Sen Emine, Celik Selda, Inanc Merve, Elgin Ufuk, Ozyurt Beyhan, Yılmazbas Pelin
Ulucanlar Eye Research Hospital, Ankara, Turkey.
School of Medicine, Celal Bayar University, Manisa, Turkey.
Arq Bras Oftalmol. 2018 Apr;81(2):116-119. doi: 10.5935/0004-2749.20180026.
To determine the clinical characteristics and seasonal distribution of patients admitted to the ocular emergency department of a tertiary ophthalmology care center.
The study cohort includes 27,120 patients who were admitted to ocular emergency room between November 2013 and November 2014. The age, sex, reason for admission, diagnosis, and complete ocular examination reports were recorded for each patient. X-ray and ultrasonographic examinations were performed if necessary.
The mean patient age was 32.83 ± 17.62 years (range, 0-95). The number of males was nearly two times the number of females, with 18,808 (69.4%) males and 8312 (30.6%) females. The diagnoses included viral conjunctivitis (7,859 patients; 29.0%), corneal foreign body (5,286 patients; 19.5%), bacterial conjunctivitis (3,892 patients; 14.4%), corneal abrasions (2,306 patients; 8.5%), and allergic conjunctivitis (1,433 patients; 5.3%) (Table 1). Other frequent diagnoses included subconjunctival hemorrhage, photo keratopathy, chemical eye injury, and penetrating and blunt eye injuries. Allergic conjunctivitis, ocular trauma, and corneal foreign body were more frequent in spring, whereas keratitis and chemical eye injury were more common in winter (chi-square test). The most common reasons for emergency room admission, in order of frequency, were viral conjunctivitis, corneal foreign body, bacterial conjunctivitis, and corneal abrasions.
This study is the first long-term prospective study to evaluate the seasonal distribution and diagnosis of all adult and pediatric patients admitted to the emergency room for ocular conditions. The frequency of ophthalmological conditions seen in the emergency room may vary according to the season.
确定一家三级眼科护理中心眼科急诊科收治患者的临床特征及季节分布情况。
研究队列包括2013年11月至2014年11月期间收治入眼科急诊室的27120例患者。记录每名患者的年龄、性别、入院原因、诊断结果及完整的眼科检查报告。必要时进行X线和超声检查。
患者平均年龄为32.83±17.62岁（范围0至95岁）。男性患者数量几乎是女性患者数量的两倍，男性有18808例（69.4%），女性有8312例（30.6%）。诊断结果包括病毒性结膜炎（7859例患者；29.0%）、角膜异物（5286例患者；19.5%）、细菌性结膜炎（3892例患者；14.4%）、角膜擦伤（2306例患者；8.5%）及过敏性结膜炎（1433例患者；5.3%）（表1）。其他常见诊断包括结膜下出血、光性角膜病、化学性眼外伤以及眼球穿通伤和钝挫伤。春季过敏性结膜炎、眼外伤及角膜异物更为常见，而冬季角膜炎和化学性眼外伤更为常见（卡方检验）。急诊室入院最常见原因按频率依次为病毒性结膜炎、角膜异物、细菌性结膜炎及角膜擦伤。
本研究是评估因眼部疾病收治入急诊室的所有成人及儿童患者季节分布和诊断情况的首项长期前瞻性研究。急诊室所见眼科疾病的频率可能随季节而变化。
