Shir Yen Wang, Siu Wan Foo, Che Hamzah Jemaima, Khoo Kah Luen Karen
Department of Ophthalmology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Department of Ophthalmology, Hospital Pulau Pinang, Ministry of Health Malaysia, George Town, MYS.
Cureus. 2021 Nov 16;13(11):e19648. doi: 10.7759/cureus.19648. eCollection 2021 Nov.
Objective To describe the epidemiology and to evaluate the visual outcome of open globe injury (OGI) cases in Hospital Pulau Pinang. Method A three-year retrospective study on OGI cases presenting to Hospital Pulau Pinang from January 2018 until December 2020. Result A total of 39 OGI cases (n=39) were included in this study. The average age of the patients was 34.9 ± 21.7 (mean ± standard deviation, SD). There were 33 males (84.6%) and six females (15.4%). In this study, 27 cases (69.2%) were Malaysians, while the remaining 12 cases (30.8%) were foreigners. OGI cases were mostly caused by occupational injuries (n=17, 43.6%) and domestic-related accidents (n=17, 43.6%). The mean initial VA (visual acuity) logMAR was 1.69 ± 0.98 (mean ± SD). Overall, the final VA improved to the mean VA logMAR of 1.04 ± 1.08 (mean ± SD). There was a significant positive correlation between initial VA and final VA logMAR (Spearman's rho = 0.6532, p <0.001). A negative linear correlation was found between calculated raw points of Ocular Trauma Score (OTS) and final VA logMAR (Spearman's rho = -0.7067, p <0.001). Conclusion Young adult males, foreign nationality, occupational injuries, and domestic-related accidents are risk factors of OGI. By uncovering the risk, we can take remedial actions to ensure better public health and clinical strategies to prevent and manage ocular trauma in the future. This study also highlights that initial VA and OTS are effective in predicting visual outcomes of OGI.
目的 描述槟城医院开放性眼球损伤（OGI）病例的流行病学特征并评估其视觉预后。方法 对2018年1月至2020年12月在槟城医院就诊的OGI病例进行为期三年的回顾性研究。结果 本研究共纳入39例OGI病例。患者的平均年龄为34.9±21.7（均值±标准差，SD）。其中男性33例（84.6%），女性6例（15.4%）。在本研究中，27例（69.2%）为马来西亚人，其余12例（30.8%）为外国人。OGI病例大多由职业伤害（n=17，43.6%）及家庭相关事故（n=17，43.6%）引起。初始视力（VA）的平均logMAR为1.69±0.98（均值±SD）。总体而言，最终视力改善至平均VA logMAR为1.04±1.08（均值±SD）。初始VA与最终VA logMAR之间存在显著正相关（Spearman秩相关系数=0.6532，p<0.001）。眼外伤评分（OTS）的计算原始分数与最终VA logMAR之间存在负线性相关（Spearman秩相关系数=-0.7067，p<0.001）。结论 年轻成年男性、外国国籍、职业伤害及家庭相关事故是OGI的危险因素。通过揭示这些风险，我们可以采取补救措施以确保更好的公共卫生状况，并制定未来预防和管理眼外伤的临床策略。本研究还强调初始VA和OTS可有效预测OGI的视觉预后。
