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Birhan GS, Wossoro HE, Admassu NF, Eticha BL. Ocular protection practice and associated factors among welders in small-scale industries in Hosanna town, Southern Ethiopia, 2023. Inj Prev 2024:ip-2024-045246. [PMID: 39025668 DOI: 10.1136/ip-2024-045246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 07/01/2024] [Indexed: 07/20/2024]
Abstract
PURPOSE Good eye protection is the most important factor in preventing eye injuries. Most eye injuries are due to the improper use or lack of use of eye protection equipment. Therefore, this study aims to assess eye protection practice and associated factors among welders in small-scale industries in Hosanna town of Southern Ethiopia. METHODS A cross-sectional study was conducted on 420 welders between 14 August and 14 September 2023. A structured questionnaire was used to collect the data entered into Epi-data V.4.6 and analysed using a statistical package for social science V.25.0. Descriptive statistics was used to describe the characteristics of study participants. Binary logistic regression analysis was carried out to identify factors associated with eye protection practice. Finally, the OR with a corresponding 95% CI was computed to show the strength of the association. A p value <0.05 was considered to declare statistical significance. RESULTS A total of 420 study participants were included. Good eye protection practice was 43.6% (95% CI 43.41 to 43.79). Monthly income between 4000 and 8000 and above 8000 Ethiopian birr, knowledge (adjusted OR (AOR)=3.90, 95% CI 1.96 to 7.78), permanent work pattern (AOR=2.86, 95% CI 1.59 to 5.17), previous ocular trauma (AOR=3.09, 95% CI 1.53 to 6.22) were positively associated with good eye protection practice. CONCLUSION The results of this study revealed poor eye protection practice among welders. Factors such as monthly income, previous ocular injury, work pattern and knowledge of eye Personal Protective Equipment were significantly associated with eye protection practice.
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Affiliation(s)
- Getenet Shumet Birhan
- Department of Optometry, College of Medicine and Health Sciences, Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia
| | | | - Nebiyat Feleke Admassu
- Department of Optometry, College of Medicine and Health Sciences, Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia
| | - Biruk Lelisa Eticha
- Department of Optometry, College of Medicine and Health Sciences, Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia
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Atalay YA, Gebeyehu NA, Gelaw KA. Systematic review and meta-analysis on prevalence, pattern, and factors associated with ocular protection practices among welders in sub-Saharan Africa. Front Public Health 2024; 12:1397578. [PMID: 38952737 PMCID: PMC11215141 DOI: 10.3389/fpubh.2024.1397578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Accepted: 05/28/2024] [Indexed: 07/03/2024] Open
Abstract
Background Due to hazardous working conditions, welders are more likely to be exposed to mild to severe eye issues during the welding process. Globally, this issue is a major contributor to vision loss and blindness. One of the most frequent causes of unilateral blindness in the globe is ocular injury. Objective This review aimed to assess the pooled prevalence of ocular protection practice and associated factors among welders in sub-Saharan Africa. Methods Databases including PubMed, Scopus, web of Science, Google Scholar, and the African Journals Online were systematically searched for relevant literature. The statistical analysis was performed using STATA data analysis software version 14, while Microsoft Excel was used for data abstraction. We checked publication bias using a funnel plot and Egger and Begg regression tests. A p-value < 0.05 was considered significant, suggesting the presence of presence publication bias. The I2 statistics were used to assess heterogeneity between studies. The study's overall effect was evaluated using the random effects model. Results From retrieved 2,326 original studies, 17 studies were included in the final pooled prevalence analysis. The overall prevalence of ocular protection practice among small-scale welders in sub-Saharan Africa was 53.71% (95% CI: 42.54, 64.88). Having pre and in-service training [AOR: 4.97, 95% CI: (2.64, 9.36)], having work experience as a welder [AOR: 4.94, 95% CI: (3.24, 7.54)], and having a history of ocular injury [AOR: 2.99, 95% CI: (1.58, 5.66)] were significantly associated with the ocular protection practices. Conclusions In sub-Saharan African countries, the ocular protection practices among small-scale welders were low. Furthermore, the current meta-analysis found ocular protection practice to be significantly associated with on-the-job training, work experience of welders, and a history of ocular injury in the past year of small-scale welders in sub-Saharan Africa. This review will serve as baseline data for further studies to generate inputs for eye care providers and policymakers to improve good practice levels about ocular protection. Policies should be put in place to ensure all welders use proper personal-protective equipment, and receive regular health training.
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Affiliation(s)
- Yibeltal Assefa Atalay
- School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
| | - Natnael Atnafu Gebeyehu
- School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
| | - Kelemu Abebe Gelaw
- School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
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Belete YA, Assefa NL, Tegegn MT. Ocular Protection Practice and Associated Factors Among Ethiopian Welders: Institution-Based Cross-Sectional Study. CLINICAL OPTOMETRY 2023; 15:175-184. [PMID: 37719028 PMCID: PMC10503522 DOI: 10.2147/opto.s424522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 09/05/2023] [Indexed: 09/19/2023]
Abstract
Introduction Work-related ocular injury is a global public health problem, particularly among welders and is reduced through proper ocular protection practice. No previous studies have explored ocular protection practice and associated factors among welders in Ethiopia or in the study area. Objective This study aimed to assess the proportion of ocular protection practice and associated factors among welders in Gondar city, Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted among 403 welders in Gondar city, selected using systematic random sampling with an interval of 2, from July 6 to 23, 2021. Data were collected using a pre-tested structured questionnaire and an observational checklist. Binary logistic regression was used to identify factors associated with ocular protection practice and association was expressed using an adjusted odds ratio with a 95% confidence interval (CI). Variables with a P-value of less than 0.05 were considered statistically significant. Results Of 396 participated welders, 81.8% worked without job training, and 33.1% had faced ocular injury. Nearly 86% of welders had access to personal protective eyewear but their knowledge and attitude towards personal protective eyewear were 48.2% (95% CI: 44.8, 51.4) and 61.4% (95% CI: 57.6, 64.7), respectively. The proportion of a good-level of ocular protection practice was 56.8% (95% CI: 52.8, 61.9). Being gas welder (adjusted odds ratio [AOR]=0.26, 95% CI: 0.12, 0.53), work experience (AOR = 1.10, 95% CI: 1.01, 1.21), job training (AOR = 4.90, 95% CI: 2.32, 10.35), welders rated the cost of personal protective eyewear as fair (AOR = 2.30, 95% CI: 1.26, 4.20) and history ocular injury (AOR = 4.20, 95% CI: 2.40, 6.97) were positively associated with a good-level proportion of ocular protection practice. Conclusion This study found that the proportion of a good-level of ocular protection practice of welders was fair. Being gas welder, job training, work experience, history of ocular injury and welders rated the cost of personal protective eyewear as fair were significantly associated with a good-level of ocular protection practice.
