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Nitzan I, Cohen B, Akavian I, Shmueli O, Heller D. Eyes on the target: band-associated ocular injury in military training. BMJ Mil Health 2024; 170:268-269. [PMID: 36702524 DOI: 10.1136/military-2023-002348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 01/15/2023] [Indexed: 01/28/2023]
Affiliation(s)
- Itay Nitzan
- Israel Defense Forces, Ramat Gan, Israel
- Department of Military Medicine and 'Tzameret', Hebrew University of Jerusalem, Jerusalem, Israel
| | - B Cohen
- Israel Defense Forces, Ramat Gan, Israel
| | - I Akavian
- Israel Defense Forces, Ramat Gan, Israel
| | - O Shmueli
- Department of Ophthalmology, Hebrew University of Jerusalem, Jerusalem, Israel
| | - D Heller
- Israel Defense Forces, Ramat Gan, Israel
- Department of Military Medicine and 'Tzameret', Hebrew University of Jerusalem, Jerusalem, Israel
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Ruzga A, Gorra A. Penetrating Flank Injury in an Adolescent Due to Exercise Resistance Band Malfunction. Curr Sports Med Rep 2024; 23:72-75. [PMID: 38437491 DOI: 10.1249/jsr.0000000000001145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2024]
Affiliation(s)
- Anthony Ruzga
- Department of Pediatric Surgery, University of South Dakota Sanford Children's Hospital, Sioux Falls, SD
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Maganti N, Huang L, Banghart M, Channa R, Chang JS, van Landingham SW. Ocular Emergencies During the Coronavirus Disease 'Safer at Home Order' in Wisconsin. WMJ : OFFICIAL PUBLICATION OF THE STATE MEDICAL SOCIETY OF WISCONSIN 2023; 122:331-336. [PMID: 38180919 PMCID: PMC10947423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 01/07/2024]
Abstract
INTRODUCTION The coronavirus pandemic created large shifts in utilization of hospital resources, patient presentations, and delivery of medical care. OBJECTIVES This retrospective study evaluated the ocular emergencies at a tertiary-care academic hospital in Wisconsin during the COVID-19-related "Safer at Home" order. METHODS Ophthalmology consultations performed March 23 through May 26, 2020, were compared to the same time period in the 4 preceding years and the subsequent year. Billing codes were obtained to evaluate the diagnoses and procedures performed during this time frame. RESULTS In 2020, 155 consultations were performed (42 emergency department, 113 inpatient), compared to a mean of 214 over the 5 other study years. The incidence rate ratio (IRR) of total consultations in 2020 was 0.72 (P ≤ 0.001) compared to previous years. Significantly fewer emergency department consultations were performed (IRR 0.62, P ≤ 0.001), while inpatient consultations were similar (IRR 0.88, P = 0.119). The most common diagnosis across all study years was fracture of the skull/orbit with injury to the eye/orbit. In 2020, 13% of consultations led to a procedure, compared to a total of 16% in the other years (IRR 0.59, P = 0.018). CONCLUSIONS This study demonstrated a 28% reduction in ophthalmology consultations at a major university hospital in Wisconsin during the COVID-19-related "Safer at Home" order, though the number of consultations leading to surgery were stable. This suggests that while patients with less acute needs may have deferred care, those requiring urgent surgery still presented to the emergency department. These data may help hospitals appropriately allocate eye care resources during future public health emergencies.
