{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:01:02Z","timestamp":1780524062341,"version":"3.54.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               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.<\/jats:p><jats:p>\n               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.<\/jats:p><jats:p>\n               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.<\/jats:p><jats:p>\n               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.<\/jats:p><jats:p>\n               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.<\/jats:p>","DOI":"10.1055\/a-2364-2461","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T07:48:01Z","timestamp":1728546481000},"page":"1145-1155","source":"Crossref","is-referenced-by-count":1,"title":["Eye Injury Incidence in Germany from 2008 to 2022: An Analysis of Hospital Quality Reports"],"prefix":"10.1055","volume":"241","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5324-7002","authenticated-orcid":false,"given":"Stefan J.","family":"Lang","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Brandenburg an der Havel, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"B\u00f6hringer","sequence":"additional","affiliation":[{"name":"Augenklinik, Universit\u00e4tsklinikum Freiburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansj\u00fcrgen","family":"Agostini","sequence":"additional","affiliation":[{"name":"Augenklinik, Universit\u00e4tsklinikum Freiburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Kuklinski","sequence":"additional","affiliation":[{"name":"Augenklinik, Universit\u00e4tsklinikum Freiburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Reinhard","sequence":"additional","affiliation":[{"name":"Augenklinik, Universit\u00e4tsklinikum Freiburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette","family":"Sturm","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Brandenburg an der Havel, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hien","family":"Le-Deffge","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Brandenburg an der Havel, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelie","family":"Gabel-Pfisterer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Brandenburg an der Havel, Deutschland"},{"name":"Klinik f\u00fcr Augenheilkunde, Klinikum Ernst von Bergmann gGmbH, Potsdam, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1098\/rstb.2010.0234","article-title":"The injured eye","volume":"366","author":"R Scott","year":"2011","journal-title":"Philos Trans R Soc Lond B Biol Sci"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1016\/j.injury.2020.09.064","article-title":"Prognostic factors and long-term outcomes of eye-globe perforation: eye injury vitrectomy study","volume":"52","author":"K Feng","year":"2021","journal-title":"Injury"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1093\/milmed\/usab233","article-title":"The Impact of Combat Ocular Trauma and Traumatic Brain Injury on Vision- and Health-Related Quality of Life Among U.S. Military Casualties","volume":"187","author":"R K Sia","year":"2022","journal-title":"Mil Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1038\/eye.2013.213","article-title":"The incidence of serious eye injury in Scotland: a prospective study","volume":"28","author":"D S Morris","year":"2014","journal-title":"Eye (Lond)"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1001\/archopht.123.5.662","article-title":"Incidence of emergency department-treated eye injury in the United States","volume":"123","author":"G McGwin jr.","year":"2005","journal-title":"Arch Ophthalmol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1016\/j.jcjo.2012.03.005","article-title":"The incidence of eye injuries in Canada","volume":"47","author":"K D Gordon","year":"2012","journal-title":"Can J Ophthalmol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1362","DOI":"10.1038\/s41433-019-0456-5","article-title":"An update on chemical eye burns","volume":"33","author":"M Bizrah","year":"2019","journal-title":"Eye (Lond)"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1055\/s-2008-1045646","article-title":"[Chemical and thermal eye burns in the residential area of RWTH Aachen. 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