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Affiliation(s)
- Yared Ayelign Belete
- Department of Ophthalmology and Optometry, School of Medicine, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia
| | - Natnael Lakachew Assefa
- Department of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Melkamu Temeselew Tegegn
- Department of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Kate A, Sharma S, Yathish S, Das AV, Malepati N, Donthineni PR, Basu S, D’Souza S, Shanbhag SS. Demographic profile and clinical characteristics of patients presenting with acute ocular burns. Indian J Ophthalmol 2023; 71:2694-2703. [PMID: 37417107 PMCID: PMC10491055 DOI: 10.4103/ijo.ijo_3330_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 04/23/2023] [Accepted: 05/30/2023] [Indexed: 07/08/2023] Open
Abstract
Purpose To study and compare the demographic and clinical profile of acute ocular burns (AOB) in children and adults. Methods This retrospective case series included 271 children (338 eyes) and 1300 adults (1809 eyes) who presented to two tertiary eye care centers within one month of sustaining AOB. Data regarding demographics, causative agents, severity of injury, visual acuity (VA), and treatment were collected and analyzed. Results Males were more commonly affected particularly among adults (81% versus 64%, P < 0.00001). Among children, 79% sustained domestic injuries, whereas 59% of adults had work-place injuries (P < 0.0001). Most cases were due to alkali (38%) and acids (22%). Edible lime (chuna, 32%), superglue (14%), and firecrackers (12%) in children, and chuna (7%), insecticides, lye, superglue (6% each), toilet cleaner (4%) and battery acid (3%) in adults, were the main causative agents. The percentage of cases with Dua grade IV-VI was greater in children (16% versus 9%; P = 0.0001). Amniotic membrane grafting and/or tarsorrhaphy were needed in 36% and 14% of affected eyes in children and adults, respectively (P < 0.00001). The median presenting VA was logMAR 0.5 in children and logMAR 0.3 in adults (P = 0.0001), which improved significantly with treatment in both groups (P < 0.0001), but the final VA in eyes with Dua grade IV-VI burns was poorer in children (logMAR 1.3 versus logMAR 0.8, P = 0.04). Conclusion The findings clearly delineate the at-risk groups, causative agents, clinical severity, and treatment outcomes of AOB. Increased awareness and data-driven targeted preventive strategies are needed to reduce the avoidable ocular morbidity in AOB.
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Affiliation(s)
- Anahita Kate
- Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh, India
| | - Supriya Sharma
- Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India
- Cornea and Anterior Segment Services, Shantilal Shanghvi Eye Institute, Mumbai, Maharashtra, India
| | - S Yathish
- Department of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, Karnataka, India
| | - Anthony Vipin Das
- Department of Eye Smart EMR and AEye, Indian Health Outcomes, Public Health and Economics Research Center, LV Prasad Eye Institute, Hyderabad, Telangana, India
| | - Nikhila Malepati
- Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India
| | - Pragnya R Donthineni
- Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India
| | - Sayan Basu
- Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India
- Center for Ocular Regeneration (CORE), L V Prasad Eye Institute, Hyderabad, Telangana, India
- Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India
| | - Sharon D’Souza
- Department of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, Karnataka, India
| | - Swapna S Shanbhag
- Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India
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Sinha S, Nishant P, Morya AK, Bejjenki P. Commentary: The untapped potential of protective eyewear for primary prevention of ocular trauma. Indian J Ophthalmol 2023; 71:2215-2216. [PMID: 37202951 PMCID: PMC10391492 DOI: 10.4103/ijo.ijo_3376_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/20/2023] Open
Affiliation(s)
- Sony Sinha
- Department of Ophthalmology, Patna Medical College, Patna, Bihar, India
| | - Prateek Nishant
- Department of Ophthalmology, All India Institute of Medical Sciences, Patna, Bihar, India
| | - Arvind K Morya
- Cataract, Glaucoma, Refractive, Squint, Pediatric Ophthalmology and Medical Retina Services, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India
| | - Priyanka Bejjenki
- Department of Ophthalmology, All India Institute of Medical Sciences, Bibinagar, Telangana, India
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Lu Z, Chu T, Yang ZH, Xia X, Shen YH, Chen JH, Wang JH. Epidemiological features and management of eye burn patients in Wuxi, China. BMJ Open Ophthalmol 2023. [DOI: 10.1136/bmjophth-2022-001171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
BackgroundThe current study aimed to analyse epidemiological data on eye burns in Wuxi, China, for the years 2015–2021, and to provide insight into the development of appropriate prevention strategies.MethodsA retrospective study was conducted on 151 hospitalised patients with eye burns. Data collected included gender, age, the monthly distribution of incidence, cause of eye burn, the site of eye burn, the type of surgery, visual outcome, the length of hospital stay and the cost of hospital admission. Statistical analysis was performed using SPSS V.19.0 and Graph Pad Prism V.9.0.ResultsIn a total of 151 eye burn patients, 130 were males (86.09%) and 21 were females (13.91%). The proportion of patients classified as grade III was the greatest (46.36%). The average age of our hospitalised patients with eye burns was 43.72 years and the average length of hospital stay was 17 days. The number of injuries was highest in September (14.6%). Among eye burn patients, workers and farmers became the most common occupations (62.91%, 12.58%). The most frequent cause of burns was alkali burns (19.21%), followed by acid burns (16.56%). When admitted to the hospital, patients’ average vision was 0.06, and 49% of them had a poor vision (<0.3, ≥0.05).ConclusionWith an investigation of 7-year hospitalisation data, the current study provided a fundamental reference for epidemiological features and management of eye burns in Wuxi, China, which could contribute to the development of treatment and prevention strategies.