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Affiliation(s)
- Nenita Maganti
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health,, Madison, Wisconsin
| | - Leslie Huang
- University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Mark Banghart
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Roomasa Channa
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Jonathan S Chang
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Suzanne W van Landingham
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin,
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Beckman JJ, Webster CR, Richardson C, Fullmer M, Kendall E, Hazariwala V, Bondira I, Nguyen B, Gao M, Speicher M, Aggarwal H. A cross-sectional study of the impact of the COVID-19 pandemic on an ophthalmology consult service in four Michigan community hospitals. Indian J Ophthalmol 2023; 71:2856-2861. [PMID: 37417134 PMCID: PMC10491085 DOI: 10.4103/ijo.ijo_82_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 03/13/2023] [Accepted: 03/27/2023] [Indexed: 07/08/2023] Open
Abstract
Purpose During the coronavirus disease 2019 (COVID-19) pandemic, private practice, inpatient consult services, and academic residency programs in ophthalmology saw a decrease in patient encounters. This study elucidates how community hospital ophthalmology consult (OC) services were affected during the pandemic. We aim to determine whether there was a change in resident OC volume in a community-based ophthalmology program consult service during the COVID-19 pandemic. Secondary objectives included analyzing the change in the types of diagnoses and the number of patients seen for diabetic retinopathy over the same time. Methods A retrospective cross-sectional study was conducted reviewing the electronic health record (EHR) charts from OCs for the period 2017-2021. Records were categorized by referral source and the nature of OCs (trauma, acute, or chronic); OCs were further grouped by year and weak of referral. An intermonth analysis of weekly OC counts in each category was performed for the average number of consults in February-April 2017-2019 and for February-April 2020. A one-tailed t-test was performed. All t-tests assumed equal variances. Results Weekly OCs in 2020 revealed no statistically significant differences in overall cases or in acute or chronic cases when the volume before the COVID-19 pandemic was compared to the volume after the onset of the pandemic. However, a statistically significant increase in the average weekly trauma cases was noted when 2020 (an average of 2.7 cases per week) was compared to the weekly average for the same weeks of years 2017- 2019 (0.4; P = 0.016). This statistically significant increase in trauma in 2020 disappeared when comparing weeks 11-17 in 2020 (2.2 cases per week) and the average of 2017-2019 (1.1). Conclusion This report outlines no significant change in OCs before and after the onset of the pandemic compared to three previous years. There was, however, an increase in trauma consults during the pandemic and an increase in the number (though not the proportion) of diabetic retinopathy (DR+) patients seen by residents. This report uniquely describes no significant changes in the resident volume of patients seen during the COVID-19 global pandemic.
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Affiliation(s)
- Jamie J Beckman
- Taylor Ophthalmology Residency Program, Beaumont Hospital, Dearborn MI, United States
| | - Court R Webster
- Department of Neuro- Ophthalmology, Michigan State University, East Lansing, MI, United States
| | - Cole Richardson
- Taylor Ophthalmology Residency Program, Beaumont Hospital, Dearborn MI, United States
| | - Matthew Fullmer
- Taylor Ophthalmology Residency Program, Beaumont Hospital, Dearborn MI, United States
| | - Emerson Kendall
- Taylor Ophthalmology Residency Program, Beaumont Hospital, Dearborn MI, United States
| | - Vikisha Hazariwala
- Taylor Ophthalmology Residency Program, Beaumont Hospital, Dearborn MI, United States
| | - Inna Bondira
- Taylor Ophthalmology Residency Program, Beaumont Hospital, Dearborn MI, United States
| | - Brian Nguyen
- Taylor Ophthalmology Residency Program, Beaumont Hospital, Dearborn MI, United States
| | - Mary Gao
- Taylor Ophthalmology Residency Program, Beaumont Hospital, Dearborn MI, United States
| | - Mark Speicher
- American Association of Colleges of Osteopathic Medicine, Bethesda, MD, United States
| | - Himanshu Aggarwal
- Taylor Ophthalmology Residency Program, Beaumont Hospital, Dearborn MI, United States
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Heyn J, Strohm P, Schöffl V. Exercise Resistance Band induced injuries during Covid 19 Pandemic Lockdown Training. SPORTVERLETZUNG SPORTSCHADEN : ORGAN DER GESELLSCHAFT FUR ORTHOPADISCH-TRAUMATOLOGISCHE SPORTMEDIZIN 2023; 37:96-99. [PMID: 37216937 DOI: 10.1055/a-1993-6712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
The COVID-19 (coronavirus disease 2019) pandemic forces athletes to perform their workout at home with alternative training methods. Exercise resistance bands, often used for this purpose, can cause damage when they recoil or tear. Potentially resulting injuries include bruises, head injuries, lacerations, facial fractures and eye injuries. The following article presents two case reports including accident mechanism, injuries, diagnostic evaluation and treatment.The first patient presented with an open depressed skull fracture caused by a recoiling exercise resistance band, while the second patient sustained a complex ocular trauma caused by a tearing exercise resistance band when performing supported chin-ups.
