Duan Fangnan, Chen Xiunian, Zhang Sai, Qi Xiaolin, Shi Weiyun, Gao Hua
Medical College of Qingdao University, Qingdao 266071, China.
Shandong Eye Hospital, Shandong Eye Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan 250021, China.
J Ophthalmol. 2020 Apr 15;2020:5826263. doi: 10.1155/2020/5826263. eCollection 2020.
To analyze the clinical characteristics and visual prognoses of patients with ocular trauma treated in Shandong Eye Hospital.
The inpatient data of patients with eye injuries hospitalized in our institution from January 2014 to December 2018 were retrospectively reviewed, including demographic information, types of trauma, causes of injury, treatment, and initial and final visual acuities.
A total of 1,425 patients (1,622 eyes), aged 39.5 ± 18.5 years, were included. The ratio of male to female was 5.3 : 1. Of the mechanical eye injuries, there were 490 (34.4%) open-globe injuries and 454 (31.9%) closed-globe injuries. Nonmechanical eye injuries had 426 patients (29.9%), while 55 patients (3.9%) had adnexal injuries. Over a half of the traumas were work-related (51.1%, 728 patients). Most patients were treated with surgical intervention (1,404 eyes, 87.9%). There were significant differences in the final visual acuities between open-globe injuries and closed-globe injuries ( < 0.001), as well as between mechanical injuries and nonmechanical injuries ( < 0.001). The final visual acuity was closely correlated with the initial visual acuity (Spearman's correlation coefficient = 0.618, < 0.001) and the OTS score (Spearman's correlation coefficient = 0.691, < 0.001).
Ocular trauma usually occurs in young and middle-aged men and in the workplace in Shandong Province. The proportion of nonmechanical injuries is high, and the prognosis is poor. A comprehensive understanding of the characteristics of ocular trauma is useful for blindness prevention and treatment.
分析在山东眼科医院接受治疗的眼外伤患者的临床特征及视力预后情况。
回顾性分析2014年1月至2018年12月在我院住院的眼外伤患者的住院数据，包括人口统计学信息、外伤类型、受伤原因、治疗情况以及初始和最终视力。
共纳入1425例患者（1622只眼），年龄39.5±18.5岁。男女比例为5.3∶1。在机械性眼外伤中，开放性眼球损伤490例（34.4%），闭合性眼球损伤454例（31.9%）。非机械性眼外伤有426例患者（29.9%），附属器损伤55例（3.9%）。超过一半的外伤与工作相关（51.1%，728例患者）。大多数患者接受了手术干预（1404只眼，87.9%）。开放性眼球损伤与闭合性眼球损伤之间的最终视力存在显著差异（<0.001），机械性损伤与非机械性损伤之间也存在显著差异（<0.001）。最终视力与初始视力密切相关（Spearman相关系数=0.618，<0.001）以及与OTS评分密切相关（Spearman相关系数=0.691，<0.001）。
在山东省，眼外伤通常发生在中青年男性以及工作场所。非机械性损伤比例高，预后较差。全面了解眼外伤的特征有助于预防和治疗失明。