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Kaplan AT, Yalcin SO, Günaydın NT, Kaymak NZ, Gün RD. Ocular-periocular burns in a tertiary hospital: Epidemiologic characteristics. J Plast Reconstr Aesthet Surg 2023; 76:208-215. [PMID: 36527902 DOI: 10.1016/j.bjps.2022.10.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Revised: 10/10/2022] [Accepted: 10/25/2022] [Indexed: 11/08/2022]
Abstract
PURPOSE Ocular burns are ophthalmic emergencies that can cause devastating injuries. This study aimed to analyze the epidemiology, complications, and management of ocular-periocular burns. METHODS A total of 193 patients with ocular-periocular burns were admitted to our tertiary hospital from January 2018 to December 2020. The demographic characteristics of the patients, injury variables, complications, and treatments were evaluated. RESULTS There were 142 male (73.6%) and 51 female (26.4%) patients with a mean age of 32.53±17.75 years. The average total body surface area was 12% (range, 1-80%). Injuries were most common at work (52.3%) and home (36.3%). Thermal burns were the most common injuries (74.6%), followed by chemical (14.5%) and electrical burns (10.9%). Alkaline agents (75.0%), mainly sodium hydroxide and lime, were common in chemical burns. Superficial lid burns were significantly higher in the thermal group (p < 0.001), and grade III-IV corneal burns were significantly higher in the chemical group (p < 0.001). Various complications were developed in 50 (13%) eyes. Medical treatment only was performed in 318 (82.4%) eyes, and additional surgical treatment was performed in 64 (17.6%) eyes; however, 54 (14.0%) underwent more than one surgery. The most common complications were corneal scars (7.3%), limbal deficiency (4.1%), and ectropion (3.9%). The most frequent procedures performed were amniotic membrane transplantation (AMT) (11.9%) and tarsorrhaphy (6.7%). CONCLUSION Chemical burns, limbal and conjunctival ischemia, and full-thickness eyelid defects had a poor prognosis. The degree of limbal deficiency and ınjury of intraocular structures were found to have a great influence on the outcome of their visual acuity.
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Affiliation(s)
- Aysin Tuba Kaplan
- Ophthalmology Department, SBU Kartal Dr. Lutfi Kırdar City Hospital, Kartal, Istanbul 34865, Turkey.
| | - Sibel Oskan Yalcin
- Ophthalmology Department, SBU Kartal Dr. Lutfi Kırdar City Hospital, Kartal, Istanbul 34865, Turkey
| | - Nesrin Tutas Günaydın
- Ophthalmology Department, SBU Kartal Dr. Lutfi Kırdar City Hospital, Kartal, Istanbul 34865, Turkey
| | - Nilüfer Zorlutuna Kaymak
- Ophthalmology Department, SBU Kartal Dr. Lutfi Kırdar City Hospital, Kartal, Istanbul 34865, Turkey
| | - Raziye Dönmez Gün
- Ophthalmology Department, SBU Kartal Dr. Lutfi Kırdar City Hospital, Kartal, Istanbul 34865, Turkey
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Hom GL, Kalur A, Iyer A, Singh RP. Ocular occupational injuries in the United States between 2011 and 2018. Occup Med (Lond) 2022; 72:255-259. [PMID: 35020942 DOI: 10.1093/occmed/kqab189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Current advocacy literature in occupational eye injury focuses on demographics and industries with the largest number of injuries. Additional demographics may also benefit from targeted advocacy that experience a greater proportion of eye injuries relative to all other occupational injuries. AIMS To characterize which demographic groups are experiencing occupational ocular injuries in the United States. METHODS This cross-sectional study examined de-identified individuals who experienced ocular workplace injuries from 2011 to 2018 and were reported to the survey of occupational injuries and illnesses (SOII). Data were stratified and analysed based on SOII reported characteristics. RESULTS 197 160 out of 9 197 350 (2%) ocular workplace injuries were reported. 152 940 (78%) injuries occurred in males. Relative to all workplace injuries experienced by industry, farming, fishing and forestry saw the highest percentage of ocular injuries (6%), followed by production, and installation (4%), maintenance and repairs (4%). Employers cited contact with objects (65%) and exposure to harmful substances (26%) as leading reasons for eye injury. Relative to all injuries, chemicals frequently injured the eye (27%). CONCLUSIONS A disproportionate number of American ocular workplace injuries occur in males who are likely relatively young. Industries such as fishing, farming and forestry see a high frequency of ocular injury relative to all occupational injuries. Hispanics see a slight increase in ocular occupational injury relative to other injuries. Advocates of occupational ocular safety should consider expanding their targeted audiences to include individuals who are part of demographics and occupations that more frequently experience an ocular workplace injury relative to all injuries.
