Regional Institute of Ophthalmology, Institute of Medical Sciences, SS Hospital, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India.
Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalgonj, Bangladesh.
Int Ophthalmol. 2022 Apr;42(4):1193-1203. doi: 10.1007/s10792-021-02104-5. Epub 2021 Nov 19.
This study is aimed to determine the frequency, sociodemographic profile, clinical presentation, patterns of injury, treatment and outcomes of cases of simultaneous bilateral ocular trauma treated in a teaching hospital of Northern India.
This retrospective study was conducted from May 2015 to April 2019. The medical records of patients presenting with bilateral ocular injuries were reviewed.
Among the 402 patients presenting with ocular injuries, 34 (8.5%) had simultaneous bilateral ocular trauma. The majority were male (70.6%), and the mean age was 26.82 ± 15.86 years (range: 2-70 years). The most frequently affected age group has been 16-25 years (35.3%). Most injuries occurred away from home (64.7%), mainly on roads (32.4%) or playgrounds (14.7%), and the vast majority (91.2%) were non-occupational in nature. Mechanical injuries were most frequent (47.1%), followed by cracker (17.7%), chemical (17.7%) and thermal (11.8%) injuries. Most cases occurred due to assault (26.5%), road traffic injury (20.6%) or sports/recreational activities (17.7%). The majority of victims were not using protective devices at the time of injury (82.4%) and had associated polytrauma (58.8%). Closed and open globe injuries accounted for 29.4% and 14.7% of cases, respectively, mostly involving zones I (55.0%) and II (40.0%). Orbital fractures occurred in 27.9% of eyes. Category I and II ocular trauma scores were noted in 5.9% and 7.4% of eyes, respectively. Overall, 13.2% were blinded as a result of the trauma.
Simultaneous bilateral ocular trauma is rare and occurs mostly following road traffic accidents, assault or recreational activities. In particular, young-adult males are more prone to bilateral ocular injuries, the majority of which are severe and associated with poor outcomes. The study also highlights that poor initial visual acuity, multiple ocular structure involvement, large open globe injury, presence of intraocular hemorrhage, posterior segment injury, multiple orbital fractures and lower OTS were the poor prognostic factors.
本研究旨在确定在印度北部一所教学医院治疗的双侧眼外伤同时发生的频率、社会人口学特征、临床表现、损伤模式、治疗和结果。
这是一项回顾性研究，时间为 2015 年 5 月至 2019 年 4 月。对患有双眼外伤的患者的病历进行了回顾。
在 402 名眼部受伤的患者中，有 34 名（8.5%）同时患有双侧眼部外伤。大多数为男性（70.6%），平均年龄为 26.82±15.86 岁（范围：2-70 岁）。最常受影响的年龄组为 16-25 岁（35.3%）。大多数损伤发生在离家（64.7%），主要发生在道路（32.4%）或操场（14.7%），绝大多数（91.2%）是非职业性的。机械性损伤最常见（47.1%），其次是爆竹（17.7%）、化学（17.7%）和热（11.8%）损伤。大多数病例是由于攻击（26.5%）、道路交通伤害（20.6%）或运动/娱乐活动（17.7%）引起的。大多数受害者受伤时没有使用防护设备（82.4%），并且伴有多发伤（58.8%）。闭合性和开放性眼球损伤分别占病例的 29.4%和 14.7%，主要涉及 I 区（55.0%）和 II 区（40.0%）。眼眶骨折发生在 27.9%的眼中。I 类和 II 类眼部创伤评分分别在 5.9%和 7.4%的眼中观察到。总体而言，13.2%的患者因外伤而失明。
同时发生的双眼外伤很少见，主要发生在道路交通事故、袭击或娱乐活动之后。特别是，年轻成年男性更容易发生双眼外伤，大多数是严重的，并且预后不良。研究还强调，视力初始较差、多个眼部结构受累、开放性眼球损伤较大、眼内出血、后节损伤、多处眼眶骨折和较低的 OTS 是预后不良的因素。
