{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:33:04Z","timestamp":1787841184075,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Eye injuries are a significant public health concern, yet data on their burden in South Indian communities remains scarce. This study assessed the annual rates of eye injuries, evaluated the effectiveness of vision centers (VCs) in their management, and analyzed the cost-benefit impact of these facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis of VC medical records, including all eye injury cases reported at 35 VCs affiliated with a tertiary eye hospital, Madurai, between 2021 and 2022. A cost analysis accounted for patient expenses, including registration and travel from VCs to the base hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the 219,172 outpatients, 6.98% presented with eye injuries, with males comprising 63.9% and females 36.1% of cases. The mean (standard deviation) age of patients was 39 (19.1) years. Individuals under 20 years accounted for 17.5% of cases, while 66.5% occurred in working-age adults (20\u201359 years;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Globe injuries comprised 85.3% of cases, with the remaining 14.7% being periocular injuries. Most injuries (85.8%) were managed at VCs, while the rest (14.2%) required referral to base hospitals. The VCs generated community savings of \u20b95.6 million (US$ 67,233) in travel and registration costs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Eye injuries impose a substantial burden, particularly among working-age adults and individuals under 20 years. VCs effectively manage the majority of cases locally, providing accessible care and significant cost savings for South Indian communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_631_25","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T19:00:14Z","timestamp":1758308414000},"page":"1807-1812","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Eye injury rates and community cost savings through vision centers: Evidence from southern India"],"prefix":"10.4103","volume":"73","author":[{"given":"Vinoth Kumar","family":"Rajendran","sequence":"first","affiliation":[{"name":"Lions Aravind Institute of Community Ophthalmology, Aravind Eye Care System, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanulla Mohammed","family":"Gowth","sequence":"additional","affiliation":[{"name":"Lions Aravind Institute of Community Ophthalmology, Aravind Eye Care System, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin","family":"Balasubramanian","sequence":"additional","affiliation":[{"name":"Department of Cornea, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akkayasamy","family":"Kowsalya","sequence":"additional","affiliation":[{"name":"Department of Neuro Ophthalmology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iswarya","family":"Mani","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanil","family":"Joseph","sequence":"additional","affiliation":[{"name":"Lions Aravind Institute of Community Ophthalmology, Aravind Eye Care System, Madurai, Tamil Nadu, India"},{"name":"Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia"},{"name":"Department of Surgery (Ophthalmology), The University of Melbourne, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thulasiraj D","family":"Ravilla","sequence":"additional","affiliation":[{"name":"Lions Aravind Institute of Community Ophthalmology, Aravind Eye Care System, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"R2-20260419","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1007\/s10792-016-0301-9","article-title":"Effect of eye trauma on mental health and quality of life in children and adolescents","volume":"37","author":"Karaman","year":"2017","journal-title":"Int Ophthalmol"},{"key":"R3-20260419","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s00417-021-05399-3","article-title":"Resource use and economic burden of eye injuries in Southern Finland","volume":"260","author":"Sahraravand","year":"2022","journal-title":"Graefe\u2019s Arch Clin Exp Ophthalmol"},{"key":"R4-20260419","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1001\/jama.2018.8457","article-title":"Injury to the eye","volume":"320","author":"Prasad","year":"2018","journal-title":"JAMA"},{"key":"R5-20260419","doi-asserted-by":"crossref","first-page":"e489","DOI":"10.1016\/S2214-109X(20)30488-5","article-title":"The Lancet Global Health Commission on Global Eye Health: Vision beyond 2020","volume":"9","author":"Burton","year":"2021","journal-title":"Lancet Glob Health"},{"key":"R6-20260419","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1076\/opep.5.3.143.8364","article-title":"The global impact of eye injuries","volume":"5","author":"N\u00e9grel","year":"1998","journal-title":"Ophthalmic Epidemiol"},{"key":"R7-20260419","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1046\/j.1442-9071.2000.00334.x","article-title":"Ocular trauma in an urban population in southern India: The Andhra Pradesh Eye Disease Study","volume":"28","author":"Dandona","year":"2000","journal-title":"Clin Exp Ophthalmol"},{"key":"R8-20260419","first-page":"1778","article-title":"Ocular trauma in a rural south Indian population: The Aravind Comprehensive Eye Survey","volume":"111","author":"Nirmalan","year":"2004","journal-title":"Ophthalmology"},{"key":"R9-20260419","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1016\/j.ophtha.2006.02.020","article-title":"Ocular trauma in a rural population of Southern India. 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