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

Injury Jul 22, 2020

Lee WS, McNamara P, English J, et al. - Researchers sought to report on ocular injuries in older patients via performing a retrospective audit of all patients over 65 years who were referred to the Ophthalmology Department of a tertiary hospital following fall from standing height between January 2009 and December 2018. Among 270 assessed patients ( F = 155, M = 115; mean age: 81 years), 180 falls (66.7%) occurred in a residential environment. Orbital fracture was the most common reason for referral. Globe rupture ( n = 23), retro-bulbar haematoma ( n = 22), retinal detachment (n = 6) and traumatic optic neuropathy ( n = 6) were the reported severe ocular injuries. Findings suggest a possible correlation of falls in older people with sight-threatening ocular injuries which are common and easy to miss in this population demographic. In this patient group, they noted association of the presence of ocular injuries with significant rates of in-hospital mortality and poor functional outcomes. Hence, trauma practitioners should perform a detailed and systematic assessment to recognize sight-threatening ocular injuries and allow for expedient sight-saving intervention implementation

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