Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Eye (Lond). 2019 Jul;33(7):1171-1176. doi: 10.1038/s41433-019-0394-2. Epub 2019 Mar 11.
To determine the prevalence of various personality disorders in patients with open globe injuries caused by violent eye trauma.
One-hundred patients were divided equally to case and control groups. The case group was selected from admitted patients with open globe injury following a violent act. We considered open globe injuries not involved in violence as the control group. All patients interviewed using SCID-II questionnaire.
The mean age was 30.7 ± 9.2 year and 34.4 ± 13.1 year for the case and control groups, respectively, (P > 0.05). The married population was more frequent in the control group (P = 0.027). Forty-three patients (86%) in the case group and 23 patients (46%) in the control group demonstrated some personality disorder (P < 0.001). In both groups, cluster B was most frequent. The antisocial personality disorder was more prevalent in the case group. (P = 0.046 and P = 0.006, respectively). The ocular trauma score (OTS) and the mean visual acuity was significantly worse in the case group (P = 0.028 and P = 0.044).
Personality disorders are probably important factors in those who acquire an open eye injury during violent behavior. This group had a poor visual outcome. We suggest that this population merits appropriate psychiatric consultation for detection of personality disorders.
确定因暴力性眼外伤导致开放性眼球损伤患者中各种人格障碍的患病率。
将 100 名患者平均分为病例组和对照组。病例组从因暴力行为而导致开放性眼球损伤的住院患者中选取。我们将未涉及暴力的开放性眼球损伤视为对照组。所有患者均通过 SCID-II 问卷进行访谈。
病例组和对照组的平均年龄分别为 30.7±9.2 岁和 34.4±13.1 岁，（P>0.05）。对照组中已婚人群更为常见（P=0.027）。病例组中有 43 名（86%）患者和对照组中有 23 名（46%）患者表现出某种人格障碍（P<0.001）。在两组中，B 群人格障碍最为常见。病例组中反社会型人格障碍更为常见（P=0.046 和 P=0.006）。病例组的眼外伤评分（OTS）和平均视力明显更差（P=0.028 和 P=0.044）。
人格障碍可能是在暴力行为中发生开放性眼损伤的重要因素。该组患者的视觉预后较差。我们建议对该人群进行适当的精神科咨询以检测人格障碍。
