Eye Injuries Research Articles

Ocular bee sting injury: case report

Introduction: Eye accidents caused by bee stings are uncommon and little reported worldwide. There is still no protocol to be followed in these situations that need to be individualized. A case is reported of a bee sting remaining inside the lens of a middle-aged man that was surgically removed without phacoemulsification, which kept the patient's accommodation and good sight. Patient and Clinical Findings: A 41-year-old man presented with red left eye, low visual acuity, and pain after being stung by bees all over his body, including his left eye. There was a lot of inflammation and corneal edema that did not allow complete visualization. Diagnosis, Intervention, and Outcomes: After starting clinical treatment, it was possible to visualize the sting inside the patient's lens. Conservative surgery was proposed with the removal of the stinger keeping the patient's lens clear. After 6 months, he presented visual acuity with no correction of 0.1 logMAR in both eyes and J1 without high intraocular pressure, but corneal endothelial specular microscopy demonstrated significant endothelial loss such as a consequence poison of the sting. Conclusions: There is still a lack of cases in the literature that could assist in a protocol in cases of intraocular bee sting. What is known is that each patient must be individualized, and in this situation, it was possible to conduct the event while maintaining the lens and the patient's accommodation capacity.

Unraveling the Spectrum of Ocular Toxicity with Oxaliplatin: Clinical Feature Analysis of Cases and Pharmacovigilance Assessment of the US Food and Drug Administration Adverse Event Reporting System Database

Ocular adverse events (oAEs) are a class of adverse events associated with oxaliplatin that are realistically observed in real-world settings. Herein, we aim to describe the clinical characteristics of oAEs associated with oxaliplatin through a systematic review of case reports and to assess a potential safety signal. PubMed, Embase, and Cochrane Library databases were used to retrieve case reports. The global disproportionality study was performed leveraging the US Food and Drug Administration Adverse Event Reporting System database from January 2004 to September 2023. Bayesian information component (IC) and reporting odds ratio (ROR) were applied to identify and evaluate potential oAEs associated oxaliplatin. A total of 20 cases from the systematic case review (of 13 screened articles) were reported on oAEs associated with oxaliplatin, with ages between 26 and 76 years. Therein, 16 (84.2%) cases described loss of vision, and the remaining cases presented with bilateral blepharoptosis, papilledema, and optic disc swelling. Insights from the US Food and Drug Administration Adverse Event Reporting System database showed that oAEs accounted for 4.28% (n = 1194) of the overall oxaliplatin-related adverse event reports, of which 1140 (95.48%) had a serious outcome. The median (interquartile range) onset time of oAEs with oxaliplatin was day 1 (0-25; n = 649). Disproportionality analysis revealed that ocular injuries NEC (n = 28, ROR, 22.72; lower limit of the 95% 2-sided CI for IC, 3.12) was the most significant signals detected. Additionally, unexpected significant oAEs, including eyelid ptosis, eyelid edema, eye movement disorder, blepharospasm, periorbital edema, swelling of eyelid, ophthalmoplegia, retinal vein thrombosis, cataract nuclear, blindness cortical, cataract subcapsular, and lacrimation disorder, were also reported disproportionality. Our study systematically described the characteristics and outcomes of oxaliplatin-related ocular toxicity and also uncovered potential oAEs that were not disclosed in the package insert. Further prospective epidemiologic studies to validate these findings are warranted.

Retained Intraocular Cilium without Signs of Prior Ocular Injury or Surgery

Retained Intraocular Cilium without Signs of Prior Ocular Injury or Surgery

Bird Beak-Related Ocular Injuries in Southern India: Factors and Visual Implications

Bird Beak-Related Ocular Injuries in Southern India: Factors and Visual Implications

The Economic Burden of Childhood Ocular Morbidity in Bangladesh.

