The Role of Nonophthalmologists in the Primary Evaluation of Head Injury Patients with Ocular Injuries
Abstract
:1. Introduction
2. Material and Methods
2.1. Study Design and Setting
2.2. Definitions
2.3. Data Collection
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Ocular Lesion (+) (N = 89) | Ocular Lesion (−) (N = 51) | p-Value | |
---|---|---|---|
Age (years) | 45 (27) | 50 (36) | 0.170 * |
Sex (N, %) | 0.611 † | ||
Male | 63 (70.8%) | 34 (66.7%) | |
Female | 26 (29.2%) | 17 (33.3%) | |
Laterality (N, %) | 0.537 † | ||
OD | 34 (38.2%) | 23 (45.1%) | |
OS | 47 (52.8%) | 22 (43.1%) | |
OU | 8 (9.0%) | 6 (11.8%) | |
Trauma mechanism (N, %) | 0.004 † | ||
Penetrating | 20 (22.5%) | 2 (3.9%) | |
Blunt | 69 (77.5%) | 49 (96.1%) | |
Associated symptoms (N, %) | |||
Initial loss of consciousness | 26 (29.2%) | 12 (23.5%) | 0.467 † |
Altered mental status | 4 (4.5%) | 4 (7.8%) | 0.411 † |
Posttraumatic amnesia | 14 (15.7%) | 10 (19.6%) | 0.558 † |
Dizziness | 6 (6.7%) | 5 (9.8%) | 0.517 † |
Nausea | 5 (5.6%) | 2 (3.9%) | 0.658 † |
Vomiting | 5 (5.6%) | 0 (0.0%) | 0.085 † |
Headache | 6 (6.7%) | 4 (7.8%) | 0.808 † |
Facial wounds | 41 (46.1%) | 22 (43.1%) | 0.737 † |
Primary Eye Examination in the Emergency Department | Ocular Lesion (+) (N = 69, 58.5%) | Ocular Lesion (−) (N = 49, 41.5%) | p-Value † |
---|---|---|---|
Visual loss | 4 (5.8%) | 1 (2.0%) | 0.318 |
Blurred vision | 37 (53.6%) | 26 (53.1%) | 0.952 |
Diplopia | 18 (26.1%) | 4 (8.2%) | 0.014 |
Extraocular movement limitation | 19 (27.5%) | 7 (14.3%) | 0.087 |
Relative afferent pupillary defect | 7 (10.1%) | 3 (6.1%) | 0.439 |
Periorbital swelling | 62 (89.9%) | 33 (67.3%) | 0.002 |
Lid laceration | 18 (26.1%) | 10 (20.4%) | 0.475 |
Hyphema | 19 (27.5%) | 13 (26.5%) | 0.904 |
Uveal deformities | 4 (5.8%) | 0 (0.0%) | 0.086 |
Ocular Lesion (+) (N = 27) | Ocular Lesion (−) (N = 51) | p-Value | |
---|---|---|---|
Age (years) | 52 (15) | 50 (36) | 0.950 * |
Sex (N, %) | 0.011 † | ||
Male | 25 (92.6%) | 34 (66.7%) | |
Female | 2 (7.4%) | 17 (33.3%) | |
Laterality (N, %) | 0.196 † | ||
OD | 9 (33.3%) | 23 (45.1%) | |
OS | 17 (63.0%) | 22 (43.1%) | |
OU | 1 (3.7%) | 6 (11.8%) | |
Type of injury (N, %) | <0.001 † | ||
Penetrating | 19 (70.4%) | 2 (3.9%) | |
Blunt | 8 (29.6%) | 49 (96.1%) | |
Associated symptoms (N, %) | |||
Initial loss of consciousness | 1 (3.7%) | 12 (23.5%) | 0.055 † |
Altered mental status | 0 (0.0%) | 4 (7.8%) | 0.340 † |
Posttraumatic amnesia | 1 (3.7%) | 10 (19.6%) | 0.115 † |
Dizziness | 0 (0.0%) | 5 (9.8%) | 0.232 † |
Nausea | 0 (0.0%) | 2 (3.9%) | 0.772 † |
Headache | 1 (3.7%) | 4 (7.8%) | 0.823 † |
Facial wounds | 5 (18.5%) | 22 (43.1%) | 0.054 † |
Visual loss | 2 (7.4%) | 1 (2.0%) | 0.568 † |
Blurred vision | 21 (77.8%) | 27 (52.9%) | 0.057 † |
Diplopia | 0 (0.0%) | 4 (7.8%) | 0.340 † |
Extraocular movement limitation | 1 (3.7%) | 7 (13.7%) | 0.319 † |
Relative afferent pupillary defect | 0 (0.0%) | 3 (5.9%) | 0.505 † |
Lid laceration | 7 (25.9%) | 10 (19.6%) | 0.723 † |
Hyphema | 14 (51.9%) | 13 (25.5%) | 0.038 † |
Uveal deformities | 14 (51.9%) | 0 (0.0%) | <0.001 † |
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Lin, C.-H.; Ling, X.C.; Wu, W.-C.; Chen, K.-J.; Hsieh, C.-H.; Liao, C.-H.; Fu, C.-Y. The Role of Nonophthalmologists in the Primary Evaluation of Head Injury Patients with Ocular Injuries. J. Pers. Med. 2021, 11, 1220. https://doi.org/10.3390/jpm11111220
Lin C-H, Ling XC, Wu W-C, Chen K-J, Hsieh C-H, Liao C-H, Fu C-Y. The Role of Nonophthalmologists in the Primary Evaluation of Head Injury Patients with Ocular Injuries. Journal of Personalized Medicine. 2021; 11(11):1220. https://doi.org/10.3390/jpm11111220
Chicago/Turabian StyleLin, Chen-Hua, Xiao Chun Ling, Wei-Chi Wu, Kuan-Jen Chen, Chi-Hsun Hsieh, Chien-Hung Liao, and Chih-Yuan Fu. 2021. "The Role of Nonophthalmologists in the Primary Evaluation of Head Injury Patients with Ocular Injuries" Journal of Personalized Medicine 11, no. 11: 1220. https://doi.org/10.3390/jpm11111220