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L. Koo, M.K. Kapadia, R.P. Singh, M.P. Hatton; Gender Differences in Open Globe Injuries . Invest. Ophthalmol. Vis. Sci. 2003;44(13):820.
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Purpose: Little data exist regarding the epidemiology of open globe injuries. We hypothesized that the incidence and patterns of open globe injuries might differ between men and women. Methods: Charts of 100 consecutive patients with open globe injuries presenting to the Massachusetts Eye and Ear Infirmary were retrospectively reviewed. The data were analyzed with respect to gender, type of open globe (penetrating, perforation, or rupture), and mechanism (projectile, non-projectile, assault, fall, sports, MVA) of globe injury. Results: 84.0% of patients were men. Men were more likely to suffer from penetrating injuries (78.3%) while women were more likely to suffer from rupture (62.5%). The mechanisms of globe injury differed between men and women: projectile objects accounted for the majority of open globe injuries in men (59.0%) versus none in women. 20.4% of the projectile injuries in men were work-related, and 30.6% occurred during home improvement projects. Compared with men, fall and assault occurred more frequently for women (50% vs. 8% for fall, 25% vs. 2% for assault). Conclusions: The type of open globe injuries differed between men and women. Men were much more likely to suffer from open globe injuries (84.0%) and the majority of these injuries were caused by projectile objects related to work or home improvement projects. Open globe injuries in women were less common (16.0%) and most often resulted from fall and assault.
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