Open globe injuries are associated with an increased risk for anxiety and depression, according to a poster at the American Society of Ophthalmic Plastic and Reconstructive Surgery meeting. Justin Hellman, MD, and colleagues completed a cross-sectional survey and retrospective review of 654 patients who presented with open globe injuries at UC Davis between Jan. 1, 2008, and April 1, 2019; 124 patients provided verbal consent for a phone interview and chart review. The researchers used sociodemographic data and the Hospital Anxiety and Depression Scale (HADS) to calculate anxiety and depression in patients. A score of 8 or higher was considered positive for anxiety or depression.
At the time of the interview, 37.9% of patients were found to have anxiety and 28.2% had depression. By comparison, the 12-month prevalence estimate in the United States population is 2% for anxiety and 8.6% for depression. Using linear regression analysis, patients who were younger in age (P = .002) or unemployed (P = .04) were at a statistically significant higher risk for developing anxiety due to their injury. Patients bothered by their appearance after the injury (P < .001) and those who did not graduate from high school (P < .001) were at a statistically significant higher risk for developing depression after their injury