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Affiliation(s)
- Johannes Heyn
- Orthopädie/Unfallchirurgie, SozialStiftung Bamberg, Bamberg, GERMANY
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Zhang YX, Feng K, Liao MY, Yan H. Comparison of ocular trauma between normalized and the COVID-19 epidemic periods in China: a multi-center cross-sectional study. Int J Ophthalmol 2023; 16:10-15. [PMID: 36659951 PMCID: PMC9815975 DOI: 10.18240/ijo.2023.01.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 10/10/2022] [Indexed: 12/29/2022] Open
Abstract
AIM To compare the feature of ocular trauma between normalized period and the COVID-19 epidemic period in China, and to provide a profile for eye injuries in special times in future. METHODS This is a multi-center cross-sectional study with 30 participated hospitals involving the China Ocular Trauma Society members. All hospitalized cases who visited the Ophthalmology Department in participated hospitals with eye injuries during the normalized period (2019) and the COVID-19 epidemic period (2020) were included in this study. Demographic characteristic of cases, date of injury, sites and types of injury were collected. RESULTS This study involved 13 525 (61 cases with both eyes) injured cases. There were 7269 (53.74%) eye-injured cases and 6256 (46.26%) eye-injured cases in 2019 and 2020 separately. Compared with 2019, the incidence of ocular trauma in retirees, housewives and unemployed increased with year-on-year of 4.96%, 102.67%, and 11.64% among all occupations. In 2020, the incidence of eye injuries decreased in all injury sites except for an increase in home (30.29% year-on-year). The incidence of mechanical eye injuries decreased, while that of non-mechanical eye injuries (chemical/thermal/radiation) increased (47.45% year-on-year). There were 255 (3.51%, 255/7269) and 376 (6.01%, 376/6256) non-mechanical injured cases in 2019 and 2020 (Pearson Chi2=47.33, P<0.001) separately. CONCLUSION During the COVID-19 epidemic period, the total cases of ocular trauma decrease but the proportion of non-mechanical ocular trauma increase. Penetrating is still the highest proportion among all types of mechanical ocular trauma. From a preventive point of view, protection for retired persons, housewives and unemployed persons should be improved during public health events period.
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Affiliation(s)
- Ya-Xin Zhang
- Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin 300052, China
| | - Kang Feng
- Department of Ophthalmology, Peking University Third Hospital, Beijing 100191, China
| | - Meng-Yu Liao
- Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin 300052, China
| | - Hua Yan
- Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin 300052, China,Tianjin Medical University, Tianjin 300070, China
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Liang H, Zhang M, Chen M, Lin TPH, Lai M, Chen H. Ocular Trauma During COVID-19 Pandemic: A Systematic Review and Meta-analysis. Asia Pac J Ophthalmol (Phila) 2022; 11:481-487. [PMID: 36094376 DOI: 10.1097/apo.0000000000000539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Accepted: 04/19/2022] [Indexed: 11/26/2022] Open
Abstract
PURPOSE This study aimed to summarize the latest literature on the trends and incidence of ocular trauma during the COVID-19 pandemic. DESIGN Systematic review and meta-analysis. METHODS A systematic literature search was conducted to identify the relevant literature. The search period was between January 1, 2020, and September 20, 2021. The incidence of overall and various types of ocular trauma during the COVID-19 pandemic and the control period was analyzed. The data from different studies were pooled. The odds ratio (OR) and 95% confidence interval (CI) were calculated. RESULTS A total of 32 articles were included. After pooling the data from all included studies, the incidence of total and pediatric ocular trauma during the COVID-19 pandemic was 67.7% and 54.3% of those in the control period, respectively. However, the proportion of ocular trauma in eye emergency visits increased during the pandemic (OR, 95% CI: 1.46, 1.04-2.06). The proportion of domestic ocular trauma increased (OR, 95% CI: 3.42, 1.01-11.62), while ocular trauma related to sports and outdoor activities and occupational ocular trauma decreased (OR, 95% CI: 0.64, 0.09-4.29 and 0.18, 0.10-0.33, respectively). It was also reported that chemical injury caused by alcohol-based sanitizers, photokeratitis caused by ultraviolet lamps, and mechanical eye injury caused by masks increased during the COVID-19 pandemic. CONCLUSIONS There was a reduction in overall eye injuries and substantial differences in the spectrum of ocular trauma during the COVID-19 pandemic. Proper health education and supervision should be strengthened to prevent ocular injuries related to COVID-19 preventive interventions.