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Affiliation(s)
- Grant L Hom
- Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - Aneesha Kalur
- Center for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Amogh Iyer
- Center for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Rishi P Singh
- Center for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA
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Ezinne NE, Ekemiri KK, Nwanali Daniel MA. Occupational Ocular Injuries and Utilization of Eye Protective Devices among Sawmill Workers in the Ojo Local Government Area of Lagos State, Nigeria. Vision (Basel) 2021; 5:vision5040060. [PMID: 34941655 PMCID: PMC8706099 DOI: 10.3390/vision5040060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 10/26/2021] [Accepted: 10/28/2021] [Indexed: 11/19/2022] Open
Abstract
In this work, we carried out a cross-sectional study to assess occupational ocular injuries and utilization of eye protective devices among sawmill workers in the Ojo local government area of Lagos State, Nigeria A structured questionnaire was used to conduct face-to-face interviews among the sawmill workers. Pearson’s chi-squared test and t-test were used to test associations between variables. A p-value of less than 0.05 was considered statistically significant. A total of 215 sawmill workers with a mean age of 37.08 ± 12.07 years participated in the study. A majority (55.8%) of the participants were male (93.7%), and a majority were 21–40 years old (55.8%). Of the participants, 78.6% were aware of occupational ocular injuries and 17.7% used ocular safety devices. The major barrier to the use of eye protective devices was unavailability (43%). Workers who were ≥20 years old (p < 0.001), who received a monthly salary of less than USD 100 (p < 0.043), who had work experience of ≥10 years (p < 0.04), who were aware of ocular hazards (p < 0.03), and who did not use protective eye devices (p < 0.02) were significantly associated with occupational ocular injuries compared to others. The prevalence of occupational ocular injuries and the utilization of eye safety devices among the sawmill workers in the current study were comparable to findings from other studies. Based on the results of our study, we advise the provision of ocular protective devices for sawmill workers and policies to enforce regular utilization.
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Affiliation(s)
- Ngozika E. Ezinne
- Department of Clinical Surgical Sciences, Saint Augustine Campus, University of the West Indies, St. Augustine 999183, Trinidad and Tobago;
- Department of Optometry, Madonna University Elele, Elele 5001, Rivers State, Nigeria;
- Correspondence:
| | - Kingsley K. Ekemiri
- Department of Clinical Surgical Sciences, Saint Augustine Campus, University of the West Indies, St. Augustine 999183, Trinidad and Tobago;
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Fekih O, Zgolli H, Mabrouk S, Ben Abdelfatah G, Zeghal I, Ben Jemaa A, Nacef L. Eye trauma in the workplace: about 110 cases. LA TUNISIE MEDICALE 2021; 99:881-885. [PMID: 35261015 PMCID: PMC9003585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
AIM To evaluate the epidemiological and clinical characteristics of occupational ocular trauma in order to determine prognostic factors of these eye accidents. METHODS This is a cross-sectional study of 110 patients who were victims of occupational accidents that caused eye trauma. They were treated in Department A, Hédi Rais Ophthalmology Institute in Tunis, between March 2018 and March 2019. We collected information from the patients' files according to a standard form. The data collected were: patient demographics, circumstances of the accident, consultation time, clinical examination data and temporary disability. The data were entered and statistically analysed using SPSS 20.0 software. We used the "t-student" and the "chi-deux" as statistical tests. The significance level was set at 5%. RESULTS We collected 120 eyes from 110 patients. The average age was 37 years with a male predominance. Almost half of the patients (45.4%) were construction workers. In 34% of the cases, a metal object was responsible for the trauma. Projection of superficial foreign bodies was noted in 44.3% of cases and contusion in 34% of cases. The average visual acuity of the traumatised eye was 8/10 and depended on the nature of the trauma. Palpebral ecchymosis (30.9%) and conjunctival hyperhaemia (48.5%) were the most common bio microscopic signs found. Eight cases of corneal wounds were noted, three cases of corneo-scleral wounds associated in 2 cases with an intra-ocular foreign body as well as three cases of bursting of the globe were noted. The risk factors of poor prognosis found were: male sex (p=0.042), the mechanism of the trauma: projection of a foreign body (p=0.0052) and the following occupations: bricklayer, mechanic and construction worker (p<0.0001). The average temporary disability caused by eye trauma was 5 days with a standard deviation of 6 days. CONCLUSION Our study described the severity of eye injuries related to work-related accidents. The most important prognostic factors will be the male gender, the mechanism of the trauma and the occupation. These traumas represent a major public health problem. Prevention is the only way to improve the final prognosis.
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Affiliation(s)
- Olfa Fekih
- 1- IHROT- service A / université el Manar/faculté de médecine de Tunis
| | - Hsouna Zgolli
- 1- IHROT- service A / université el Manar/faculté de médecine de Tunis
| | - Sonya Mabrouk
- 1- IHROT- service A / université el Manar/faculté de médecine de Tunis
| | - Ghazi Ben Abdelfatah
- 2- Service de médecine de travail, CHU la Rabta / université el Manar/faculté de médecine de Tunis
| | - Imene Zeghal
- 1- IHROT- service A / université el Manar/faculté de médecine de Tunis
| | | | - Leila Nacef
- 1- IHROT- service A / université el Manar/faculté de médecine de Tunis
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Kyriakaki EDO, Symvoulakis EK, Chlouverakis G, Detorakis ET. Causes, occupational risk and socio-economic determinants of eye injuries: a literature review. Med Pharm Rep 2021; 94:131-144. [PMID: 34013184 PMCID: PMC8118212 DOI: 10.15386/mpr-1761] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 09/28/2020] [Accepted: 11/18/2020] [Indexed: 11/23/2022] Open
Abstract
Purpose This review provides literature views on ocular trauma, with emphasis on common causes of injury, occupational risk, socio-economic factors, management peculiarities and some implications on overall care approach, from prevention to treatment. Methods A literature search was performed using key words in PubMed to extract the most relevant articles on ocular injuries, from an occupational point of view. Seventeen relevant articles were included out of seventy-two. Eight relevant articles were found from the references of the articles included and were also added. The total number of articles for this systematic search analysis was twenty-five. Collected information was tabulated in the Appendix. Results Most of the included publications were original articles. Many studies were retrospective and cross-sectional with a satisfactory rate of participant recruitment when reported. Most of eye injuries occurred in the workplace. Common eye injuries were due to foreign bodies and corneal abrasions. High-risk occupations included welders, farmers, metalworkers and grinding, construction and manufacturing workers. Most of the injuries could be preventable by using suitable protective eye devices (PED) but appropriate protection is a more complex process than it appears. Conclusions Findings of this review showed that it is compulsory to inform people about the risk and consequences of eye injuries. Eye care services should be designed keeping in mind geo-epidemiologic trauma etiology patterns and local health system capacity. Issues of adherence to prevention measures remain object of knowledge dissemination, educational planning and cultural appraisal. Modernizing equipment and respecting workplace regulations are tasks that deserve continuous attention.
