{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:14Z","timestamp":1740126854622,"version":"3.37.3"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Globe ruptures are ophthalmological emergencies where the primary diagnosis using a slit lamp is often a challenge.<\/jats:p><jats:p>\n          Objectives The retrospective case study aimed to characterise the predilection sites, the demographic profile and the causes of bursts due to blunt globe trauma.<\/jats:p><jats:p>\n          Materials and Methods The surgical plan of the Eye Centre of the Medical Centre (University of Freiburg) was electronically searched using the keyword \u201cglobe rupture\u201d over a period\n\t\t\t\t\tof 18 years (2000\u200a\u2013\u200a2018). This led to 350 hits, which were scrutinised by hand. 134 globe ruptures due to blunt globe trauma were then identified.<\/jats:p><jats:p>\n          Results The most common predilection sites were the upper nasal and the upper temporal paralimbal zones with 37 and 32% of the examined globe ruptures, respectively. The average age\n\t\t\t\t\tat the time of rupture was 60 (from 2 to 97) years. The median age was 62.5 years. 37% (49\/134) of patients were female. The most frequent causes of accidents were falls (43%), \u201cflying\u201d\n\t\t\t\t\twooden and metal objects (18%) and acts of violence (10%).<\/jats:p><jats:p>\n          Conclusions Special attention should be paid to the upper paralimbal zone in the exploratory primary care of globe ruptures. If the rupture occurred due to \u201cflying\u201d wooden and metal\n\t\t\t\t\tobjects, the posterior sclera burst most frequently. The epidemiological data suggest that targeted prevention against falls for individuals over 60 years and consistent wearing of\n\t\t\t\t\tprotective eyewear when working with wood or metal could reduce the incidence of bulbar bursting. It was also noticeable that acts of violence were the third most frequent cause of rupture,\n\t\t\t\t\talthough woman did not report that they were affected by this. Given the high occurrence of violence against women, shame and stigma may lead to an incorrect inquiry about the cause of the\n\t\t\t\t\taccident. This could be mitigated by training employees specifically to take a sensitive history.<\/jats:p>","DOI":"10.1055\/a-1521-5124","type":"journal-article","created":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T23:58:06Z","timestamp":1635983886000},"page":"1248-1258","source":"Crossref","is-referenced-by-count":0,"title":["The Upper Paralimbal Zone is Especially Susceptible to Ruptures Due to Blunt Trauma"],"prefix":"10.1055","volume":"239","author":[{"given":"Lea","family":"Osterried","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Freiburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9746-0078","authenticated-orcid":false,"given":"Markus","family":"Gruber","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Freiburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"B\u00f6hringer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Freiburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hansj\u00fcrgen","family":"Agostini","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Freiburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Reinhard","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Freiburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,3]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1001\/archopht.1989.01070010533025","article-title":"Time trends in the incidence of hospitalized ocular trauma","volume":"107","author":"J M Tielsch","year":"1989","journal-title":"Arch Ophthalmol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1055\/s-2004-813254","article-title":"Epidemiologie bulbus\u00f6ffnender Augenverletzungen: Analyse von 1026 F\u00e4llen \u00fcber 18 Jahre","volume":"221","author":"W F Schrader","year":"2004","journal-title":"Klin Monbl Augenheilkd"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/s0896-1549(02)00004-4","article-title":"Birmingham Eye Trauma Terminology (BETT): terminology and classification of mechanical eye injuries","volume":"15","author":"F Kuhn","year":"2002","journal-title":"Ophthalmol Clin North Am"},{"key":"ref5","first-page":"170","volume-title":"Ophthalmologische Traumatologie: Textbuch und Atlas","author":"J M Rohrbach","year":"2002"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1016\/s0002-9394(14)71132-8","article-title":"A system for classifying mechanical injuries of the eye (globe). 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Faktenblatt zu GEDA 2010: Ergebnisse der Studie \u201eGesundheit in Deutschland aktuell 2010\u201c","year":"2016","author":"A-C Sa\u00df","key":"ref7"},{"key":"ref8","first-page":"280","volume-title":"Injury to the postsurgical Eye","author":"P F Vinger","year":"2002"},{"volume-title":"Ocular Traumatology","year":"2008","author":"F Kuhn","key":"ref9"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"100773","DOI":"10.1016\/j.preteyeres.2019.100773","article-title":"Scleral structure and biomechanics","volume":"74","author":"C Boote","year":"2020","journal-title":"Prog Retin Eye Res"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/j.actbio.2018.03.026","article-title":"Collagen fiber recruitment: A microstructural basis for the nonlinear response of the posterior pole of the eye to increases in intraocular pressure","volume":"72","author":"N J Jan","year":"2018","journal-title":"Acta Biomater"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"624","DOI":"10.1016\/j.exer.2010.02.010","article-title":"Regional variation in the biomechanical properties of the human sclera","volume":"90","author":"A Elsheikh","year":"2010","journal-title":"Exp Eye Res"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1001\/archophthalmol.2008.614","article-title":"High-Rate Internal Pressurization of Human Eyes to Predict Globe Rupture","volume":"127","author":"J A Bisplinghoff","year":"2009","journal-title":"Arch Ophthalmol"},{"volume-title":"Static and Dynamic Stress\/Strain Properties for Human and Porcine Eyes [Thesis]","year":"2003","author":"K D Voorhies","key":"ref14"},{"key":"ref15","first-page":"290","article-title":"Deformation of the globe under high-speed impact: it relation to contusion injuries","volume":"8","author":"F Delori","year":"1969","journal-title":"Invest Ophthalmol"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1016\/0002-9394(66)91326-2","article-title":"Peripheral fundus changes associated with ocular contusion","volume":"62","author":"D T Weidenthal","year":"1966","journal-title":"Am J Ophthalmol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/j.jmbbm.2012.10.011","article-title":"Age-related variations in the biomechanical properties of human sclera","volume":"16","author":"B Geraghty","year":"2012","journal-title":"J Mech Behav Biomed Mater"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1016\/0002-9394(88)90005-0","article-title":"Predictors of Scleral Rupture and the Role of Vitrectomy in Severe Blunt Ocular Trauma","volume":"105","author":"S R Russell","year":"1988","journal-title":"Am J Ophthalmol"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1606","DOI":"10.1038\/eye.2016.194","article-title":"Clinical characteristics and prognostic factors of scleral rupture due to blunt ocular trauma","volume":"30","author":"O E Yucel","year":"2016","journal-title":"Eye (Lond)"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1001\/archopht.1978.03910050120003","article-title":"Indirect traumatic rupture of the globe","volume":"96","author":"P MH Cherry","year":"1978","journal-title":"Arch Ophthalmol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1055\/s-2003-37577","article-title":"[Globe rupture after blunt ocular trauma-editorial to: Wenzel M, Aral H. 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