Epidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study

Hany E El-Mekawey&sup1;, Khaled G Abu El Einen&sup1;, Mohammad Abdelmaboud&sup1;, Amr Khafagy&sup1;, Eman M Eltahlawy&sup2;&sup1;Department of Ophthalmology, Faculty of Medicine, Cairo University, &sup2;National Research Center, Cairo, EgyptBac...

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Autores principales:	El-Mekawey HE, Abu El Einen KG, Abdelmaboud M, Khafagy A, Eltahawy EM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3fd83dce4e694908b259c79981dd69b6
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spelling	oai:doaj.org-article:3fd83dce4e694908b259c79981dd69b62021-12-02T11:41:49ZEpidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study1177-54671177-5483https://doaj.org/article/3fd83dce4e694908b259c79981dd69b62011-07-01T00:00:00Zhttp://www.dovepress.com/epidemiology-of-ocular-emergencies-in-the-egyptian-population-a-five-y-a7841https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Hany E El-Mekawey&sup1;, Khaled G Abu El Einen&sup1;, Mohammad Abdelmaboud&sup1;, Amr Khafagy&sup1;, Eman M Eltahlawy&sup2;&sup1;Department of Ophthalmology, Faculty of Medicine, Cairo University, &sup2;National Research Center, Cairo, EgyptBackground: The purpose of this study was to determine the epidemiology of ocular lesions seen in the ophthalmic casualty room of the largest referral hospital in Egypt over 5 years from 2004 to 2008.Methods: This epidemiologic database study used the medical records at Cairo University Hospital. Data were recorded using the ICD10 classification. Statistical analysis was based on diagnosis, age, gender, residential area, and year of admission.Results: Over 5 years, 8361 ocular emergencies were admitted as inpatients. Open globe injuries were the most prevalent, comprising 33.46% of emergencies. Most cases were males (69%), in whom the most frequent lesions were open globe injuries, infective keratitis, and lid injuries. The most common ocular emergencies in females were open globe injuries, infective keratitis, endophthalmitis, and glaucoma. The age group 6&ndash;16 years accounted for 24% of emergencies, and patients over 45 years accounted for 26.8%. Under the age of 45 years, the most common lesions were open globe injuries (36%), and over this age, the most common lesions were infective keratitis (34.4%). Patients from Upper Egypt accounted for 56.2% of emergencies. A superficial corneal foreign body was the most common reason for attending the ophthalmic casualty room, with 24,844 cases seen over the 5 years of the study, all of which were managed as outpatient procedures. Deep corneal foreign bodies were more common than intraocular foreign bodies. The most common ocular hemorrhage was hyphema. The most common type of glaucoma was acute angle closure.Conclusion: Superficial corneal foreign bodies, open globe injuries, and infective keratitis are the main ocular emergencies seen in the Egyptian population. Corneal foreign bodies are mostly the result of occupational accidents in workers not wearing protective goggles. Violent altercations (41.9%), occupational accidents (26.3%), and motor vehicle accidents (24.4%) were the main circumstances involved in open globe injuries. The most common admissions were for open globe injuries under the age of 45 years and infective keratitis above this age. Upper Egypt was the main referring geographic area.Keywords: ocular casualties, foreign body, open globe, infective keratitis, lid injuriesEl-Mekawey HEAbu El Einen KGAbdelmaboud MKhafagy AEltahawy EMDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 955-960 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 El-Mekawey HE Abu El Einen KG Abdelmaboud M Khafagy A Eltahawy EM Epidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study
description	Hany E El-Mekawey&sup1;, Khaled G Abu El Einen&sup1;, Mohammad Abdelmaboud&sup1;, Amr Khafagy&sup1;, Eman M Eltahlawy&sup2;&sup1;Department of Ophthalmology, Faculty of Medicine, Cairo University, &sup2;National Research Center, Cairo, EgyptBackground: The purpose of this study was to determine the epidemiology of ocular lesions seen in the ophthalmic casualty room of the largest referral hospital in Egypt over 5 years from 2004 to 2008.Methods: This epidemiologic database study used the medical records at Cairo University Hospital. Data were recorded using the ICD10 classification. Statistical analysis was based on diagnosis, age, gender, residential area, and year of admission.Results: Over 5 years, 8361 ocular emergencies were admitted as inpatients. Open globe injuries were the most prevalent, comprising 33.46% of emergencies. Most cases were males (69%), in whom the most frequent lesions were open globe injuries, infective keratitis, and lid injuries. The most common ocular emergencies in females were open globe injuries, infective keratitis, endophthalmitis, and glaucoma. The age group 6&ndash;16 years accounted for 24% of emergencies, and patients over 45 years accounted for 26.8%. Under the age of 45 years, the most common lesions were open globe injuries (36%), and over this age, the most common lesions were infective keratitis (34.4%). Patients from Upper Egypt accounted for 56.2% of emergencies. A superficial corneal foreign body was the most common reason for attending the ophthalmic casualty room, with 24,844 cases seen over the 5 years of the study, all of which were managed as outpatient procedures. Deep corneal foreign bodies were more common than intraocular foreign bodies. The most common ocular hemorrhage was hyphema. The most common type of glaucoma was acute angle closure.Conclusion: Superficial corneal foreign bodies, open globe injuries, and infective keratitis are the main ocular emergencies seen in the Egyptian population. Corneal foreign bodies are mostly the result of occupational accidents in workers not wearing protective goggles. Violent altercations (41.9%), occupational accidents (26.3%), and motor vehicle accidents (24.4%) were the main circumstances involved in open globe injuries. The most common admissions were for open globe injuries under the age of 45 years and infective keratitis above this age. Upper Egypt was the main referring geographic area.Keywords: ocular casualties, foreign body, open globe, infective keratitis, lid injuries
format	article
author	El-Mekawey HE Abu El Einen KG Abdelmaboud M Khafagy A Eltahawy EM
author_facet	El-Mekawey HE Abu El Einen KG Abdelmaboud M Khafagy A Eltahawy EM
author_sort	El-Mekawey HE
title	Epidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study
title_short	Epidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study
title_full	Epidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study
title_fullStr	Epidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study
title_full_unstemmed	Epidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study
title_sort	epidemiology of ocular emergencies in the egyptian population: a five-year retrospective study
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/3fd83dce4e694908b259c79981dd69b6
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Epidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study

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