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Affiliation(s)
- Elli DO Kyriakaki
- Department of Social Medicine, School of Medicine, University of Crete, Greece
| | | | - Gregory Chlouverakis
- Department of Social Medicine, Biostatistics Lab, School of Medicine, University of Crete, Greece
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Ahmmed AA, Ting DSJ, Figueiredo FC. Epidemiology, economic and humanistic burdens of Ocular Surface Chemical Injury: A narrative review. Ocul Surf 2021; 20:199-211. [PMID: 33647471 DOI: 10.1016/j.jtos.2021.02.006] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Revised: 02/08/2021] [Accepted: 02/15/2021] [Indexed: 01/23/2023]
Abstract
Ocular surface chemical injury (OSCI) is a common type of ocular emergency that can potentially cause significant and permanent visual impairment. However, the global prevalence, demographic factors, socioeconomic burden, and psychological impact of OSCI have not been well investigated or reported. This review aims to provide a comprehensive overview of these aspects, highlight gaps in the literature, and advocate key strategies in reducing the incidence of OSCI. OSCI was responsible for 0.1-15% of all ocular emergency presentations, with an estimated incidence of 5.1-50 per 100,000 population-year. Young working adult men were the most at-risk group, though high rates of OSCI were also observed in young children in developed countries, especially from detergent pods. Low- and middle-income countries were noted to have higher proportions of assault-related and pediatric OSCI cases, often with more severe presentations. Direct and indirect costs for some hospitalized patients led to loss of all personal and household income after the injury. Emergency department costs in the United States were estimated at $106.7 million over four years and costs of treating long term complications such as glaucoma were estimated to be as high as $93,003 over five years. Significant negative impacts on visual and health-related quality of life and psychological well-being have been reported after injury, with higher rates of anxiety, depression, and psychological distress compared to the general population.
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Affiliation(s)
- Afsara A Ahmmed
- South Bristol Academy, Bristol Royal Infirmary, Bristol, UK; University of Bristol, Bristol, UK
| | - Darren Shu Jeng Ting
- Academic Ophthalmology, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK; Department of Ophthalmology, Queen's Medical Centre, Nottingham, UK
| | - Francisco C Figueiredo
- Department of Ophthalmology, Royal Victoria Infirmary, Newcastle Upon Tyne, UK; Biosciences Institute, Newcastle University, Newcastle Upon Tyne, UK.
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13
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Kim R, Shokri T, Wang W, Ducic Y. Facial Protection to Prevent Facial Trauma and Allow for Optimal Protection after Facial Fracture Repair. Facial Plast Surg 2021; 37:781-789. [PMID: 33525032 DOI: 10.1055/s-0041-1723006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Facial skeletal fractures continue to affect humankind, and many methods to alleviate and prevent the injuries outright have been sought after. Prevention is desired, but the implementation and general compliance may contribute to missed opportunities to decrease the burden of facial skeletal trauma. In this article, we explore the preventative as well as postoperative options for the protection of the facial skeleton.
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Affiliation(s)
- Roderick Kim
- Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, Texas
| | - Tom Shokri
- Department of Otolaryngology, Pennsylvania State University, Hershey, Pennsylvania
| | - Weitao Wang
- Department of Otolaryngology, University of Rochester Medical Center, Rochester, New York
| | - Yadranko Ducic
- Department of Facial Plastics, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
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Riccò M, Vezzosi L, Mezzoiuso AG. Occupational Eye Injuries in the agricultural settings: a retrospective study from North-Eastern Italy. ACTA BIO-MEDICA : ATENEI PARMENSIS 2020; 90:457-467. [PMID: 31910170 PMCID: PMC7233762 DOI: 10.23750/abm.v90i4.7602] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2018] [Accepted: 08/09/2018] [Indexed: 11/23/2022]
Abstract
Background: Occupational Eye Injury (OEI) represents a common world-wide event accounting for between 3.3% and 6.1% of all occupational compensation claims. In this retrospective study we evaluated all the recorded OEI which occurred in the Autonomous Province of Trento (APT) during the period 2000-2013. Methods: Data on OEI for all of APT were retrieved an institutional archive and the analysis included demographics of the injured, as well as characteristics and settings of the OEI. In order to assess the risk of OEI in Agricultural Workers (AWs) vs. all other Occupational groups, a multivariate analysis was eventually performed through a logistic regression analysis. Results: A total of 141,139 work-related injuries were recorded, including 5,065 (3.6%) OEI. 91.9% of all cases occurred in males, of Italian origin (77.2%), with a mean age of 38.4±11.7 years. The industrial sector reported the higher share of OEI (70.7%), whereas higher incidence rates were reported among AWs (6.04 vs. 3.85/1,000 workers/year). Agricultural OEI occurred in older workers (45.6±13.3 vs. 37.1±11.0 years), being more likely associated with “contusions” (OR 2.042, 95% 1.602-2.602) and “lacerations” (OR 2.386, 95%CI 1.877-3.033), and less frequently with exposures to chemicals, gases and vapours (OR 0.478, 95%CI 0.279-0.817). Conclusions: Despite a relatively low frequency of OEI, AWs were affected with a seemly higher incidence than that reported in other occupational groups. OEI in AWs exhibited a specific pattern, both in terms of lesion, and settings of the events, recommending tailored interventions in order to improve promotion strategies. (www.actabiomedica.it)
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Affiliation(s)
- Matteo Riccò
- Azienda USL di Reggio EmiliaV.le Amendola n.2 - 42122 REServizio di Prevenzione e Sicurezza negli Ambienti di Lavoro (SPSAL)Dip. di Prevenzione.
