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Ocular trauma associated with falls in older people: A 10-year review from a state trauma service

Injury Jul 16, 2020

Lee WS, McNamara P, English J, et al. - In this investigation involving 270 patients (F = 155, M = 115; mean age was 81 years), researchers sought to determine the demographics, injury setting, ophthalmic injuries, interventions, and outcomes of ocular trauma secondary to falls. The sample consisted of all patients over 65 years referred to the Ophthalmology Department of a tertiary hospital following fall from standing height between January 2009 and December 2018. The orbital fracture was the most common reason for referral. Permanent blindness incidence in the study was 10.4%. Falls in the elderly may be associated with sight-threatening ocular injuries that are common and easy to ignore in this demographic population. The incidence of ocular injuries is associated with significant in-hospital mortality rates and poor functional outcomes in this patient group. Therefore, it is important for trauma practitioners to carry out a thorough and comprehensive assessment in order to diagnose sight-threatening ocular injuries and to allow for expedient sight-saving intervention.

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