Childhood eye morbidity is a great public health problem, especially in low-income countries. This study aimed to determine the economic burden of childhood ocular morbidity on attending tertiary hospitals in Bangladesh. This study also assessed the catastrophic health expenditure (CHE) for childhood ocular morbidity in Bangladesh. A cross-sectional mixed method was used for this study from April to October 2023 at two tertiary hospitals in Bangladesh, one government-funded and one private. Face-to-face interviews using a semi-structured quantitative questionnaire with the caregivers/parents and in-depth interviews (IDIs) were conducted among the same respondents of these two hospitals, and a workshop was conducted with the stakeholders during the study period. This was the first study in Bangladesh to determine the cost of pediatric ocular morbidity. Among 335 patients, the total median direct cost at a single time was 3740 ± 18,285 BDT (34 ± 166.2 USD) at the government hospital and 7300 ± 40,630 BDT (66.36 ± 369.36 USD) at the private hospital. The disease-specific median overall cost from diagnosis of the disease was 65,000 BDT (591 USD) for squint, 50,000 BDT (454.54 USD) for cataract, and 30,000 BDT (272.72 USD) for eye injury. Almost 90% of the caregivers/parents faced CHE due to different pediatric ocular morbidity. These cost estimates can be used as an initial basis for financial decisions that aim to enhance access to care, management, and follow-up of children with ocular morbidity. These cost estimates also offer helpful information for organizational and financial sustainability initiatives. Policymakers can consider serious immediate interventions for securing ocular health services in Bangladesh and prevent families from CHE.

Lamellar scleral patch autograft after ballistic accident: A case report

Scleral graft has been used in clinical situations including perforating eye trauma to treat traumatic scleral dehiscence. A 28-year-old male patient presented for a painful left eye following a firearm-related injury few hours ago. Visual acuity was limited to light perception with a 2 mm wide, oval-shaped inferior scleral gap. Due to the size of the scleral defect, we decided to perform a scleral autograft. The graft was fashioned from the inferonasal sclera, deposited over the recipient hole, and secured with 10–0 nylon sutures on the corneal and scleral sides of the surgical bed with favorable anatomical and refractive outcomes.

Mesenchymal stem cells derived extracellular vesicles modified PLGA electrospinning nanofibrous scaffolds for corneal and retinal repair

Tissue self-renewal is crucial for ocular diseases such as corneal damage and retinal holes. In this study, a novel Poly (lactic-co-glycolic acid) (PLGA) electrospinning nanofibrous scaffold (PLGAENS), loaded with mesenchymal stem cells-derived extracellular vesicles (MSC-EVs), was developed to accelerate the healing of the cornea and retina. In-vitro experiments confirmed the supportive properties of PLGAENS, demonstrating its ability to promote cellular proliferation, migration, and extension. In the rat corneal alkali burn model and rabbit retinal hole model, MSC-EVs modified PLGAENS (PLGAMSC-EVs) accelerated the restoration of the corneal epithelium and stroma, as well as the closure of retinal holes. Additionally, miR-21-5p was identified as being enriched in MSC-EVs. Mechanistically, miR-21-5p suppressed scar formation by targeting the programmed cell death protein 4 (PDCD4) gene, reducing fibrosis and the expression of collagen-related genes, which helped maintain corneal transparency and retinal integrity. Overall, these findings underscored the potential of PLGAMSC-EVs in promoting ocular wound healing and suggested a promising new therapeutic strategy for the clinical treatment of corneal damage and retinal holes.

Clinical characteristics and visual outcomes of animal-induced ocular injuries: a prospective multicenter study in Iran.

