Evidence map›Paper›PMID 38789787›Full record

ArticleEye (London, England)2024

Ocular injuries among patients with major trauma in England and Wales from 2004 to 2021.

Mohammed Talha Bashir, Omar Bouamra, James F Kirwan, Fiona E Lecky, Rupert R A Bourne

Abstract read
In one paragraph

Article in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Novel Technique in Performing Ocular Ultrasound in Trauma: A Case Series.Clinical practice and cases in emergency medicine · 2026
    Article
  2. Article
  3. Article
  4. Observational
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mohammed Talha BashirSchool of Clinical Medicine, University of Cambridge, Cambridge, UK. mtbashir96@gmail.com.ORCID http://orcid.org/0000-0002-1661-2373
Omar BouamraThe Trauma Audit & Research Network, University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0002-3155-4634
James F KirwanDepartment of Ophthalmology, Queen Alexandra Hospital, Portsmouth, UK.ORCID http://orcid.org/0000-0001-6105-4641
Fiona E LeckyThe Trauma Audit & Research Network, University of Manchester, Manchester, UK.
Rupert R A BourneDepartment of Ophthalmology, Cambridge University Hospitals, Cambridge, UK.ORCID http://orcid.org/0000-0002-8169-1645

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOcular trauma is a significant cause of blindness and is often missed in polytrauma. No contemporary studies report eye injuries in the setting of severe trauma in the UK. We investigated ocular injury epidemiology and trends among patients suffering major trauma in England and Wales from 2004 to 2021.

methodsWe conducted a retrospective study utilising the Trauma Audit and Research Network (TARN) registry. Major trauma cases with concomitant eye injuries were included. Major trauma was defined as Injury Severity Score >15. Ocular injuries included globe, cranial nerve II, III, IV, and VI, and tear duct injuries. Orbital fractures and adnexal and lid injuries were not included. Demographics, injury profiles, and outcomes were extracted. We report descriptive statistics and 3-yearly trends.

resultsOf 287 267 major trauma cases, 2368 (0.82%) had ocular injuries: prevalence decreased from 1.87% to 0.66% over the 2004-2021 period (P < 0.0001). Males comprised 72.2% of ocular injury cases, median age was 34.5 years. The proportion of ocular injuries from road traffic collisions fell from 43.1% to 25.3% while fall-related injuries increased and predominated (37.6% in 2019/21). Concomitant head injury occurred in 86.6%. The most common site of ocular injury was the conjunctiva (29.3%). Compared to previous TARN data (1989-2004), retinal injuries were threefold more prevalent (5.9% vs 18.5%), while corneal injuries were less (31.0% vs 6.6%).

conclusionsWhilst identifying eye injuries in major trauma is challenging, it appears ocular injury epidemiology in this setting has shifted, though overall prevalence is low. These findings may inform prevention strategies, guideline development and resource allocation.

Indexed as

Eye InjuriesAccidents, TrafficAdolescentAdultAgedAged, 80 and overAge DistributionChildChild, PreschoolCraniocerebral TraumaEnglandFemaleHumansInfantInjury Severity ScoreMale

Identifiers

PMID38789787
PMCPMC11427661

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.