Soylu Merih, Sizmaz Selcuk, Cayli Sibel
Department of Ophthalmology, University of Cukurova, School of Medicine, Adana, Turkey.
Int Ophthalmol. 2010 Apr;30(2):143-8. doi: 10.1007/s10792-009-9300-4. Epub 2009 Feb 4.
To evaluate the epidemiology and outcome of ocular trauma in southern Turkey.
Patients referred to the University of Cukurova, School of Medicine, Department of Ophthalmology, with ocular trauma during the last two years were reviewed retrospectively. Age and gender of patients, type of injury, cause of injury, place where injury occurred, initial and final visual acuities, and final outcome were analyzed.
Medical records of 250 patients (four bilateral injuries), aged between three months and ninety years were reviewed. Ocular trauma mostly occurred between 0 and 15 years and a male preponderance (76.8%) was evident. There were 72% open-globe injuries, corneal and/or scleral penetration being the most common injury type. Metallic objects were the main cause of injury (32.4%). Fifty percent of injuries happened in streets. Closed-globe and self-sealing corneal injuries were found to have the best prognosis in terms of final outcome (57.6% and 57.9%, respectively; P < 0.001 for both). Initial visual acuity was found to be a significant predictor of final visual acuity (P < 0.001). Endophthalmitis was significantly associated with metallic objects (P < 0.005).
Eye injury is still a common and avoidable cause of blindness. Our findings suggest that any person in the population can be subject to ocular trauma at any time. Prognosis might be challenging. Education, attention, and safety precautions would help in reducing ocular morbidity.
评估土耳其南部眼外伤的流行病学情况及预后。
回顾性分析过去两年间转诊至库库洛瓦大学医学院眼科的眼外伤患者。分析患者的年龄、性别、损伤类型、损伤原因、损伤发生地点、初始和最终视力以及最终预后。
对250例患者（4例双侧损伤）的病历进行了回顾，患者年龄在3个月至90岁之间。眼外伤大多发生在0至15岁之间，男性占优势（76.8%）。开放性眼球损伤占72%，角膜和/或巩膜穿孔是最常见的损伤类型。金属物体是主要的致伤原因（32.4%）。50%的损伤发生在街道上。就最终预后而言，闭合性眼球损伤和角膜自封性损伤预后最佳（分别为57.6%和57.9%；两者P均<0.001）。发现初始视力是最终视力的重要预测指标（P<0.001）。眼内炎与金属物体显著相关（P<0.005）。
眼外伤仍然是常见且可避免的致盲原因。我们的研究结果表明，人群中的任何人都可能在任何时候遭受眼外伤。预后可能具有挑战性。教育、关注和安全预防措施将有助于降低眼部发病率。
