Oluyemi Fasina
Department of Ophthalmology, University College Hospital, Ibadan, Oyo State, Nigeria.
Middle East Afr J Ophthalmol. 2011 Apr;18(2):159-63. doi: 10.4103/0974-9233.80706.
To assess risk factors associated with the occurrence of penetrating ocular injuries among patients presenting to an eye hospital at Ibadan, Nigeria.
All cases of penetrating ocular injury presenting over a 10 - year period, were identified by retrospective chart review. All current cases of penetrating ocular injury identified were included. All information was obtained retrospectively from the medical records.
The cohort consisted of 135 cases. The follow-up was for an average period of 24.6 weeks (range, 12-312 weeks). Injuries were most likely to occur at home, in a domestic setting (58%). The most common mechanism of injury was projectile missiles hitting the eye. The age range for injuries was 9 months to 70 years. Penetrating ocular injury was most frequent in the 20-29 years group (31.9%) followed by the 0-9 years age group (31.1%). Males were more frequently involved than females (ratio 4:1). The final acuity was better than 6/18 in 14.8% and less than 3/60 in 59.3% of cases.
Penetrating ocular injury occurs, most frequently, in a domestic setting and mostly as a result of working with sharp objects. Preventive measures are recommended to reduce visual disabilities due to ocular injuries.
评估尼日利亚伊巴丹一家眼科医院就诊患者中与穿透性眼外伤发生相关的危险因素。
通过回顾性病历审查确定10年间所有穿透性眼外伤病例。纳入所有确诊的当前穿透性眼外伤病例。所有信息均从病历中回顾性获取。
该队列包括135例病例。随访平均时长为24.6周(范围12 - 312周)。损伤最常发生在家中,即家庭环境中(58%)。最常见的损伤机制是投射物击中眼睛。损伤的年龄范围为9个月至70岁。穿透性眼外伤在20 - 29岁组最为常见(31.9%),其次是0 - 9岁年龄组(31.1%)。男性受累比女性更频繁(比例为4:1)。最终视力在14.8%的病例中优于6/18,在59.3%的病例中低于3/60。
穿透性眼外伤最常发生在家庭环境中,主要是由于使用尖锐物体所致。建议采取预防措施以减少因眼外伤导致的视力残疾。