Characteristics and Outcomes of Work-Related Open Globe Injuries

• Published in: American journal of ophthalmology Vol. 150; no. 2; pp. 265 - 269.e2
• Main Authors: Kanoff, Justin M, Turalba, Angela V, Andreoli, Michael T, Andreoli, Christopher M
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.2010; Elsevier; Elsevier Limited
• Subjects: Accidents, Occupational - statistics & numerical data; Adolescent; Adult; Age Distribution; Aged; Biological and medical sciences; Eye Enucleation; Eye Foreign Bodies - epidemiology; Eye Foreign Bodies - etiology; Eye Foreign Bodies - physiopathology; Eye Injuries, Penetrating - epidemiology; Eye Injuries, Penetrating - etiology; Eye Injuries, Penetrating - physiopathology; Female; Humans; Incidence; Male; Massachusetts - epidemiology; Medical sciences; Middle Aged; Miscellaneous; Ophthalmology; Retrospective Studies; Sex Distribution; Visual Acuity - physiology; Young Adult; Massachusetts; Work; Evolution; Prognosis; Lesion; Ophthalmology; Characteristic
• ISSN: 0002-9394; 1879-1891
• DOI: 10.1016/j.ajo.2010.02.015

Purpose To evaluate the characteristics and outcomes of patients treated for open globe injuries sustained at work and to compare these results to patients injured outside of work. Design Retrospective chart review of 812 consecutive patients with open globe injuries treated at the Massachusetts Eye and Ear Infirmary between 1999 and 2008. Methods A total of 146 patients with open globe injuries sustained at work were identified and their characteristics and outcomes were compared with the rest of the patients in the database. Results Of the patients injured at work, 98% were men, and the average age of the patients was 35.8 years (17–72 years). The most common mechanism of injury was penetrating trauma (56%); 38 patients examined had intraocular foreign bodies (IOFB). Nine work-related open globe injuries resulted in enucleation. There was a higher incidence of IOFBs ( P = .0001) and penetrating injuries ( P = .0005) in patients injured at work. Both the preoperative ( P = .0001) and final best-corrected visual acuity ( P = .0001) was better in the work-related group. The final visual acuity was better than 20/200 in 74.1% of cases of work-related open globe injuries. However, there was no difference observed in the rate of enucleations ( P = .4). Conclusions Work-related injuries can cause significant morbidity in a young population of patients. Based on average patient follow-up and final visual acuity, those injured at work do at least as well as, if not potentially better than, those with open globe injuries sustained outside of work. While the statistically higher rate of IOFB in the work population is not surprising, it does emphasize the importance of strict adherence to the use of eye protection in the workplace.