Evidence map›Paper›PMID 40550362›Full record

ArticleOphthalmology2025

The Epidemiology of Sports-Related Orbital Fractures in the United States.

Niloufar Bineshfar, Chloe Shields, Natalia Davila, Samantha A McLaughlin, Tejus Pradeep, Wendy W Lee

Abstract read
In one paragraph

Article in Ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Niloufar BineshfarDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Chloe ShieldsDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Natalia DavilaDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida; John Sealy School of Medicine, The University of Texas Medical Branch, Galveston, Texas.
Samantha A McLaughlinDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Tejus PradeepDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Wendy W LeeDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida. Electronic address: wlee@med.miami.edu.

Funding

Shared Equipment ModuleP30EY014801 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Dmitry V Ivanov · 2004 to 2026
$12.2M
NEI NIH HHS P30 EY014801
6 · The paper itself

Abstract

purposeTo characterize the epidemiologic features of sports-related orbital fractures in the United States, including incidence, demographic patterns, mechanisms of injury, and associated ocular injuries.

designRetrospective cohort study.

participantsPatients with sports-related facial fractures recorded in the National Electronic Injury Surveillance System (NEISS) database from 2014 through 2023.

methodsPatients were identified using NEISS body part and diagnosis codes, along with trauma narratives specific to orbital fractures. National estimates were calculated using NEISS statistical weights. Demographics, sport type, fracture location, and associated ocular injuries were evaluated using descriptive statistics.

main outcome measuresIncidence and national estimates of sports-related orbital fractures, demographic distribution, sport type, fracture site, and frequency of associated ocular injuries.

resultsA total of 1468 patients with sports-related orbital fractures were identified, corresponding to a national estimate of 49 765 patients (95% confidence interval, 47 219-52 311). The mean ± standard deviation age was 27.1 ± 19.0 years, with the highest frequency in the 10- to 19-year age group. Seventy-nine percent of patients were male. The most frequently implicated sports were baseball (28.6%), bicycling (23.1%), and softball (6.7%). The orbital floor was the most commonly fractured site (59.8%). Among 865 patients with secondary injury data from 2019 through 2023, 13.8% of patients sustained associated ocular or periocular injuries, including eyelid lacerations (17.6%), corneal abrasions (13.4%), and hyphema (9.2%).

conclusionsSports-related orbital fractures remain a significant cause of facial trauma in the United States, particularly among male adolescents and young adults. Baseball and bicycling are leading contributors. The predominance of orbital floor fractures and the presence of associated ocular injuries underscore the need for improved preventive strategies, including the adoption of sport-specific protective eyewear and targeted safety policies to reduce the burden of these injuries. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

Athletic InjuriesOrbital FracturesAdolescentAdultAgedAge DistributionChildChild, PreschoolDatabases, FactualEye InjuriesFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesEpidemiologyNEISSOrbital fracture

Identifiers

PMID40550362
PMCPMC12335833

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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.