Animal-induced ocular injuries represent an under-documented health problem that may pose significant visual complications. This study aimed to investigate the clinical characteristics and outcomes of ocular injuries caused by animals. This multicenter prospective study enrolled patients with a history of animal-induced ocular injuries presenting to the ophthalmology departments of two tertiary hospitals over a one-year period. All participants underwent comprehensive assessments by ophthalmologists, and the following data were collected: demographic information, animal species involved, injury details, pre- and post-treatment visual data, management strategies, and follow-up outcomes. Seventy-two patients (62.5% male) were included in the study. Insects were the most common species, causing 37.5% of ocular injuries. The type of animal involved was significantly associated with injury patterns (p < 0.0001), visual impairments at presentation (p < 0.05), and need for surgery (p < 0.001). Insects predominantly caused periorbital soft tissue injuries; birds primarily affected the anterior segment; dogs and cats mainly led to adnexal injuries; and equines often involved both anterior and posterior segments. Equine-related injuries resulted in the most severe visual impairments, requiring surgical interventions in all cases. At the same time, the majority of cases involved with other animal species experienced no visual impairment. The number of patients without visual impairment increased from 46 cases (63.9%) at the time of presentation to 58 (80.6%) at discharge after treatment. At follow-up, eight patients (11.1%) experienced complications, including traumatic cataract (n = 6, 8.3%), endophthalmitis (n = 3, 4.2%), corneal scarring (n = 1, 1.4%), and retinal detachment (n = 1, 1.4%). Rooster pecking was the leading cause of complications, including endophthalmitis and traumatic cataract. This study revealed that depending on the type of animal causing the injury, animal-induced ocular injuries present with diverse characteristics, requiring appropriate treatment approaches and potentially resulting in different outcomes. These findings may promote public awareness and improve preventive strategies and clinical guidelines development.

Rocket sports and injuries to the eye and adjacent structures

Rocket sports are growing in popularity year after year in every age group. Like any sport, these also involve an increased likelihood of injury. There are different types of injuries that can be sustained as a result of racquet sports, however, in this paper we will not focus on the most common ones. Instead, we will lean on injuries to the eyeball, which is one of the most delicate structures of the human body. Complications of eyeball injuries can have more or less serious consequences. The most serious may even be total loss of vision, but it is important to keep in mind the possibility of a relatively less serious complication, which, if inadequately treated or ignored, can also result in total blindness. The most common mechanical injury to the eyeball that occurs as a result of racket sports is hemorrhage (hyphema). Since ocular injuries are associated with a high risk of complications, it is recommended that PPE (personal protective equipment)should be an integral part of every athlete’s equipment.Interestingly, lenses or corrective glasses are not considered to be adequate forms of protection. On the contrary, during an impact, they can be damaged and cause an aggravation of the injury. It seems that the use of protective eyewear made of specially designed materials can significantly reduce the likelihood of complications of eye injuries. Equally important may be proper education and promotion of protective measures among players, both professional and amateur. The purpose of this study was to analyze the most common types of injuries to the eye and surrounding structures and the occurrence of possible complications, as well as to review of available methods of preventing these injuries.

Ocular disorders and compliance to protective eyewear among quarry workers in Akamkpa local government area of cross river state, Nigeria

The quarry industry over time has played a pivotal role in the transformation of the physical environment but with attendant negative effects on workers. This study ascertained the pattern of work related ocular disorders and compliance to protective eye devices among quarry workers in Akamkpa LGA, Cross River State Nigeria. This descriptive cross sectional study employed the use of a structured interview followed by a comprehensive external examination of the eyes of the subjects by qualified eye care practitioners. Data generated was analysed using the Statistical Product for Service Solution (SPSS) version 25.0. Results were presented descriptively using tables and figures. The study took place in 8 quarry sites located in 4 communities randomly selected and involved 184 subjects randomly selected comprising of 140 (76.09%) males and 44 (23.91%) females. The age of the participants ranged from 18-60 years with a mean age of 32.03±2.23 (SD). The study revealed that predominant ocular symptoms experienced were blurry vision (31.5%), itchy eyes (27.94%), ocular irritation/ grittiness (15.55%), eye/ headaches (12.46%) and discharges (9.61%). The most common ocular surface anomalies observed were pterygium (41.80%), corneal scar/ ulceration (18.03%) and allergic conjunctivitis (16.39%), while the most frequent type of eye injuries reported were superficial foreign bodies, blunt trauma and superficial ocular abrasion accounting for 50.92%,30.06% and 11.04% respectively. Injuries due to quarrying activities were more common among labourers (41.10% and 29.45% among stone crushers and stone processors respectively), while workers with less than 5 years work experience reported more work related eye injury (74.85%) with broken stones (80.39%) accounting for most of the injuries. Similarly, a majority (94.7%) of the participants had knowledge of Personal Protective Eye Devices (PPEDs) only 26.44% had the appropriate PPEDs and just 30.43% of them complied regularly with their usage during work. There was a statistically significant association between work experience and the occurrence of work related ocular injuries (p&gt;0.001) but the use of PPEDs has no statistically significant association with the occurrence of eye injuries. The study concluded that workers at the Akamkpa quarry, Nigeria suffered various types of work related ocular anomalies and while a majority of them had prior knowledge of the benefits of PPEDs, the level of availability and utilization is relatively low and recommended health education and strict enforcement of safety regulations.

