Schein O D, Hibberd P L, Shingleton B J, Kunzweiler T, Frambach D A, Seddon J M, Fontan N L, Vinger P F
Eye Trauma Service, Massachusetts Eye and Ear Infirmary, Boston 02114.
Ophthalmology. 1988 Mar;95(3):300-5. doi: 10.1016/s0161-6420(88)33183-0.
The authors conducted a hospital-based study to ascertain basic, descriptive epidemiologic information about ocular trauma in an urban setting. Over a 6-month period, 3184 patients presenting to our emergency ward with ocular trauma were studied. Severe injuries totaled 5.1% (ruptured globe, intraocular foreign body, hyphema, orbital/facial fracture) and 94.9% were superficial injuries and contusions. A disproportionate burden of severe ocular injury was borne by those less than 15 years of age. The work place accounted for 48% of all injuries and 50% of ruptured globes. Automobile repair-related tasks were specifically associated with injury. Sports injuries, although accounting for 3.4% of all injuries, were responsible for 60% of hyphemas and 10% of ruptured globes. Annual direct and indirect costs for these ocular injuries are estimated conservatively at $5 million and a loss of 60 work years. A large burden of preventable eye trauma is borne by both patients and society.
作者开展了一项基于医院的研究，以确定城市环境中眼外伤的基本描述性流行病学信息。在6个月的时间里，对3184名因眼外伤前来我院急诊科就诊的患者进行了研究。重伤总计占5.1%（眼球破裂、眼内异物、前房积血、眼眶/面部骨折），94.9%为表浅伤和挫伤。15岁以下人群承受了不成比例的严重眼外伤负担。工作场所导致的损伤占所有损伤的48%，眼球破裂占50%。汽车修理相关工作与损伤有特定关联。运动损伤虽然占所有损伤的3.4%，但导致了60%的前房积血和10%的眼球破裂。这些眼外伤的年度直接和间接成本保守估计为500万美元，以及60个工作年的损失。患者和社会都承受着大量可预防眼外伤的负担。