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Affiliation(s)
- Huiyu Liang
- Joint Shantou International Eye Center, Shantou University and The Chinese University of Hong Kong, Shantou, China
| | - Meiqin Zhang
- Joint Shantou International Eye Center, Shantou University and The Chinese University of Hong Kong, Shantou, China
| | - Man Chen
- Joint Shantou International Eye Center, Shantou University and The Chinese University of Hong Kong, Shantou, China
| | - Timothy P H Lin
- Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China
| | - Mingying Lai
- Shenzhen Eye Institute, Shenzhen Eye Hospital affiliated to Jinan University, Shenzhen, China
- School of Optometry, Shenzhen University, Shenzhen, China
| | - Haoyu Chen
- Joint Shantou International Eye Center, Shantou University and The Chinese University of Hong Kong, Shantou, China
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Yu H, Xu M, Zhao Y, Li J, Wu W, Feng Y. COVID-19 Changed Prevalence, Disease Spectrum and Management Strategies of Ocular Trauma. Front Med (Lausanne) 2022; 8:774493. [PMID: 35083239 PMCID: PMC8784966 DOI: 10.3389/fmed.2021.774493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Accepted: 12/16/2021] [Indexed: 11/13/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted the health of people around the world and has reshaped social behaviors and clinical practice. The purpose of this perspective is to provide epidemiologists and clinicians with information about how the spectrum of ocular trauma diseases changed, as well as to optimize management for improving patient prognosis during this crisis. Analysis of current studies revealed that the prevalence of eye trauma decreased overall, with a trend of delayed medical treatment during the COVID-19 era. Irregular epidemic prevention and control measures, unprotected home activities, and unusual mental states are the main causes of ocular trauma. Strategies for reducing morbidity are also discussed, including popularizing the use norms of prevention and control supplies, taking heed to the safety of family activities, highlighting the special status of child protection, and paying attention to previous case data to implement region-specific precautions. The procedure of ophthalmological emergency and outpatient management should also be optimized, and mental health should be emphasized during this pandemic.
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Affiliation(s)
- Haozhe Yu
- Department of Ophthalmology, Peking University Third Hospital, Beijing, China
| | - Minhui Xu
- Department of Ophthalmology, Peking University Third Hospital, Beijing, China
| | - Yue Zhao
- Institute of Medical Education, Peking University, Beijing, China
| | - Jingyi Li
- Department of Ophthalmology, Peking University Third Hospital, Beijing, China
| | - Wenyu Wu
- Department of Ophthalmology, Peking University Third Hospital, Beijing, China
| | - Yun Feng
- Department of Ophthalmology, Peking University Third Hospital, Beijing, China
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Zhou P, Jiang X, Li XM. Case Series: Ocular Trauma Secondary to Masks during the COVID-19 Pandemic. Optom Vis Sci 2021; 98:1299-1303. [PMID: 34510153 DOI: 10.1097/opx.0000000000001803] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
SIGNIFICANCE Previously, people had only recognized the discomfort of masks, and no one had ever realized the risk of ocular trauma associated with masks. We classify the causes of injuries into two categories and emphasize the importance of using masks properly. PURPOSE This study aimed to characterize and classify ocular injuries caused by masks. CASE REPORTS With the increase in the number of masks used during the coronavirus disease 2019 pandemic, we have seen a rise in mask-related ocular injuries. This is a single-center retrospective case series of patients presenting to the Peking University Third Hospital Ophthalmology Department emergency department with ocular injuries secondary to masks from February to August 2020. Nine patients (six males, three females) were reviewed. All patients had a unilateral injury (four right eyes, five left eyes). The most frequently injured site was the cornea, which was seen in five patients. Some patients were injured in more than one area. Seven patients were injured by metal nose wires or other rigid, sharp parts of masks. The other two patients were injured by elastic mask straps. CONCLUSIONS Masks can cause two types of ocular injuries that may require surgical intervention. One kind is metal nose wires or other rigid, sharp parts of masks causing lacerations or abrasions. The other is recoiling elastic mask straps snapping into the eyes and causing contusions. Our report emphasizes the importance of using masks properly.
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Affiliation(s)
- Peng Zhou
- Department of Ophthalmology, Peking University Third Hospital, Haidian District, Beijing, China
| | - Xiaodan Jiang
- Department of Ophthalmology, Peking University Third Hospital, Haidian District, Beijing, China
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