ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026
Risk of mental health disorders following traumatic ocular and orbital injury.
Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTraumatic ocular injuries may lead to short- and long-term psychiatric consequences; however, the risk of developing mental health disorders after such injuries is not well defined. This study aimed to determine the incidence rates of mental health disorders following traumatic ocular or orbital injury compared to matched controls.
methodsIn this retrospective cohort study, we used electronic health records from a federated database covering 20 years, through December 5, 2025. Patients with ocular or orbital trauma were matched by age, sex, and race to controls who underwent comprehensive ophthalmologic examinations. Patients with preexisting psychiatric diagnoses were excluded.
resultsA total of 28,957 patients with traumatic ocular or orbital injury and ≥ 1 year of follow-up were included. The mean (SD) age at injury was 42.80 (25.60) years; 71.13% were male, and 65.60% were White. At 30 days, trauma patients had higher risks of depression (relative risk (RR), 2.07; P < 0.01), post-traumatic stress disorder (PTSD) (RR, 2.01; P = 0.04), and substance use (RR, 5.31; P < 0.01. At six months, suicidal ideation risk was increased (RR, 2.41; P < 0.01), along with persistently elevated risks of depression, PTSD, and substance use compared to controls. Elevated risks across all outcomes persisted through 1 year and at 5 and 10 years, with attenuation seen only for PTSD during long-term follow-up.
conclusionPatients with ocular and orbital trauma face an increased risk of depression, PTSD, substance use disorders, and suicidal ideation. These findings support early psychiatric screening and long-term mental health monitoring.
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