Assessment of Health Science Students' Knowledge of Ocular Chemical Injuries and Proper Immediate Action: A Cross-Sectional Study at King Khalid University.

Introduction Chemical injuries are considered to be one of the true ocular emergencies that require years of visual rehabilitation in addition to immediate medical intervention to maintain eyesight. Thus, it is imperative that medical professionals and the general public are both aware of the damage and how to treat it. Objective The current study's objectives were to determine what influences students' understanding of ocular first aid in trauma scenarios and to evaluate the degree of knowledge among health university students at King Khalid University. Methodology Between April 25, 2024, and June 25, 2024, King Khalid University of Saudi Arabia hosted a descriptive cross-sectional study aimed at medical students. Following a thorough examination of the literature and consultation with an expert, the study researchers created an online questionnaire to gather the data. Students' academic and demographic information, their source of information, and their understanding of ocular chemical damage were all included in the final questionnaire. Using social media sites, the completed questionnaire was posted online until no further responses could be found. Results A total of 358 health science students completed the study survey; their ages ranged from 18 to 30 years, with a mean age of 23.5±2.4 years. A total of 55 (15.4%) students were in their pre-clinical years, 199 (55.6%) were in their clinical years, and 104 (29.1%) were medical interns. A total of 152 (42.5%) students had an overall good knowledge of ocular chemical injuries, while most of them (57.5%; 206) had an overall poor knowledge level. As for students' sources of information, the most reported were their study curricula (46.9%), internet (22.4%), doctors (11.8%), family (9.8%), and friends (8.7%), while 1.2% had no specific source. Males and being in the clinical years were significantly associated with high knowledge (p<0.05). Conclusion According to the study, male students in clinical study years had the greatest level of understanding regarding eye chemical injury and related first aid, while health science students had the least amount of information overall.

Doxycycline versus Curcumin for Inhibition of Matrix Metalloproteinase Expression and Activity Following Chemically Induced Inflammation in Corneal Cells.

Sulfur mustard (SM) is a potent blistering agent. This alkylating chemical agent has extremely toxic effects on the eye. MMP-2 and MMP-9 are the two most important matrix metalloproteinase enzymes involved in the pathology of chemical eye injuries. Curcumin is regarded as a natural anti-inflammatory agent. This study aims to compare the anti-inflammatory effects of curcumin versus doxycycline on chemically induced corneal injuries. The HCE-2 cell line was used as a model for corneal cells. The effective concentrations of 2-chloroethyl ethyl sulfide (CEES) - as an analog of SM - doxycycline, and curcumin were determined using the MTT assay. The gene expression of MMP-2, MMP-9, and tissue inhibitors of metalloproteinase (TIMP-1) was evaluated by the real-time PCR method. Also, the activity of MMP-2 and MMP-9 enzymes was determined by zymography. The expression of the MMP-2 and MMP-9 genes increased 5- and 3.3-fold after exposure to CEES, respectively. Following the treatment with curcumin and doxycycline, MMP-2 expression decreased significantly. Also, after treatment with curcumin and doxycycline, the MMP-9 expression decreased 2.5- and 1.6-fold, respectively. The reduction in activity was 32% for MMP-2 and 56% for MMP-9 after treatment with curcumin. The corresponding values were 12% and 40% following doxycycline treatment. There was no significant difference between the effects of curcumin and doxycycline on reducing MMP-2 expression, but the difference was statistically significant in the case of MMP-9. Doxycycline and curcumin can inhibit MMP expression and activity in chemically exposed corneal cells. Curcumin has a greater ability than doxycycline to inhibit MMP-2 and MMP-9 enzymes; however, the difference is statistically significant only in the case of MMP-9. After further validation, these substances can be introduced as anti- inflammatory agents to treat corneal chemical burns.

