Eye Injury Incidence in Germany from 2008 to 2022: An Analysis of Hospital Quality Reports

Abstract

Background Eye injuries range from minor to severe and may lead to permanent visual impairment. There is still little in the way of epidemiological data on eye injuries in Germany.

Aim The aim of this study was to obtain an objective record of minor and severe eye injuries in Germany by evaluating hospital quality reports. We also investigated the relevance of injuries from fireworks in relation to the total number of eye injuries and the general population.

Methods This retrospective routine data study entailed analysing hospital quality reports from 2008 to 2022 in XML format. The R programming language was used for data processing and statistical analysis. The number of ICD-coded eye injuries was exported and analysed together with location data. We also included data from a prospective survey study on fireworks-related eye injuries from 2016 to 2023.

Results Eyeball and/or orbital contusions are the most common eye injuries treated in Germany at up to 2,500 cases per year. The most severe injuries comprise traumatic globe rupture with loss of intraocular tissue at up to 990 cases per year. Numbers of eye injuries of any type have been declining since 2020. As a percentage of population, Mecklenburg-Western Pomerania treats the most eye injuries at up to 0.017%; in absolute numbers, North Rhine-Westphalia leads the country at up to 1,600 injuries. Private firework displays are probably responsible for 1.4% of annual globe ruptures and 8.3% of eyeball contusions.

Conclusion Our analysis of hospital quality reports has provided the first comprehensive epidemiological record on eye injuries in Germany. Firework-related injuries account for a relevant proportion of total injuries. These results could serve as a basis for preventive measures and health policy decisions.

Keywords

injury - burn - routine data - health services research

Publication History

Received: 19 June 2024

Accepted: 05 July 2024

Article published online:
09 October 2024

• Literatur

• 1 Scott R. The injured eye. Philos Trans R Soc Lond B Biol Sci 2011; 366: 251-260
• 2 Feng K, Xie X, Chen HJ. et al. Prognostic factors and long-term outcomes of eye-globe perforation: eye injury vitrectomy study. Injury 2021; 52: 286-291
• 3 Sia RK, Ryan DS, Brooks DI. et al. The Impact of Combat Ocular Trauma and Traumatic Brain Injury on Vision- and Health-Related Quality of Life Among U.S. Military Casualties. Mil Med 2022; 187: 209-215
• 4 Morris DS, Willis S, Minassian D. et al. The incidence of serious eye injury in Scotland: a prospective study. Eye (Lond) 2014; 28: 34-40
• 5 McGwin jr. G, Owsley C. Incidence of emergency department-treated eye injury in the United States. Arch Ophthalmol 2005; 123: 662-666
• 6 Gordon KD. The incidence of eye injuries in Canada. Can J Ophthalmol 2012; 47: 351-353
• 7 Bizrah M, Yusuf A, Ahmad S. An update on chemical eye burns. Eye (Lond) 2019; 33: 1362-1377
• 8 Kuckelkorn R, Luft I, Kottek AA. et al. [Chemical and thermal eye burns in the residential area of RWTH Aachen. Analysis of accidents in 1 year using a new automated documentation of findings]. Klin Monbl Augenheilkd 1993; 203: 34-42
• 9 Gabel-Pfisterer A, Böhringer D, Agostini H. et al. [3-year results of the German nationwide survey on eye injuries caused by fireworks]. Ophthalmolologe 2019; 116: 1138-1151
• 10 Gabel-Pfisterer A, Böhringer D, Agostini H. et al. [Pandemic-related sales ban of fireworks in Germany leads to a significant reduction of firework-related eye injuries]. Ophthalmologie 2022; 119: 1257-1266
• 11 Lang SJ, Wenzel M, Böhringer D. et al. [Systematic analysis of the annual quality reports of the Federal Joint Committee with regard to cataract surgery]. Klin Monbl Augenheilkd 2014; 231: 1115-1119
• 12 Daniel MC, Böhringer D, Reinhard T. et al. Die Bedeutung der Krankenhäuser für die Versorgung von Patienten mit Katarakt in Deutschland: Systematische Auswertung der Krankenhausqualitätsberichte der Jahre 2006 bis 2016. Klin Monbl Augenheilkd 2019; 236: 964-968
• 13 Bucher F, Daniel MC, Böhringer D. et al. [Scleral Buckling Surgery in Germany for Rhegmatogenous Retinal Detachment: A Spirit of the Past or Current Practice?]. Klin Monbl Augenheilkd 2020; 237: 780-786
• 14 Daniel MC, Böhringer D, Lapp T. et al. [Keratoplasty in Germany: Systematic Analysis of the Quality Reports of German Hospitals between 2006 and 2017]. Klin Monbl Augenheilkd 2021; 238: 288-292
• 15 Luebke J, Boehringer D, Anton A. et al. Trends in Surgical Glaucoma Treatment in Germany Between 2006 and 2018. Clin Epidemiol 2021; 13: 581-592
• 16 Luebke J, Böhringer D, Evers C. et al. Glaucoma Treatment in German Hospitals in 2019. Klin Monbl Augenheilkd 2023; 240: 86-91
• 17 White ML, Chodosh J, Jang J. et al. Incidence of Stevens-Johnson Syndrome and Chemical Burns to the Eye. Cornea 2015; 34: 1527-1533