Jian-Wei Liu, Zhen-Bo Hu, Shu-Na Wang, Yu-Guang Zhu, Ai-Jun Deng
Department of Ophthalmology, Affiliated Hospital of Weifang Medical University, Yu-He Street 2428, Weifang, 261031, Shandong Province, China,
Graefes Arch Clin Exp Ophthalmol. 2015 Aug;253(8):1307-11. doi: 10.1007/s00417-014-2809-x. Epub 2014 Oct 14.
To evaluate the characteristics and outcomes of drunken patients treated for ocular rupture, and to compare these results to patients injured without alcohol consumption.
The medical records of 182 patients with or without alcohol consumption before injury who were treated and followed up because of ocular rupture at the Affiliated Hospital of Weifang Medical University from October 2007 to October 2011 were evaluated retrospectively. The characteristics and outcomes of 45 alcohol-related injury patients were compared with the rest in the cohort. The clinical data included in this study were: anatomic sites and length of the wound, involvement of ocular adnexa injuries, evisceration rate, and final mean visual acuity.
Wound locations were significantly different between the alcohol-related group and the non-alcohol-related one. Compared with the non-alcohol-related ocular rupture population, the anatomic sites of the drunken patients were more likely to be located at zone I and zone II (60.0 vs 40.1 %; χ2 = 5.39,P < 0.05). The difference of wound length between the alcohol-related group and the non-alcohol-related one was significant. The alcohol-related patients had a longer wound length (Z = -8.590,P < 0.05). Compared with the non-alcohol population, the alcohol-consuming patients were more likely to suffer adnexa injuries (84.4 vs 59.8 %; χ2 = 5.86,P < 0.05), and had worse final visual acuities (Z = -7.195,P < 0.05). The evisceration rate of the alcohol-related patients was significantly higher than the non-alcohol patients (24.4 vs 9.4 %; χ2 = 6.62,P < 0.05).
Drinking more easily leads to injury of the front part of eyes. Moreover, the drunken patients had a worse visual acuity outcome, longer wound length, higher evisceration rate, and were more prone to endure adnexa injuries. The importance of prevention and education to recognize the hazards of drinking cannot be overemphasized.
评估因眼球破裂接受治疗的醉酒患者的特征及治疗结果，并将这些结果与未饮酒受伤的患者进行比较。
回顾性评估2007年10月至2011年10月在潍坊医学院附属医院因眼球破裂接受治疗及随访的182例受伤前饮酒或未饮酒患者的病历。将45例与酒精相关损伤患者的特征及结果与队列中的其他患者进行比较。本研究纳入的临床数据包括：伤口的解剖部位和长度、眼附属器损伤的累及情况、眼球摘除率及最终平均视力。
酒精相关组与非酒精相关组的伤口位置存在显著差异。与非酒精相关的眼球破裂人群相比，醉酒患者的解剖部位更可能位于I区和II区（60.0%对40.1%；χ2 = 5.39，P < 0.05）。酒精相关组与非酒精相关组的伤口长度差异显著。酒精相关患者的伤口长度更长（Z = -8.590，P < 0.05）。与未饮酒人群相比，饮酒患者更易发生眼附属器损伤（84.4%对59.8%；χ2 = 5.86，P < 0.05），且最终视力更差（Z = -7.195，P < 0.05）。酒精相关患者的眼球摘除率显著高于非酒精患者（24.4%对9.4%；χ2 = 6.62，P < 0.05）。
饮酒更容易导致眼部前部受伤。此外，醉酒患者的视力预后更差、伤口长度更长、眼球摘除率更高，且更易遭受眼附属器损伤。预防和教育以认识饮酒危害的重要性再怎么强调都不为过。