From Yesterday to Tomorrow: Traumatic Optic Neuropathy

Traumatic optic neuropathy (TON) is characterized by optic nerve damage following head or eye trauma, which can lead to severe vision loss. Historically, surgical decompression was the primary treatment approach for this condition until the study by Anderson et al. in 1982, which explored the effectiveness of steroids. Subsequent research, particularly in spinal cord injury cases, sparked debates regarding steroid use in TON treatment, with studies yielding controversial results regarding both effectiveness and side effects. Ongoing research aims to identify more effective treatments for TON. As a result, TON remains a clinical challenge without a clear consensus on treatment approaches, necessitating individualized evaluation for each case.

Ocular Complication in Facial Aesthetic Laser and Light Treatments: A Comprehensive Review.

The increasing popularity of laser- and light-based esthetic treatments for facial rejuvenation has raised concerns regarding ocular safety. Although these procedures are generally considered safe and effective, there is a growing body of evidence highlighting the potential for ocular complications. This review aims to systematically analyze the types and mechanisms of ocular injuries associated with such treatments, as well as to evaluate preventive measures and management strategies. A comprehensive literature search was conducted using databases including MEDLINE, PubMed and Ovid for relevant studies published on clinical trials, diagnosis and treatment. Some papers were further reviewed using a double-blinding approach, varying sample sizes, control usage, randomization usage and objective endpoint measurements. All studies were classified according to the Oxford Centre for evidence-based medicine evidence hierarchy. Our review identified several types of ocular complications associated with facial laser or light treatments, including but not limited to conjunctival burns, corneal damage, retinal phototoxicity, and transient vision disturbances. The incidence of these complications varies significantly depending on the type of laser or light source employed, treatment parameters, and the anatomical proximity of the eyes to the treatment area. Factors such as inadequate protective measures, patient movement during the procedure, and the operator's experience were found to contribute to the risk of ocular injury. Strategies such as the use of appropriate eye protection, careful patient positioning, and thorough pre-treatment assessments were highlighted as essential preventive measures. Ocular complications, though rare, represent a significant risk in facial esthetic laser and light treatments. This review underscores the importance of awareness among practitioners regarding the potential ocular hazards and the implementation of robust safety protocols. Future research is needed to establish standardized guidelines to minimize risks and enhance patient safety in esthetic dermatological practices. Continued education and improved protective strategies will be essential in safeguarding ocular health as the field of esthetic treatments continues to evolve. This comprehensive review serves as an essential resource for practitioners, informing them of ocular risks, management options, and the need for vigilance to mitigate complications in clinical practice.

Blinded by smoke: Wildfire smoke exposure and eye irritation in australian wildland firefighters

PurposeWildfire occurrence is increasing worldwide, putting firefighters and general public at increased risk of eye injuries from smoke exposure. This study explored ocular symptoms and use of protective eyewear amongst wildland firefighters in Australia. MethodsAustralian wildland firefighters were invited to complete an online survey about the occurrence of eye irritation, use of protective eyewear and behaviours associated with occupational smoke exposure. Responses were analysed using logistic regression and qualitative inductive content analysis. Results338 wildland firefighters completed the survey. Eye irritation was reported by 90 % of firefighters at least sometimes during work and by 70 % after work. Frequency of eye irritation was greater amongst females than males (OR 2.01, CI 1.22–3.31, p < 0.001). Protective eyewear was used often or always by 67 % of firefighters on the fireground, however 55 % had to remove their protective eyewear due to sweat, fogging or another reason. Goggles were more likely to be removed compared to sunglasses and safety glasses (OR 4.28, CI 2.75–6.68, p < 0.001).Firefighters reported that, at times smoke exposure necessitated eye closure and impaired vision on the fireground. Firefighters also reported that protective eyewear helped to reduce eye symptoms, but its consistent use on the fireground was difficult. The severity and recovery from eye symptoms varied between participants. ConclusionAustralian wildland firefighters frequently experience eye irritation from smoke exposure, and this can affect operational capabilities. These findings can support the development of evidence-based strategies to help protect and aid recovery of the eye surface following smoke exposure.

