Accident and Emergency Department, Wishaw General Hospital, 50 Netherton Street, Wishaw, ML2 0DP, UK.
Occup Med (Lond). 2009 Mar;59(2):123-5. doi: 10.1093/occmed/kqn168. Epub 2009 Jan 7.
Ocular trauma is a worldwide cause of visual morbidity, a significant proportion of which occurs in the workplace. This is largely preventable with the use of protective eyewear and strict compliance.
To analyse the type of occupational eye injuries that occur and to document the use of eye protection in patients presenting to a UK district general hospital.
A pilot retrospective case note analysis of all ocular injuries seen in one calendar month was performed. A prospective survey of consecutive occupational ocular injuries presenting to this district general accident and emergency (A&E) department over a 2-month period was then carried out. Demographics, aetiology, eye protection usage and clinical details were recorded and analysed.
Of all eye patients attending this A&E, 31% (87/283) were due to occupational eye injuries. Of 55 prospectively reviewed patients with occupational eye injuries, the majority had minor injuries. Of the cases where eye protection was recorded, 56% (18/32) were not wearing any protection and 44% (14/32) wore eye protection at the time of injury.
Occupational eye injuries are a commonly seen ocular complaint in the A&E department. Provision of appropriate eyewear protection and worker education is required to minimize the incidence of ocular injury in the workplace.
眼外伤是全球范围内导致视力受损的一个主要原因，其中相当一部分发生在工作场所。通过使用防护眼镜并严格遵守相关规定，大部分眼外伤是可以预防的。
分析在英国一家地区综合医院就诊的患者中发生的职业性眼外伤类型，并记录眼保护装置的使用情况。
对一个月内所有眼部损伤的病例进行了前瞻性回顾性病例分析。随后对该地区综合急症室在两个月内连续发生的职业性眼部损伤进行了前瞻性调查。记录并分析了人口统计学、病因、眼部保护装置使用情况和临床详细信息。
在所有到该急症室就诊的眼部患者中，31%（87/283）是职业性眼部损伤。在 55 例前瞻性回顾的职业性眼部损伤患者中，大多数为轻度损伤。在记录到眼部保护装置使用情况的病例中，56%（18/32）未佩戴任何保护装置，44%（14/32）在受伤时佩戴了眼部保护装置。
职业性眼部损伤是急症室常见的眼部疾病。需要提供适当的眼部防护设备和对工人进行教育，以最大程度地减少工作场所眼部损伤的发生。
