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眼外伤模式

Patterns of ocular trauma.

作者信息

Babar Tariq Farooq, Khan Muhammad Tariq, Marwat Mir Zaman, Shah Shafqat Ali, Murad Yasir, Khan Mohammad Daud

机构信息

Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar.

出版信息

J Coll Physicians Surg Pak. 2007 Mar;17(3):148-53.

Abstract

OBJECTIVE

To describe the patterns of ocular trauma, cause of injury and its effects on eye.

DESIGN

A retrospective case series.

PLACE AND DURATION OF STUDY

Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar, from January 1999 to June 2004.

PATIENTS AND METHODS

Medical records of 1105 patients admitted with ocular trauma were reviewed. The details of patients regarding age, gender, literacy, cause of injury and its effects on eye were entered into specially-designed performa. Sample selection consisted of all patients with history of ocular trauma and who were admitted to hospital. Population details consisted patients who were referred to the hospital from all parts of N.W.F.P. Thus, the frequency of trauma in the hospital admissions was analysed.

RESULTS

Ophthalmic trauma comprised 6.78% of the hospital admission. One thousand one hundred and five patients presented with eye injuries. Out of them, 21 patients suffered from trauma to both eyes. Almost 80% patients were male and 69% patients were below 30 years of age. Delayed presentation was more common and 63.61% patients presented after one week. Open globe injuries were more common [520 eyes (46.18%)] than closed globe injuries [484 eyes (42.98%)]. 23.26% of open globe injuries were associated with intraocular and intra-orbital foreign bodies. Superficial non-perforating, eyelid and adnexal and burns were seen in 122 eyes (10.83%). Among the complications, lens damage and hyphema was seen in more than 50% of the patients, 16.60% eyes were infected at the time of admission and 4.88% of eyes needed enucleation or evisceration. The common causes of injury were violence in 37.37%, occupational in 24.43% and domestic accidents in 19.18%.

CONCLUSION

Ophthalmic trauma is a major public health problem. Majority of the involved are male and under 30 years of age. Delayed presentation is more common. Open globe injuries are more frequent. Violence and occupational injuries are the major causes.

摘要

目的

描述眼外伤的模式、损伤原因及其对眼睛的影响。

设计

一项回顾性病例系列研究。

研究地点和时间

开伯眼科医学研究所,白沙瓦哈亚塔巴德医疗中心,1999年1月至2004年6月。

患者与方法

回顾了1105例因眼外伤入院患者的病历。将患者的年龄、性别、文化程度、损伤原因及其对眼睛的影响等详细信息录入专门设计的表格。样本选择包括所有有眼外伤史且入院的患者。总体详情包括从西北边境省各地转诊至该医院的患者。因此,分析了医院入院患者中的外伤频率。

结果

眼外伤占医院入院患者的6.78%。1105例患者眼部受伤。其中,21例患者双眼受伤。几乎80%的患者为男性,69%的患者年龄在30岁以下。延迟就诊较为常见,63.61%的患者在一周后就诊。开放性眼球损伤[520眼(46.18%)]比闭合性眼球损伤[484眼(42.98%)]更常见。23.26%的开放性眼球损伤伴有眼内和眶内异物。122眼(10.83%)出现浅表非穿孔性、眼睑及附属器损伤和烧伤。在并发症中,超过50%的患者出现晶状体损伤和前房积血,16.60%的眼睛在入院时感染,4.88%的眼睛需要眼球摘除或眼内容物剜除术。常见的损伤原因是暴力占37.37%,职业性损伤占24.43%,家庭事故占19.18%。

结论

眼外伤是一个主要的公共卫生问题。受累者大多数为男性且年龄在30岁以下。延迟就诊较为常见。开放性眼球损伤更为频繁。暴力和职业性损伤是主要原因。

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