to 2017. Ophthalmology. 2021; 128(3): 463-70.
  • Aslan D, Ozcebe H, Temel F, Takmaz S, Topatan S, Sahin A, et al. What influences physical activity among elders? A Turkish experience from Ankara, Turkey. Arch Gerontol Geriatr. 2008; 46(1): 79-88.
  • Atman ÜC, Dinç G, Oruçoğlu A, Uğurlu H, Ecebay A. Manisa Muradiye Sağlık Ocağı bölgesinde yaşlılarda kaza sıklığı ve kaza ile ilişkili faktörler. Türk Geriatri Dergisi. 2007; 10(2): 83-7.
  • Chiu SL, Chu CL, Muo CH, Chen CL, Lan SJ. The prevalence and the incidence of diagnosed open-angle glaucoma and diagnosed angle-closure glaucoma: Changes from 2001 to 2010. J Glaucoma. 2016; 25(5): 514-9.
  • Park SJ, Park KH, Kim TW, Park BJ. Nationwide incidence of acute angle closure glaucoma in Korea from 2011 to 2015. J Korean Med Sci. 2019; 34(48): e306.
  • Tognetto D, Brézin AP, Cummings AB, Malyugin BE, Evren Kemer O, Prieto I, et al. Rethinking elective cataract surgery diagnostics, assessments, and tools after the COVID-19 pandemic experience and beyond: Insights from the EUROCOVCAT group. Diagnostics (Basel). 2020; 10(12): 1035
  • Puzo M, Sánchez-Monroy J, Porcar-Plana CA, Bartol-Puyal FA, Dotti-Boada M, Peña-Urbina P, et al. Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study. BMC Ophthalmol. 2021; 21(1): 408.
  • Ilhan MN, Tüzün H, Kiliç R, Yildirim N. Nonpharmaceutical interventions in Turkey and worldwide during COVID-19 pandemic. Turk J Med Sci. 2021; 51(Si-1): 3207-14.
There are 20 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Research Articles
Authors

Mustafa Salih Karatepe 0000-0002-9880-3201

Duygu Yalınbaş Yeter 0000-0001-9001-0277

Project Number 2023-11/10
Publication Date January 3, 2025
Submission Date April 18, 2024
Acceptance Date December 3, 2024
Published in Issue Year 2025 Volume: 15 Issue: 1

Cite

Vancouver Karatepe MS, Yalınbaş Yeter D. Eye Emergencies in the Geriatric Population: Single Center Results from 2015-2023. VHS. 2025;15(1):94-9.