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上个世纪的眼假体:8018 例患者的回顾性分析。

Ocular prostheses in the last century: a retrospective analysis of 8018 patients.

机构信息

Ocularistica Italiana of Rome, Rome, Italy.

出版信息

Eye (Lond). 2013 Jul;27(7):865-70. doi: 10.1038/eye.2013.97. Epub 2013 May 17.

Abstract

PURPOSE

To analyze the clinical characteristics of patients with ocular prosthesis to assess the causes of eye loss in the different genders and age groups, and their incidence over the years.

METHODS

We retrospectively examined the rates of ocular prosthesis application and related causes in the period from 1927 to 2011 in a referral center in Rome, Italy, and compared them over time. We also compared the results within the population in terms of age and gender.

RESULTS

Of 8018 ocular prosthesis wearers, 63% were males and 37% were females, with a mean age of 29 years. The most frequent cause of ocular prosthesis application was a traumatic event (54%), with work-related eye injuries being the most frequent single cause of ocular trauma reported. Other frequent causes were end-stage ocular diseases, tumors, and malformations, without significant differences in gender. Tumors and malformations showed a slight increasing trend over time, while end-stage ocular diseases and work-related injuries remained unchanged, and other traumatic events decreased.

CONCLUSION

The constantly high frequency of ocular prosthesis application for work-related injuries and end-stage ocular diseases suggests that preventive measures for these events have not been addressed accordingly, and might represent a neglected public-health issue.

摘要

目的

分析眼假体患者的临床特征,评估不同性别和年龄组眼丧失的原因及其多年来的发病率。

方法

我们回顾性分析了意大利罗马一家转诊中心 1927 年至 2011 年期间眼假体应用的发生率和相关原因,并进行了随时间的比较。我们还按年龄和性别对人群中的结果进行了比较。

结果

在 8018 名眼假体佩戴者中,63%为男性,37%为女性,平均年龄为 29 岁。眼假体应用最常见的原因是创伤事件(54%),其中与工作相关的眼部损伤是报告的眼部创伤最常见的单一原因。其他常见原因是终末期眼病、肿瘤和畸形,但性别之间无显著差异。肿瘤和畸形呈轻微上升趋势,而终末期眼病和与工作相关的损伤保持不变,其他创伤性事件减少。

结论

由于工作相关损伤和终末期眼病而频繁应用眼假体,表明针对这些事件的预防措施尚未得到妥善解决,这可能是一个被忽视的公共卫生问题。

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