Penetrating Eye Injuries Related to Assault: The National Eye Trauma System Registry

National Eye Trauma System Investigators, Leonard M. Parver

Research output: Contribution to journalArticle

Abstract

From 1985 to 1991, 648 cases of assault-related penetrating ocular injury were reported to the National Eye Trauma System Registry. We examined the circumstances surrounding and initial clinical findings related to this case series of injuries. Eighty-three percent of the patients were male. The median age was 28 years; 77% were younger than age 40 years, and 17% were younger than age 20 years. The ocular injury was part of multiple trauma in 34% of cases. There was evidence of alcohol and illicit drug use by at least 48% and 6% of the injured persons, respectively. Seventeen percent of the injuries involved powder or nonpowder firearms. Fists, glass fragments, metal rods or pipes, knives, and scissors were among the other objects causing injury. Posterior segment trauma, which occurred in 70% of cases, included vitreous hemorrhage (40% of cases), retinal detachment (11%), presence of intraocular foreign bodies (6%), and optic nerve damage (4%). The initial visual acuity after injury was hand motion or worse in 74% of the cases. Strategies to prevent such injuries focus on the origins of violence in general and are more difficult to devise than strategies to prevent eye injuries in other settings. Public health efforts to reduce the use of alcohol, drugs, and firearms may reduce the incidence of these injuries.

Original languageEnglish (US)
Pages (from-to)849-852
Number of pages4
JournalArchives of Ophthalmology
Volume110
Issue number6
DOIs
StatePublished - 1992

Fingerprint

Penetrating Eye Injuries
Registries
Wounds and Injuries
Eye Injuries
Firearms
Alcohols
Hand Injuries
Vitreous Hemorrhage
Multiple Trauma
Street Drugs
Retinal Detachment
Optic Nerve
Foreign Bodies
Violence
Powders
Visual Acuity
Glass
Public Health
Metals

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Penetrating Eye Injuries Related to Assault : The National Eye Trauma System Registry. / National Eye Trauma System Investigators; Parver, Leonard M.

In: Archives of Ophthalmology, Vol. 110, No. 6, 1992, p. 849-852.

Research output: Contribution to journalArticle

National Eye Trauma System Investigators ; Parver, Leonard M. / Penetrating Eye Injuries Related to Assault : The National Eye Trauma System Registry. In: Archives of Ophthalmology. 1992 ; Vol. 110, No. 6. pp. 849-852.
@article{e77f1483e48c4854907621a5c68db9ed,
title = "Penetrating Eye Injuries Related to Assault: The National Eye Trauma System Registry",
abstract = "From 1985 to 1991, 648 cases of assault-related penetrating ocular injury were reported to the National Eye Trauma System Registry. We examined the circumstances surrounding and initial clinical findings related to this case series of injuries. Eighty-three percent of the patients were male. The median age was 28 years; 77{\%} were younger than age 40 years, and 17{\%} were younger than age 20 years. The ocular injury was part of multiple trauma in 34{\%} of cases. There was evidence of alcohol and illicit drug use by at least 48{\%} and 6{\%} of the injured persons, respectively. Seventeen percent of the injuries involved powder or nonpowder firearms. Fists, glass fragments, metal rods or pipes, knives, and scissors were among the other objects causing injury. Posterior segment trauma, which occurred in 70{\%} of cases, included vitreous hemorrhage (40{\%} of cases), retinal detachment (11{\%}), presence of intraocular foreign bodies (6{\%}), and optic nerve damage (4{\%}). The initial visual acuity after injury was hand motion or worse in 74{\%} of the cases. Strategies to prevent such injuries focus on the origins of violence in general and are more difficult to devise than strategies to prevent eye injuries in other settings. Public health efforts to reduce the use of alcohol, drugs, and firearms may reduce the incidence of these injuries.",
author = "{National Eye Trauma System Investigators} and Parver, {Leonard M.} and Parver, {Leonard M.} and Fowler, {Carolyn J}",
year = "1992",
doi = "10.1001/archopht.1992.01080180121039",
language = "English (US)",
volume = "110",
pages = "849--852",
journal = "JAMA Ophthalmology",
issn = "2168-6165",
publisher = "American Medical Association",
number = "6",

}

TY - JOUR

T1 - Penetrating Eye Injuries Related to Assault

T2 - The National Eye Trauma System Registry

AU - National Eye Trauma System Investigators

AU - Parver, Leonard M.

AU - Parver, Leonard M.

AU - Fowler, Carolyn J

PY - 1992

Y1 - 1992

N2 - From 1985 to 1991, 648 cases of assault-related penetrating ocular injury were reported to the National Eye Trauma System Registry. We examined the circumstances surrounding and initial clinical findings related to this case series of injuries. Eighty-three percent of the patients were male. The median age was 28 years; 77% were younger than age 40 years, and 17% were younger than age 20 years. The ocular injury was part of multiple trauma in 34% of cases. There was evidence of alcohol and illicit drug use by at least 48% and 6% of the injured persons, respectively. Seventeen percent of the injuries involved powder or nonpowder firearms. Fists, glass fragments, metal rods or pipes, knives, and scissors were among the other objects causing injury. Posterior segment trauma, which occurred in 70% of cases, included vitreous hemorrhage (40% of cases), retinal detachment (11%), presence of intraocular foreign bodies (6%), and optic nerve damage (4%). The initial visual acuity after injury was hand motion or worse in 74% of the cases. Strategies to prevent such injuries focus on the origins of violence in general and are more difficult to devise than strategies to prevent eye injuries in other settings. Public health efforts to reduce the use of alcohol, drugs, and firearms may reduce the incidence of these injuries.

AB - From 1985 to 1991, 648 cases of assault-related penetrating ocular injury were reported to the National Eye Trauma System Registry. We examined the circumstances surrounding and initial clinical findings related to this case series of injuries. Eighty-three percent of the patients were male. The median age was 28 years; 77% were younger than age 40 years, and 17% were younger than age 20 years. The ocular injury was part of multiple trauma in 34% of cases. There was evidence of alcohol and illicit drug use by at least 48% and 6% of the injured persons, respectively. Seventeen percent of the injuries involved powder or nonpowder firearms. Fists, glass fragments, metal rods or pipes, knives, and scissors were among the other objects causing injury. Posterior segment trauma, which occurred in 70% of cases, included vitreous hemorrhage (40% of cases), retinal detachment (11%), presence of intraocular foreign bodies (6%), and optic nerve damage (4%). The initial visual acuity after injury was hand motion or worse in 74% of the cases. Strategies to prevent such injuries focus on the origins of violence in general and are more difficult to devise than strategies to prevent eye injuries in other settings. Public health efforts to reduce the use of alcohol, drugs, and firearms may reduce the incidence of these injuries.

UR - http://www.scopus.com/inward/record.url?scp=0026681153&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026681153&partnerID=8YFLogxK

U2 - 10.1001/archopht.1992.01080180121039

DO - 10.1001/archopht.1992.01080180121039

M3 - Article

C2 - 1596234

AN - SCOPUS:0026681153

VL - 110

SP - 849

EP - 852

JO - JAMA Ophthalmology

JF - JAMA Ophthalmology

SN - 2168-6165

IS - 6

ER -