Eye injuries caused by high intensity macro and micro focused ultrasound treatment: a case report

BackgroundHigh Intensity Macro and Micro Focused Ultrasound ( HIFU) is a safe and effective method for the treatment of skin laxity. However, the application of high-intensity focused ultrasound energy on eyelids has been associated with potential ocular complications including traumatic cataract, iridocyclitis, and conjunctival hemorrhage, among others.Case presentationA 40-year-old female developed blurred vision in her left eye after receiving HIFU treatment on binocular eyelids, and her left far vision was 20/66. The examination revealed left eye iris depigmentation and conjunctival hemorrhage. Both eyes exhibited multiple white streaking or tadpole-shaped opacities in the lenses.ConclusionExcessive ultrasonic energy generated by HIFU can cause protein denaturation, leading to conditions such as traumatic cataract, visual impairment, injuries to the iris and conjunctiva when applied to the eyes. We recommend that individuals undergoing cosmetic treatment in the periorbital region should be highly aware of the possible ocular side effects.

Epidemiology of ophthalmologic cases in care: Literature review

Objective: to evaluate the management of ophthalmologic cases in emergency care services based on studies and case reports, highlighting the main conclusions and recommendations found in the scientific literature. Methods: We conducted a comprehensive search in the following databases: PubMed, Virtual Health Library (VHL), Scielo, Scorpus, and Google Scholar. To aid in the search, the following keywords were used: "Ophthalmology"; "Ophthalmological Trauma"; "Management in Emergency Care". Studies were selected based on their relevance to the topic and included those that addressed causes, types of lesions, epidemiological profile, and therapeutic approaches related to cases treated in ophthalmological emergency care. All studies that did not meet the centraltheme or that were not available in full for analysis were excluded. Results: The reviewed studies provided an epidemiological view of ophthalmologic cases treated in emergency care services. Among the findings, it was highlighted that ophthalmologic trauma can be caused by a variety of causes, such as car accidents, falls, aggressions and sports injuries. The most common injuries are open eye trauma, scleral perforation, and eye degloving. Epidemiological studies also show the distribution of cases by age, gender and predominant causes, and within clinical care, conjunctivitis is the most common disease. Conclusion: Ophthalmologic management in the emergency room is extremely complex, requiring immediate treatment. Studies highlight the diversity of causesand associated injuries, emphasizing the need for personalized approaches. Finally, managing eye trauma in emergencies requires individualized approaches and expertise due to the variety of injuries and causes involved.

Profile of Ocular Trauma in Pediatric Population in a Tertiary Care Hospital

BACKGROUND Ocular trauma is the major cause for preventable monocular blindness and visual impairment worldwide. It accounts for 8%-14% of total injuries in the pediatric age group. Various studies have shown its higher incidence in this age group. They have different patterns of ocular injuries than adults and have age specific type of injuries. The number of blind years that a child lives with compared to an adult is far more. Most of the previous studies have been on ocular trauma among the adult population, specifically the factory workers in the city of Ludhiana. Moreover, this study aimed to derive a relation between the time of presentation from the injury and the final visual outcome which has rarely been reported in other studies. Profile of ocular trauma in an area is a dynamic and ever changing trend. Therefore, we proposed to study the profile of ocular trauma in pediatric population presenting to our hospital. METHODS A total of 60 patients between the age of 0 to 17 years were included in this study. The study was conducted from 15th December 2020 to 31st May 2022. Complete ocular examination was done at the time of presentation and after management; The best corrected visual acuity was noted at the end of three months. RESULTS Among our study subjects 45% belonged to the age group of 11-17 years. A male predominance (68.3%) was noted. For most of the subjects, the duration between time of injury and time of examination was less than 6 hours. The proportion of closed globe type of injury (80%) was significantly higher as compared to open globe (8.3%) and extraocular type of injury (11.7%). At the 3 month follow up, out of the 53 study subjects, 92.45% had good visual outcome (VO), 3.77% had fair VO and 3.77% had poor VO respectively. CONCLUSIONS Most of the pediatric ocular trauma may be avoided, which emphasizes the value of health education, adult supervision, and the implementation of suitable interventions to lessen the frequency and severity of trauma. Better visual outcome is expected with a shorter duration between time of injury and time of presentation.

