Ophthalmic consultations for incarcerated patients: An 11-year experience at a tertiary care center.

Taylor Kolosky, Urjita Das, Lisa S Schocket, Kenneth J Taubenslag
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Abstract

Introduction: Ophthalmic care of incarcerated individuals is understudied, particularly in the inpatient setting. We evaluated ophthalmic consultation findings, interventions and outcomes at a tertiary care center.

Methods: For this retrospective noncomparative cohort study, data were collected on demographics, diagnoses, interventions, and outcomes for incarcerated patients for whom ophthalmic consultation was ordered at an academic medical center between December 2011 and December 2022.

Results: The study cohort included 163 patients (mean age = 38 years) in custody at Maryland state correctional facilities. The majority of patients were male (95.7 %) and/or Black (71.8 %). The most common reason for consultation was trauma (135 of 163, 82.8 %). Among patients presenting for trauma, the mechanism of injury was documented as assault in 117 cases (86.7 %). Among trauma patients, 56 (41 %) required surgical intervention. In total, 20 open reduction and internal fixation of orbital fractures, 11 open globe repairs, and 36 eyelid laceration repairs, as well as 3 other surgeries (anterior chamber washout, vitrectomy, and placement of an orbital implant after autoenucleation) were performed. Loss to follow-up was high; 68 patients (42 %) had no follow-up visits despite recommendations for follow-up at discharge.

Conclusion: Ocular trauma was the most common reason for ophthalmic consultation for incarcerated patients in the hospital setting, accounting for >80 % of consults. Over 40 % of prisoners presenting for ocular trauma required surgery. Even in the custody of the state, inmates are not protected from ocular trauma. These findings suggest a need for creative, humane interventions and policy initiatives to address violence in correctional facilities.

监禁患者的眼科咨询:在三级保健中心11年的经验。
简介:被监禁的人的眼科护理研究不足,特别是在住院设置。我们评估了三级保健中心的眼科咨询结果、干预措施和结果。方法:在这项回顾性非比较队列研究中,收集了2011年12月至2022年12月期间在学术医疗中心进行眼科咨询的被监禁患者的人口统计学、诊断、干预和结果的数据。结果:研究队列包括163名患者(平均年龄= 38岁),被关押在马里兰州惩教机构。大多数患者为男性(95.7%)和/或黑人(71.8%)。最常见的咨询原因是创伤(163人中有135人,占82.8%)。在外伤患者中,117例(86.7%)的损伤机制被记录为攻击。在创伤患者中,56例(41%)需要手术干预。总共进行了20例眶骨折切开复位内固定,11例切开眼球修复,36例眼睑撕裂修复,以及3例其他手术(前房冲洗、玻璃体切除和自体核切除后放置眶内植入物)。随访损失高;68例患者(42%)没有随访,尽管出院时建议随访。结论:眼外伤是住院监禁患者眼科就诊的最常见原因,占就诊人数的80%。超过40%的囚犯因眼部外伤而需要手术。即使在州政府的监护下,囚犯也不能免于眼部创伤。这些发现表明,需要采取创造性的、人道的干预措施和政策举措,以解决教养设施中的暴力问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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