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15
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AlMahmoud T, Elkonaisi I, Grivna M, Abu-Zidan FM. Personal protective eyewear usage among industrial workers in small-scale enterprises. Inj Epidemiol 2020; 7:54. [PMID: 32958044 PMCID: PMC7507252 DOI: 10.1186/s40621-020-00280-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 09/07/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Work-related eye injury causes significant vision loss. Most of these injuries are preventable with appropriate eye safety practices. We aimed to study industrial workers' perceptions of Personal Protective Eyewear (PPE) and its usage in a high income developing country. METHODS A field-based cross-sectional study in small-scale industrial entities was performed in Al-Ain City, UAE during the period of October 2018 to June 2019. Five hundred workers completed a pretested structured questionnaire. Data on demographics, occupational history, work hazard awareness, and PPE usage at their work place were collected. RESULTS The workers were experienced, with a median of 15 years in practice. The majority (80%) learned their work skills through apprenticeship (i.e., on-the-job) training. Most (85%) were involved with activities presenting eye injury risk, and were highly aware of this. None of the workers used safety goggles or glasses all the time for activities that need PPE usage. Five percent never used PPE in the workplace. The main reason for not using PPE was the work demands (95%) and poor vision through the lenses (75%). Young age and less work experience were associated with less PPE usage (P < 0.0001). Wearing prescription spectacles had a positive correlation with usage of safety goggles (P = 0.005) and a negative correlation with welding helmet usage (P < 0.0001). CONCLUSIONS There was a high level of awareness about the value of PPE in the workplace which was not translated into real practice. Educational programs promoting eye safety practices and proper PPE usage should be adopted by workers in small-scale industrial settings.
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Affiliation(s)
- Tahra AlMahmoud
- Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University, Khalifa Bin Zayed Street, P.O. Box: 17666, Al-Ain, United Arab Emirates
- Zayed Center for Health Sciences, United Arab Emirates University, Al-Ain, UAE
| | - Ismail Elkonaisi
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Khalifa Bin Zayed Street, P.O. Box: 17666, Al-Ain, UAE
| | - Michal Grivna
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Khalifa Bin Zayed Street, P.O. Box: 17666, Al-Ain, UAE
| | - Fikri M. Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University, Khalifa Bin Zayed Street, P.O. Box: 17666, Al-Ain, United Arab Emirates
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Bammidi S, Modgil S, Kalra J, Anand A. Human Fetal Pigmented Ciliary Epithelium Stem Cells have Regenerative Capacity in the Murine Retinal Degeneration Model of Laser Injury. Curr Neurovasc Res 2020; 16:187-193. [PMID: 31258084 DOI: 10.2174/1567202616666190618123931] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 04/29/2019] [Accepted: 04/30/2019] [Indexed: 12/20/2022]
Abstract
BACKGROUND Retinal degeneration and related eye disorders have limited treatment interventions. Since stem cell therapy has shown promising results, ciliary epithelium (CE) derived stem cells could be a better choice given the fact that cells from eye niche can better integrate with the degenerating retina, rewiring the synaptic damage. OBJECTIVE To test the effect of human fetal pigmented ciliary epithelium-derived neurospheres in the mouse model of laser-induced retinal degeneration. METHODS C57 male mice were subjected to retinal injury by Laser photocoagulation. Human fetal pigmented ciliary epithelium was obtained from post-aborted human eyeballs and cultured with epidermal growth factor (rhEGF) and fibroblast growth factor (rhFGF). The six day neurospheres were isolated, dissociated and transplanted into the subretinal space of the laser injured mice at the closest proximity to Laser shots. Mice were analyzed for functional vision through electroretinogram (ERG) and sacrificed at 1 week and 12 week time points. Retinal, Neurotropic, Apoptotic and proliferation markers were analysed using real-time polymerase chain reaction (PCR). RESULTS The CE neurospheres showed an increase in the expression of candidate genes analyzed in the study at 1 week time point, which sustained for longer time point of 12 weeks. CONCLUSION We showed the efficacy of human CE cells in the regeneration of retinal degeneration in murine model for the first time. CE cells need to be explored comprehensively both in disease and degeneration.
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Affiliation(s)
- Sridhar Bammidi
- Neuroscience Research Lab, Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Shweta Modgil
- Neuroscience Research Lab, Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Jaswinder Kalra
- Department of Obstetrics & Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Akshay Anand
- Neuroscience Research Lab, Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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17
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Le Roux G, Buisset A, Leruez S, Puskarczyk E, Gohier P, Descatha A. Agents Involved and Severity of Acute Ocular Exposure Reported at a Poison Control Center. Ophthalmic Epidemiol 2020; 27:468-476. [PMID: 32500787 DOI: 10.1080/09286586.2020.1773871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
PURPOSE The aim was to identify severity factors useful in the initial management of patients with acute ocular exposure while considering both categories of products involved and circumstances of exposure. METHODS A retrospective study over a one-year period that included patients who benefited from the poison center services for eye exposure to a chemical substance. RESULTS Within a year, 1582 patients were identified. The sex ratio (M/F) was 0.8. The mean age was 28.5 ± 20.3 years. Among children, those under 4 years represented the most significant age category (n = 277; 50.1%). Exposure to chemicals were mild (n = 1342, 84.8%). Adults over 65 years appeared to be more likely to have severe ocular damage (OR: 4.75; [2.26; 9.98]). Unintentional exposures were the most frequent (n = 1548; 97.8%). Ocular exposure primarily occurred at home (n = 937; 59.2%), and at the workplace (n = 396; 25%) which was associated with a higher risk of severe injury (OR: 2.93 [2.16; 3.97]). Cleaning products accounted for 31.2% of exposure cases (n = 457). Exposure to disinfectants is a risk factor of more severe injuries (OR: 1.48 [1.002; 2.19] p = .0472) whereas pH and severity of injuries were not statistically significant. CONCLUSIONS Our study showed the very wide variety of products involved in ocular exposures. Clinicians should pay attention to factors associated with severe injury, including young and old age, work-related injury, substances such as disinfectants, in addition to previously known factors such as acids and bases.
