Ng Hui Ruan, Chee Shew Fei, Chai Khai-Siang, Chong Mei Fong, Mustapha Mushawiahti
Ophthalmology, Hospital Raja Permaisuri Bainun, Ipoh, MYS.
Ophthalmology, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Cureus. 2021 Jun 22;13(6):e15846. doi: 10.7759/cureus.15846. eCollection 2021 Jun.
Purpose To describe the epidemiology of open globe injuries and its prognostic factors from the perspectives of a tertiary care centre in northern Malaysia. Methods A retrospective study of open globe injuries in a period of three years between June 2017 and May 2020. Patients presenting with open globe injuries were identified and recruited from hospital census. Case records were retrieved and analysed after recruitment. Results A total of 114 patients with 118 open globe injuries were included in the study. Four patients had bilateral eye involvement. Men were found to have seven and a half times higher rate of ocular injuries than women. The predominant age group of ocular trauma presentation was in younger adults between the age of 21 and 30 years old. Work-related injuries account for almost half of the globe injuries (48.7%) followed by motor vehicle accident-related, domestic accident-related, and others. The significant factors related to the visual outcome are presenting visual acuity (VA), presence of relative afferent pupillary defect (RAPD) and vitreous loss. Conclusion The factors related to visual outcomes in this study may aid the clinician in determining the visual prognosis of ocular injuries. Young working males were the most susceptible group to sustain penetrating ocular injuries due to their job nature. Health education and safety at workplace are essential to reduce the occurrence of ocular injuries.
目的 从马来西亚北部一家三级医疗中心的角度描述开放性眼球损伤的流行病学及其预后因素。方法 对2017年6月至2020年5月三年期间的开放性眼球损伤进行回顾性研究。从医院普查中识别并招募出现开放性眼球损伤的患者。招募后检索并分析病例记录。结果 本研究共纳入114例患者的118只开放性眼球损伤。4例患者双眼受累。发现男性眼部损伤发生率比女性高7.5倍。眼部创伤的主要年龄组为21至30岁的年轻人。与工作相关的损伤占眼球损伤的近一半（48.7%），其次是与机动车事故相关、与家庭事故相关及其他。与视力预后相关的重要因素是初始视力（VA）、相对性传入瞳孔障碍（RAPD）的存在和玻璃体丢失。结论 本研究中与视力预后相关的因素可能有助于临床医生确定眼外伤的视力预后。年轻在职男性因其工作性质是最易遭受穿透性眼外伤的群体。健康教育和工作场所安全对于减少眼外伤的发生至关重要。
