The Spectrum and Burden of Ocular Injury

Oliver D. Schein, Patricia L. Hibberd, Bradford J. Shingleton, Teresa Kunzweiler, Donald A. Frambach, Johanna M. Seddon, Nadine L. Fontan, Paul F. Vinger

Research output: Contribution to journalArticlepeer-review


The authors conducted a hospital-based study to ascertain basic, descriptive epidemiologic information about ocular trauma in an urban setting. Over a 6-month period, 3184 patients presenting to our emergency ward with ocular trauma were studied. Severe injuries totaled 5.1 % (ruptured globe, intraocular foreign body, hyphema, orbital/facial fracture) and 94.9% were superficial injuries and contusions. A disproportionate burden of severe ocular injury was borne by those less than 15 years of age. The work place accounted for 48% of all injuries and 50% of ruptured globes. Automobile repair-related tasks were specifically associated with injury. Sports injuries, although accounting for 3.4% of all injuries, were responsible for 60% of hyphemas and 10% of ruptured globes. Annual direct and indirect costs for these ocular injuries are estimated conservatively at $5 million and a loss of 60 work years. A large burden of preventable eye trauma is borne by both patients and society.

Original languageEnglish (US)
Pages (from-to)300-305
Number of pages6
Issue number3
StatePublished - Jan 1 1988
Externally publishedYes


  • epidemiology
  • eye injuries
  • occupational injuries
  • prevention

ASJC Scopus subject areas

  • Ophthalmology

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