Hassan Naqvi Syed Abid, Malik Sidra, Zulfiqaruddin Syed, Anwar Syeda Birjees, Nayyar Shahzad
Dr. Syed Abid Hassan Naqvi, FCPS, Department of Ophthalmology, Combined Military Hospital, Peshawar, Pakistan.
Dr. Sidra Malik, FCPS, Department of Ophthalmology, Combined Military Hospital, Peshawar, Pakistan.
Pak J Med Sci. 2016 Nov-Dec;32(6):1543-1546. doi: 10.12669/pjms.326.11158.
To determine the etiology and severity of various forms of ocular war injuries in patients presenting at an Army Hospital in Pakistan.
This cross sectional study was conducted at the Department of Ophthalmology, Combined Military Hospital, Peshawar over four years period from June 2012 through March 2016, Two hundred ten consecutive soldiers who presented with ocular war injuries were included for analysis after taking written informed consent. A predesigned proforma was used to record patient's demographic details along with the cause, side, type and severity of injury, ocular trauma score was also recorded at presentation.
The mean age of the patients was 29.34±5.35 years. All of them were males. Left side was more frequently involved (n=126, 60.0%) and the most frequent underlying cause was IED blast injury (n=114, 54.3%). Closed globe injuries were more frequent and were recorded in 120 (57.1%) patients. Upon assigning Ocular Trauma Score, Grade-V (28.6%) injuries were the most frequent followed by Grade-I (25.7%), Grade III (25.7%), Grade II (11.4%) and Grade IV (8.6%). When stratified for the type of injury, OTS Grade I injuries were highest (60.0%) among patients with open globe injuries, hence poorer prognosis, while OTS Grade V injuries were highest (50.0%) among patients with closed globe injuries (p=0.000).
IED blast injuries are most frequently encountered ocular war injuries often involving soldiers in the age group 20-30 years. These open globe injuries had worst clinical presentation to begin with and poorer prognosis than closed globe injuries.
确定在巴基斯坦一家军队医院就诊的眼部战争伤患者各种形式损伤的病因及严重程度。
这项横断面研究于2012年6月至2016年3月期间在白沙瓦联合军事医院眼科进行，为期四年。在获得书面知情同意后，纳入连续210例眼部战争伤士兵进行分析。使用预先设计的表格记录患者的人口统计学细节以及损伤的原因、侧别、类型和严重程度，就诊时还记录了眼外伤评分。
患者的平均年龄为29.34±5.35岁。所有患者均为男性。左侧受累更常见（n = 126，60.0%），最常见的潜在病因是简易爆炸装置爆炸伤（n = 114，54.3%）。闭合性眼球损伤更常见，120例（57.1%）患者有此类损伤。在分配眼外伤评分后，Ⅴ级损伤（28.6%）最为常见，其次是Ⅰ级（25.7%）、Ⅲ级（25.7%）、Ⅱ级（11.4%）和Ⅳ级（8.6%）。按损伤类型分层时，开放性眼球损伤患者中OTSⅠ级损伤最高（60.0%），因此预后较差，而闭合性眼球损伤患者中OTSⅤ级损伤最高（50.0%）（p = 0.000）。
简易爆炸装置爆炸伤是最常见的眼部战争伤，常累及20 - 30岁年龄组的士兵。这些开放性眼球损伤一开始临床表现最差，预后比闭合性眼球损伤更差。
