Abstract
Purpose :
To evaluate the characteristics and demographics of patients undergoing enucleation after traumatic open globe injuries (OGIs).
Methods :
Cross-sectional observational study using National Inpatient Sample (NIS) data, 2008-2013, of inpatients admitted with a primary diagnosis of OGI who underwent enucleation. Variables included type of OGIs sustained and demographics, specifically sex, age and race of enucleated cases.
Results :
Results: 14,246 inpatients with OGIs were identified of which 392 (2.75%) underwent enucleation. Types of OGIs in the enucleated cohort included 319 (81.4%) penetrating injuries, 18.6 (%) ruptures, 0 (%) IOFBs. Three-fourths of enucleations were in males. The majority (37.2 %), of cases were between 21-40 years of age and fewest (7.9 %) were in the age group over 81 years.
Age distribution summarized in the table below:
In the pediatric population, highest percentage of enucleations was in blacks, followed closely by Caucasians. In adults (age >20 years), the highest percentage of enucleations in every age group was in Causcasians. Caucasians had highest rates of OGIs accross all age groups. Elderly caucasian patients had higher rates of OGIs however there was reversal of this trend in remaining races with patients less than 41 years having majority of OGIs in Blacks, Hispanics and Asians.
Conclusions :
OGIs were most common in elderly caucasians followed by young Blacks, Hispanics and Asians. Enucleations were most common in Caucasians and African Americans. In patients below age 20, African Americans had higher rates of enucleations however Caucasian patients had higher rates of enucleation in older cohorts. In general, enucleations are most common in patients between 21-40 which may be reflective of the severity of injuries sustained in this age group.
This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.