Puodziuviene Edita, Paunksnis Alvydas
Department of Eye Diseases, Kaunas University of Medicine, Kaunas, Lithuania.
Medicina (Kaunas). 2007;43(8):637-46.
To evaluate sociodemographic aspects and risk factors of severe open-globe ocular injuries.
We present data from prospective study of 315 patients with severe open-globe ocular injuries, meeting inclusion criteria.
The patients in our series were predominantly male (92.70%). The male to female ratio was 12.7:1. Almost 27% of the patients were from the age group of 30-39 years. Home (53.65%), streets and highways (19.05%) were the most common place of injury, followed by industrial premises (11.11%), agricultural activities (8.25%), recreation and sports (5.40%); 15.56% of cases were work-related. Sharp objects (43.17%) and hammering on metal (24.44%) were the two major causes of injury. Alcohol intoxication was observed in 13.65% of cases. Severe open-globe eye injuries were classified into four categories: penetrating injuries (56.83%), perforating injuries (2.54%), globe ruptures (12.38 %), and IOFB injuries (28.25%). Males suffered significantly more often than females in the age of 20-29 (OR=1.39+/-95% CI 1.10-1.75, P<0.01) and 30-39-year (OR=1.75+/-95% PI 1.45-2.22, P<0.01). Risk factors of severe open-globe eye injuries for male gender were living in urban setting (P=0.001), alcohol use (P=0.001), occupation--unemployed (P=0.001) and retired persons (P=0.011).
Risk factors for male gender to sustain severe open-globe eye injury were living in urban setting, alcohol use, and occupation (unemployed and retired persons).
评估严重开放性眼球损伤的社会人口学特征及危险因素。
我们展示了对315例符合纳入标准的严重开放性眼球损伤患者进行前瞻性研究的数据。
我们研究系列中的患者以男性为主（92.70%）。男女比例为12.7:1。近27%的患者年龄在30 - 39岁之间。家中（53.65%）、街道和公路（19.05%）是最常见的受伤地点，其次是工业场所（11.11%）、农业活动（8.25%）、娱乐和体育（5.40%）；15.56%的病例与工作有关。锐器（43.17%）和敲打金属（24.44%）是两大主要致伤原因。13.65%的病例存在酒精中毒情况。严重开放性眼球损伤分为四类：穿透伤（56.83%）、穿通伤（2.54%）、眼球破裂（12.38%）和眼内异物伤（28.25%）。在20 - 29岁（OR = 1.39±95% CI 1.10 - 1.75，P < 0.01）和30 - 39岁年龄段（OR = 1.75±95% PI 1.45 - 2.22，P < 0.01），男性受伤的频率明显高于女性。男性发生严重开放性眼球损伤的危险因素包括居住在城市环境（P = 0.001）、饮酒（P = 0.001）、职业——失业者（P = 0.001）和退休人员（P = 0.011）。
男性发生严重开放性眼球损伤的危险因素包括居住在城市环境、饮酒以及职业（失业者和退休人员）。
