{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:48:04Z","timestamp":1777481284284,"version":"3.51.4"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,1,10]],"date-time":"2019-01-10T00:00:00Z","timestamp":1547078400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      Corneal and conjunctival injuries (\n                      <jats:styled-content style=\"fixed-case\">CCI<\/jats:styled-content>\n                      ) comprise a large portion of the cases presenting to hospital\u2010based emergency departments (\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      ) with ocular involvement. Urgent Care Centres (\n                      <jats:styled-content style=\"fixed-case\">UCC<\/jats:styled-content>\n                      ) offer community based emergency care at lower cost than hospital\u2010based emergency departments (\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      ) and with greater temporal convenience than primary care office settings. While\n                      <jats:styled-content style=\"fixed-case\">CCI<\/jats:styled-content>\n                      prevalence and treatment at hospital\u2010based\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      s has been well studied, this is the first report, to our knowledge, on\n                      <jats:styled-content style=\"fixed-case\">CCI<\/jats:styled-content>\n                      demographics and aetiology presenting to\n                      <jats:styled-content style=\"fixed-case\">UCC<\/jats:styled-content>\n                      s.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective study was approved by the institutional ethics committee. The setting is a\n                      <jats:styled-content style=\"fixed-case\">UCC<\/jats:styled-content>\n                      system in Israel, modelled on\n                      <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>\n                      urgent care facilities, consisting of 17 branches at the time of the study. Electronic medical record data (between November 1, 2015 and October 31, 2016) of patients diagnosed with corneal disorder, foreign body or eye disorder were retrieved and reviewed for inclusion\/exclusion criteria. Data collected included gender, age, chief complaint, diagnosis, treatment and discharge status (sent home or referred to\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      ). International Classification of Diseases, Ninth Revision (\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u20109) codes were assigned to each record based on a review of all fields.\n                      <jats:styled-content style=\"fixed-case\">UCC<\/jats:styled-content>\n                      results were compared to all\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      patients in Israel using data from a public report. Data were analysed by descriptive statistics and logistic regression analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 602\u00a0074 charts screened, 4797 patients presented with\n                      <jats:styled-content style=\"fixed-case\">CCI<\/jats:styled-content>\n                      (0.8%). The average age was 32.6\u00a0\u00b1\u00a018.2\u00a0years and 71.3% were male. Among these, 26.4% were referred to the\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      compared to 6.8% from the entire\n                      <jats:styled-content style=\"fixed-case\">UCC<\/jats:styled-content>\n                      cohort.\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u20109 code Foreign body (\n                      <jats:styled-content style=\"fixed-case\">FB<\/jats:styled-content>\n                      ) of the eye was the most common cause of\n                      <jats:styled-content style=\"fixed-case\">CCI<\/jats:styled-content>\n                      (56.5%) followed by the following\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u20109 codes: trauma (18.1%), chemical in the eye (11.1%) and corneal disorder due to a contact lens (5.1%). Logistic regression analyses showed the following risk factors for\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      referral: age (22\u201364), male gender,\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u20109 code\n                      <jats:styled-content style=\"fixed-case\">FB<\/jats:styled-content>\n                      , work\u2010related injury and the presence of a clinical abrasion in the eye.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The aetiology of ocular injury at\n                      <jats:styled-content style=\"fixed-case\">UCC<\/jats:styled-content>\n                      is similar to previous studies of\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      . Most\n                      <jats:styled-content style=\"fixed-case\">CCI<\/jats:styled-content>\n                      can be treated at\n                      <jats:styled-content style=\"fixed-case\">UCC<\/jats:styled-content>\n                      saving\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      resources and underscores the importance of this mode of health care delivery in the overall health system.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.12600","type":"journal-article","created":{"date-parts":[[2019,1,10]],"date-time":"2019-01-10T07:12:24Z","timestamp":1547104344000},"page":"46-52","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Corneal and conjunctival injury seen in urgent care centres in Israel"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7698-3408","authenticated-orcid":false,"given":"Deena R","family":"Zimmerman","sequence":"first","affiliation":[{"name":"TEREM Emergency Medical Centers Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7842-5071","authenticated-orcid":false,"given":"Einat","family":"Shneor","sequence":"additional","affiliation":[{"name":"Department of Optometry Hadassah Academic College Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Millodot","sequence":"additional","affiliation":[{"name":"School of Optometry and Vision Sciences Cardiff University Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1946-832X","authenticated-orcid":false,"given":"Ariela","family":"Gordon\u2010Shaag","sequence":"additional","affiliation":[{"name":"Department of Optometry Hadassah Academic College Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,1,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2013.02.003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2015.10.032"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2015.5778"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1076\/opep.6.3.159.1505"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2015.7"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.07.020"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-010-9401-0"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.116.9.1222"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/09286586.2014.928825"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3341\/kjo.2004.18.1.70"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.12.039"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/2045-4015-2-38"},{"key":"e_1_2_7_14_1","unstructured":"The Royal College of Emergency Medicine and The Patients Association.Time to Act\u2014Urgent Care and A&E: the patient perspective.2015[cited 2018]. 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