An analysis of the time delay of surgical treatment of ocular trauma at a Tertiary Institution in Johannesburg, South Africa: a 1-year retrospective review
Study Aim: To determine whether patients admitted with open globe injuries are surgically repaired within the 24-hour period after injury. Method: A retrospective, cross-sectional descriptive study of patients who were admitted with ocular trauma at the St John Eye Hospital from 01/01/2014 to 31/12/2014. Results: Five hundred and eighty-three patients with ocular trauma were admitted. Four hundred and sixty-seven patients met the inclusion criteria. Patients <18 years had statistically significant fewer cases delayed post-admission as compared to patients >18 years (12.82% vs 28.46%). The time between injury and surgical treatment was > 24 hours in 89.74% of patients <18 years and 92.31% in patients >18 years. The reasons for delay were insufficient general anaesthetic time, anaesthetic failure, logistical failures and patient factors. Conclusion: Time delay to surgical treatment was mainly as a result of delayed presentation to the health facility. The majority of patients received surgical treatment within 24 hours after admission. The delay in surgical treatment of admitted patients was mainly due to late presentation and system failures.
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Medicine in the branch of Ophthalmology. Johannesburg, 2017.