Document Detail


Epidemiology of ocular trauma among the elderly in a developing country.
MedLine Citation:
PMID:  20868258     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To study the epidemiology of ocular trauma among the elderly in a developing country.
METHOD: This is a multi-center retrospective clinical study of patients aged 65 years and above managed for ocular trauma between 2001 and 2007 at 4 hospitals in southwestern Nigeria. Age, sex, occupation, residential address, location at time of injury, activity preceding injury, agent of injury, treatment modalities offered and presenting visual acuity were recorded in a predesigned form. Type of injury was classified according to Birmingham Eye Trauma Terminology. Data were recorded and analyzed with descriptive statistics and Chi square using SPSS 11 (SPSS Inc., Chicago, IL) and statistical significance accepted at P < 0.05.
RESULTS: 78 patients with overall mean age of 70.1 ± 5.5 years and male to female ratio of 1.9: 1 (P=0.007) were studied. Mean age for males was 70.0 ± 5.4 years and 70.1 ± 5.7 years for females. Eye injury occurred most commonly on the farm (37.2%), during farm related activities (35.9%) with sticks/twigs (41.1%) being commonest agent of ocular trauma among the elderly. However, injury occurred most frequently at home (51.9%) and during a fight/dispute (25.9%) with inciting agents being most frequently (33.3%) home related in elderly females. Eye injury was mainly of closed globe variety (85.9%); open globe injury was associated with higher incidence of hospitalization (P < 0.0001) and visual impairment (P=0.004) at presentation.
CONCLUSION: Although eye injury in elderly occurred more commonly on the farm during farm related activities, gender related differences are present with injury occurring more commonly in the home and during assaults/disputes.
Authors:
Oluwatoyin Helen Onakpoya; Adenike Adeoye; Caroline Olufunmilayo Adeoti; Kayode Ajite
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Ophthalmic epidemiology     Volume:  17     ISSN:  1744-5086     ISO Abbreviation:  Ophthalmic Epidemiol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2010-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9435674     Medline TA:  Ophthalmic Epidemiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  315-20     Citation Subset:  IM    
Affiliation:
Ophthalmology Unit, Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria. uvtoyin@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Aged
Aged, 80 and over
Developing Countries / statistics & numerical data*
Epidemiologic Studies
Eye Injuries / classification,  epidemiology*
Female
Humans
Male
Nigeria / epidemiology
Occupations
Retrospective Studies
Risk Factors
Sex Distribution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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