{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:33:46Z","timestamp":1787762026428,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"\n Introduction:<\/jats:title>\n This retrospective cohort study presents the epidemiology of severe firearm-related ophthalmic injury and the level of ophthalmology involvement in the multidisciplinary management of head-and-neck gunshot injuries.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A retrospective study identified 207 patients with firearm-related injuries involving the head and neck treated at an Academic Tertiary Care Institution from 2010 to 2020.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Ophthalmology consulted on 29% of patients with head-and-neck firearm injuries. At least one of the services managing facial trauma (plastic surgery and otolaryngology) consulted on 71.5% of cases (\n P<\/jats:italic>\n < 0.001). Of patients evaluated by ophthalmology, 93.3% survived to discharge; 78.2% of patients who were not evaluated survived to discharge (\n P<\/jats:italic>\n = 0.009). Ophthalmology consulted on all patients with open globe injury (10.6%) (\n P<\/jats:italic>\n < 0.001), all of which were evaluated by the facial trauma service (\n P<\/jats:italic>\n = 0.002), 77.3% by otolaryngology (\n P<\/jats:italic>\n = 0.42), 50% by neurosurgery, 36.4% by plastic surgery, 13.6% by orthopedic surgery, and 4.5% by vascular surgery. Ophthalmology consulted on 76.5% of patients with orbital fracture (32.9%) (\n P<\/jats:italic>\n < 0.001); 83.8% were evaluated by the facial trauma service (\n P<\/jats:italic>\n = 0.006), 69.1% by otolaryngology (\n P<\/jats:italic>\n = 0.014), 54.4% by neurosurgery, 27.9% by plastic surgery, 10.3% by orthopedic surgery, and 2.9% by vascular surgery. For patients with orbital fractures, 92.3% survived when ophthalmology was consulted (\n P<\/jats:italic>\n = 0.698); 43.8% survived when not consulted (\n P<\/jats:italic>\n = 0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Firearm-related injuries of the head and neck frequently involve ocular and orbital structures, often causing serious vision-threatening injuries. Multispecialty management is common and early ophthalmology specialist evaluation and co-management are indicated to best identify ophthalmic injuries.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jets.jets_165_21","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T03:00:14Z","timestamp":1688094014000},"page":"43-47","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Utilization of Ophthalmic Management in Patients with Head-and-Neck Trauma Secondary to Firearms"],"prefix":"10.4103","volume":"16","author":[{"given":"Matthew Allen","family":"De Niear","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Vision Science, University of California Davis Health, Sacramento, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent Duong","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision 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