Li Chunyan, Lin Yaoyao, Xiao Haishao, Lin Huan, Chen Yanyan, Dai Minhui
Ophthalmology Department, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Nursing Department of Central South University, Changsha, Hunan, China.
BMC Ophthalmol. 2020 Mar 14;20(1):100. doi: 10.1186/s12886-020-01363-7.
The aim of this study was to review the demographic and characteristic distribution data of serious rural pediatric eye injuries in Wenzhou and Changsha, located in Zhejiang Province in East China and Hunan Province in Central China.
This retrospective study included hospitalized pediatric patients aged < 18 years with eye injuries at the Eye Hospital of Wenzhou Medical University and Xiangya Hospital of Central South University from January 2008 to December 2017. Demographic data, injury types, injury causes, and initial and final visual acuity (VA) were recorded and analyzed. The ocular trauma score (OTS) was calculated to assess the severity of injury and evaluate the prognosis. All patient data were obtained from the medical record systems.
In total, 1125 children were hospitalized during the 10-year period; 830 (73.8%) were males and 295 (26.2%) were females. The majority of the patients were aged 3 to 8 years (57.4%, n = 646). Among mechanical injuries (n = 1007), penetrating injury was the most common (68.4%, n = 689), followed by contusion (17.2%, n = 173) and rupture (8.1%, n = 82). Overall, the top three injury causes were sharp objects (n = 544, 48.4%), blunt objects (n = 209, 18.6%) and fireworks (n = 121, 10.8%). In Wenzhou, eye injuries occurred mostly in summer (n = 136, 29.1%), and sharp object-related eye injuries accounted for the highest proportion (n = 98, 72.1%). In Changsha, eye injuries occurred mostly in winter (n = 272, 41.3%), and firecracker- and fireworks-associated eye injury accounted for the highest proportion (n = 73, 26.8%). The final VA was positively correlated with the initial VA (r = 0.641, P < 0.001) and the OTS (r = 0.582, P < 0.001).
The age range of the susceptible pediatric population from rural areas was 3-8 years. Most eye injuries were penetrating, and the main cause of injury was a sharp object. Notably, the differences in the characteristics of eye injuries in the two areas were related to regional features.
本研究旨在回顾位于中国东部浙江省的温州和位于中国中部湖南省的长沙农村地区儿童严重眼外伤的人口统计学和特征分布数据。
本回顾性研究纳入了2008年1月至2017年12月在温州医科大学附属眼视光医院和中南大学湘雅医院住院的18岁以下眼外伤患儿。记录并分析人口统计学数据、损伤类型、损伤原因以及初始和最终视力（VA）。计算眼外伤评分（OTS）以评估损伤的严重程度并评估预后。所有患者数据均从病历系统中获取。
在这10年期间，共有1125名儿童住院；其中男性830名（73.8%），女性295名（26.2%）。大多数患者年龄在3至8岁之间（57.4%，n = 646）。在机械性损伤（n = 1007）中，穿透伤最为常见（68.4%，n = 689），其次是挫伤（17.2%，n = 173）和破裂伤（8.1%，n = 82）。总体而言，前三位的损伤原因是尖锐物体（n = 544，48.4%）、钝器（n = 209，18.6%）和烟花（n = 121，10.8%）。在温州，眼外伤大多发生在夏季（n = 136，29.1%），与尖锐物体相关的眼外伤占比最高（n = 98，72.1%）。在长沙，眼外伤大多发生在冬季（n = 272，41.3%），与鞭炮和烟花相关的眼外伤占比最高（n = 73，26.8%）。最终视力与初始视力呈正相关（r = 0.641，P < 0.001），与眼外伤评分也呈正相关（r = 0.582，P < 0.001）。
农村易感儿童人群的年龄范围为3至8岁。大多数眼外伤为穿透伤，主要损伤原因是尖锐物体。值得注意的是，两个地区眼外伤特征的差异与地域特点有关。