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Affiliation(s)
- Gaël Le Roux
- Grand Ouest Poison Control and Toxicovigilance Center, University Hospital , Angers, France
| | - Adrien Buisset
- Ophthalmology Department, University Hospital , Angers, France
| | | | - Emmanuel Puskarczyk
- Est Poison Control and Toxicovigilance Center, French National Database of Products and Compositions, University Hospital , Nancy, France
| | - Philippe Gohier
- Ophthalmology Department, University Hospital , Angers, France
| | - Alexis Descatha
- Grand Ouest Poison Control and Toxicovigilance Center, University Hospital , Angers, France.,Irset (Institut De Recherche En Santé, Environnement Et Travail) - UMR_S1085, University Angers, CHU Angers, University Rennes, Inserm, EHESP , Angers, France
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18
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AlMahmoud T, Elkonaisi I, Grivna M, AlNuaimi G, Abu-Zidan FM. Eye Injuries and Related Risk Factors among Workers in Small-scale Industrial Enterprises. Ophthalmic Epidemiol 2020; 27:453-459. [PMID: 32475211 DOI: 10.1080/09286586.2020.1770302] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
PURPOSE We aimed to study eye injuries and their risk factors among workers at small-scale industrial enterprises. METHODS Cross-sectional descriptive study. Five hundred workers at small-scale industrial enterprises in Al-Ain City, United Arab Emirates were included. A pre-tested structured questionnaire was used to collect data by direct interviews during the period of October 2018 through June 2019. The outcome measures included self-reported eye injuries, risk factors, and outcomes in the past 12 months. The study adhered to the guidelines of the Declaration of Helsinki. RESULTS One-hundred seventy-five (35%) workers reported eye injury, 25 (14.3%) had recurrent injuries. Twenty-five (15%) received treatment for eye injury. Five percent were hospitalized. Workers who had an eye injury were less educated compared with those who did not (p < .0001), received less safety training (p < .0001), had less work experience (p < .0001), used more spectacle correction glasses (p < .0001), and had less usage of the safety eye goggles and safety eyeglasses (p < .0001) compared with those who had no eye injury. Arc welding (76; 43.4%), chipping (25; 14.3%), and drilling (24; 13.7%) were associated with high risk for eye injury. Twenty-eight percent of eye injuries occurred to observers or working assistants. CONCLUSIONS This study has shown a high percentage of eye injury incidents among workers at small-scale industrial enterprises. This was associated with low usage of the safety eye goggles and glasses. Arc welding posed significant risks for eye injury. This information is useful for safety promotion and development of work-related eye injury prevention legislations.
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Affiliation(s)
- Tahra AlMahmoud
- Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University , Al-Ain, UAE.,United Arab Emirates University, Zayed bin Sultan Center for Health Sciences , Al-Ain, UAE
| | - Ismail Elkonaisi
- Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University , Al-Ain, UAE
| | - Michal Grivna
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University , Al-Ain, UAE
| | - Ghuwaya AlNuaimi
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University , Al-Ain, UAE
| | - Fikri M Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University , Al-Ain, UAE
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Quesada JMA, Lloves JM, Delgado DV. Ocular chemical burns in the workplace: Epidemiological characteristics. Burns 2019; 46:1212-1218. [PMID: 31791857 DOI: 10.1016/j.burns.2019.11.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2019] [Revised: 11/05/2019] [Accepted: 11/13/2019] [Indexed: 11/26/2022]
Abstract
BACKGROUND Epidemiological studies focusing on occupational pathologies can be an important medium through which to bring about change with respect to workplace accidents, both in terms of prevention planning and management as well as the appropriate care following an accident. Ocular chemical burns benefit from urgent attention as, if not treated early and appropriately, the tissue of the eye and its functionality can be seriously compromised. The objective of this study was to collate epidemiological data on workplace ocular chemical burns which could in turn serve to identify key action points in terms of occupational health. METHODS Cohort study with 604 cases of chemical burns to the eye occurring in the workplace between 2014 and 2015. Criteria inclusion were diagnosis of chemical burn, patient seen at the medical centre of the mutual society, workplace acquired ophthalmic pathology leading to the issuing of a sickness certificate. No exclusion criteria were defined. RESULTS Ocular chemical burns were the second most common workplace eye injury (12.68%) behind foreign bodies in the eye (43.42%). Men accounted for 68.54% of cases of ocular chemical burns. In around 75% of cases, sickness certification was for less than 7 days, although 6 patients suffered permanent disability. The occupational sector which was most affected particularly the industry service industry. The economic costs with these workplace injuries were extracted. CONCLUSIONS Appropriate early medical assistance is essential. The production and distribution of clinical guides for health care workers could optimise first line assistance and mitigate possible training deficiencies.
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Affiliation(s)
- Jesús Moreno-Arrones Quesada
- Care Centre FREMAP, Oviedo, Spain; University Institute Fernández Vega. Ophthalmologic Research Foundation, Oviedo University, Spain.
| | - Jesús Merayo Lloves
- University Institute Fernández Vega. Ophthalmologic Research Foundation, Oviedo University, Spain.
| | - David Varillas Delgado
- Universidad Francisco de Vitoria, Faculty of Medicine, Pozuelo de Alarcón, Madrid, Spain.
