Toride Ai, Toshida Hiroshi, Matsui Asaki, Matsuzaki Yusuke, Honda Rio, Ohta Toshihiko, Murakami Akira
Department of Ophthalmology, Juntendo University Shizuoka Hospital, Shizuoka; Department of Ophthalmology, Juntendo University Nerima Hospital.
Department of Ophthalmology, Juntendo University Shizuoka Hospital, Shizuoka.
Clin Ophthalmol. 2016 Sep 8;10:1731-6. doi: 10.2147/OPTH.S103704. eCollection 2016.
Most patients with open globe eye injury are brought to hospital as emergency patients and usually require admission for emergency surgery. We analyzed the visual outcome in patients with open globe eye injury at our hospital over a 4-year period.
This study reviewed 40 eyes of 40 patients with open globe eye injury who were presented to Juntendo University Shizuoka Hospital and required emergency surgery during the 4 years from January 2010 to December 2014. Retrospective evaluation of the visual outcome was performed using data from the medical records, including assessment of the influence of sex, side of the eye injury, cause of injury, and site/severity of injury.
The mean age (SD) at the time of the injury was 58.9 years (±25.1 years). There were 28 males (70.0%) and 12 females (30.0%). Statistically significant improvement in visual acuity after treatment was noted in the males (P=0.0015, Wilcoxon test), but not in the females. Twenty-five patients had injury to the right eye (62.5%) and 15 had injury to the left eye (37.5%). A significant improvement in visual acuity was achieved after treatment of injury to the right eye (P=0.021), but not the left eye (P=0.109). The most frequent cause of injury was an accident (15 eyes; 37.5%). The second most frequent cause was work-related injury (14 eyes; 35.0%), which only occurred in males, and the third cause was accident due to negligence (eleven eyes; 27.5%). Two patients developed sympathetic ophthalmia and one patient developed postoperative endophthalmitis.
The majority of patients with open globe eye injury were male workers in Japan. The visual outcome of work-related injury was better than that of injury due to other causes. The visual outcome was also better if the right eye was injured compared with the left eye. Patients with injuries due to negligence were older than the other groups, and this finding might be characteristic of an aging society.
大多数开放性眼球损伤患者作为急诊患者被送往医院，通常需要住院接受急诊手术。我们分析了我院4年间开放性眼球损伤患者的视力预后情况。
本研究回顾了2010年1月至2014年12月这4年间就诊于顺天堂大学静冈医院并需要急诊手术的40例开放性眼球损伤患者的40只眼。使用病历数据对视力预后进行回顾性评估，包括评估性别、眼损伤侧别、损伤原因以及损伤部位/严重程度的影响。
受伤时的平均年龄（标准差）为58.9岁（±25.1岁）。男性28例（70.0%），女性12例（30.0%）。男性患者治疗后视力有统计学意义的改善（P = 0.0015，Wilcoxon检验），而女性患者则无。25例患者右眼受伤（62.5%），15例患者左眼受伤（37.5%）。右眼受伤治疗后视力有显著改善（P = 0.021），而左眼则无（P = 0.109）。最常见的损伤原因是事故（15只眼；37.5%）。第二常见的原因是工伤（14只眼；35.0%），仅发生在男性患者中，第三大原因是疏忽导致的事故（11只眼；27.5%）。2例患者发生交感性眼炎，1例患者发生术后眼内炎。
在日本，大多数开放性眼球损伤患者为男性工人。工伤的视力预后优于其他原因导致的损伤。右眼受伤的视力预后也优于左眼。因疏忽导致损伤的患者比其他组年龄更大，这一发现可能是老龄化社会的特征。