Association between paediatric eye injuries, later aca-demic success and social performance

&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;/strong&amp;gt; &amp;lt;br /&amp;gt;To investigate an association between eye injury and later academic and social performance.&amp;lt;br /&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;/strong&amp;gt; &amp;lt;br /&amp;gt;A retrospective longitudinal study of taking measurements multiple times was conducted including all severe eye injuries admitted during 2011-2017 at the main regional clinic to investigate changes in academic success and social inclusion before and after an injury. Parents/caregivers were surveyed asking questions on academic performance, and community/social involvement. In 2023 data on employment status were obtained. Kappa (ĸ) and non-parametric Wilcox-on signed-rank test for multiple comparisons were used. For association of employment status and post-injury visual acuity Fisher score was tested.&amp;lt;br /&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;/strong&amp;gt; &amp;lt;br /&amp;gt;The total sample for assessing social inclusion and academic success was 36 and 25 children, respectively. In the following academic year ĸ agreements decreased from 0.88 (p&amp;amp;lt;0.001) comparing pre-injury with a one-year post to 0.5106 (p&amp;amp;lt;.0001) in the second year and 0.4750 (p=0.003) in the third, suggesting a deteriorating trend. A comparison of academic success before injury to two and three years after injury showed the trend significantly worsening with time (p=0.005, and 0.003, respectively). No association between an eye injury and social inclusion, as well as between employment and final visual acuity was noticed.&amp;amp;nbsp;&amp;lt;br /&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;/strong&amp;gt; &amp;lt;br /&amp;gt;Our findings suggest no association between social inclusion, employment, and eye trauma, while in later years academic success may be more impacted by the eye injury. Due to eye injury unpredictability in childhood age, both an informed and supportive climate environment at home and school is essential to minimize deleterious responses to eye trauma.&amp;lt;/p&amp;gt;

Demographic profile of ophthalmic injuries following road traffic accidents at a tertiary care hospital in Western India

Context: Road traffic accidents (RTAs) are one of the leading and most common causes of ocular injuries, especially in developing countries like India. Aims: The aim of the study was to study the incidence and clinical presentation of ophthalmic injuries in RTAs. Settings and Design: This was a prospective hospital-based study observational study. Subjects and Methods: A prospective cross-sectional study was conducted among 300 patients in the department of ophthalmology of a tertiary hospital in Western India from October 2021 to October 2023. Detailed ocular examination and investigations were done. Various parameters, including demographics, type of vehicle, type and severity of the injury, and visual acuity at presentation, were studied. The data obtained from the results were expressed in frequency and percentages. Statistical Analysis Used: Not applicable. Results: A total of 300 patients were included in the study. The right eye was affected in 177 out of 320 cases. Male preponderance was noted. The most common ocular finding was ecchymosis 168 (56%) followed by lid lacerations 81 (27%). Majority of the cases were in the age group of 31–40 years (31.67%). The incidence of injuries in two-wheeler riders was 283 (94.33%), of which people who were driving without a helmet were 256 (90.5%). Conclusion: We concluded from our study that the most common age group, 31–40 years, was involved in ocular injuries due to RTAs with male preponderance. Most of those who sustained injuries were riding two-wheeler vehicles without helmets. The involvement of the right eye was more common in unilateral cases. The most common injury found was blunt trauma presenting as preorbital edema and ecchymosis.