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Ahn JY, Ryoo HW, Park JB, Moon S, Cho JW, Park DH, Lee WK, Kim JH, Jin SC, Lee KW, Kim JY. Epidemiologic Characteristics of Work-related Eye Injuries and Risk Factors Associated with Severe Eye Injuries: A Registry-based Multicentre Study. Ophthalmic Epidemiol 2019; 27:105-114. [DOI: 10.1080/09286586.2019.1683868] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Jae Yun Ahn
- Department of Emergency Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
| | - Hyun Wook Ryoo
- Department of Emergency Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
| | - Jung Bae Park
- Department of Emergency Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
| | - Sungbae Moon
- Department of Emergency Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
| | - Jae Wan Cho
- Department of Emergency Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
| | - Dong Ho Park
- Department of Ophthalmology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
| | - Won Kee Lee
- Department of Biostatistics, School of Medicine, Medical Research Collaboration Center, Kyungpook National University, Daegu, Korea
| | - Jung Ho Kim
- Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea
| | - Sang Chan Jin
- Department of Emergency Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
| | - Kyung Woo Lee
- Department of Emergency Medicine, Daegu Catholic University Medical Center, Daegu, Korea
| | - Jong-Yeon Kim
- Department of Preventive Medicine, Daegu Catholic University School of Medicine, Daegu, Korea
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Hoskin AK, Mackey DA, Keay L, Agrawal R, Watson S. Eye Injuries across history and the evolution of eye protection. Acta Ophthalmol 2019; 97:637-643. [PMID: 30907494 DOI: 10.1111/aos.14086] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2018] [Accepted: 02/16/2019] [Indexed: 11/27/2022]
Abstract
PURPOSE To describe the history of eye injuries and the consequent evolution of eye protection. METHODS A comprehensive search of Medline and the grey literature using the terms 'ocular trauma' and 'eye protection' or 'injury prevention' and 'history'. References were used to identify other relevant publications. Publications were classified according to the setting of eye injury: occupational, recreational or combat-related. RESULTS Eye protection has been described in a wide range of sources, including in literature and art. With advances in eye protection material and design, as well as government and societal promotion of appropriate eye protection usage in the workplace, the epidemiology of ocular trauma has changed over time. In developed countries, the use of eye protection in the workplace has reduced the proportion of occupation-related eye injuries over the last century, with a higher proportion occurring during sports or at home. New protection devices and policies have evolved to meet this change. CONCLUSION Vision loss has broad implications for the individual and for society and despite available prevention strategies, ocular trauma is a significant cause of preventable monocular and bilateral vision loss. The use of appropriate eye protection has reduced the burden of ocular trauma. History provides lessons for informing current eye protection and eye injury prevention strategies.
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Affiliation(s)
- Annette K. Hoskin
- Save Sight Institute The University of Sydney Sydney NSW Australia
- Lions Eye Institute Nedlands WA Australia
- Department of Ophthalmology University of Western Australian Nedlands WA Australia
| | - David A. Mackey
- Lions Eye Institute Nedlands WA Australia
- Department of Ophthalmology University of Western Australian Nedlands WA Australia
| | - Lisa Keay
- School of Optometry and Vision Science UNSW Sydney Australia
- The George Institute for Global Health UNSW Sydney NSW Australia
| | | | - Stephanie Watson
- Save Sight Institute The University of Sydney Sydney NSW Australia
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AlMahmoud T, Al Hadhrami SM, Elhanan M, Alshamsi HN, Abu-Zidan FM. Epidemiology of eye injuries in a high-income developing country: An observational study. Medicine (Baltimore) 2019; 98:e16083. [PMID: 31261521 PMCID: PMC6617434 DOI: 10.1097/md.0000000000016083] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Vision loss following eye trauma is a serious health problem worldwide. The aim of the study was to report the epidemiology of eye injury that requires hospitalization and surgery at a secondary referral center in a high-income developing country so as to give recommendations regarding its prevention.All patients who had an eye injury that required surgical intervention between 2012 and 2017 at Al-Ain Hospital were retrospectively studied. Demography, cause of injury, and visual acuity before and after treatment were studied.Results revealed that 141 patients were operated, 96 eyes with open globe and 48 with other injuries. The median (IQR) age was 25 (11.5-37) years, 89% were males. Majority of injuries occurred at work (50.4%) followed by home (31.2%). Sharp objects (24.1%) and blunt trauma (16.3%) were the most common mechanism of injury. Eye injury was less during the weekends (Friday and Saturday) and during the summer vacation. Cornea injuries (48.2%) were the most frequent cause for visual acuity deterioration followed by lens/cataract (23.4%). Among injured eyes, 30 eyes (21.3%) retained intraocular foreign bodies. There was significant improvement of the visual acuity after surgery (P < .0001, Wilcoxon signed rank test).Our study has shown that eye injury is a major risk for visual loss of young people which is mainly work-related. Use of personal protective equipment for the eyes and adopting legislative eye safety regulations will reduce the impact of eye injuries in our community.
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Affiliation(s)
- Tahra AlMahmoud
- Department of Surgery, College of Medicine and Health Sciences, Khalifa Bin Zayed Street, United Arab Emirates University
- Department of Ophthalmology, Al-Ain Hospital, Al-Ain, United Arab Emirates
| | | | - Mohamed Elhanan
- Department of Ophthalmology, Al-Ain Hospital, Al-Ain, United Arab Emirates
| | - Hanan N. Alshamsi
- Department of Ophthalmology, Al-Ain Hospital, Al-Ain, United Arab Emirates
| | - Fikri M. Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, Khalifa Bin Zayed Street, United Arab Emirates University
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