Lions Eye Institute, Nedlands, Western Australia.
The University of Western Australia, Centre for Ophthalmology and Visual Science.
Clin Exp Optom. 2023 Aug;106(6):633-639. doi: 10.1080/08164622.2022.2111198. Epub 2022 Aug 24.
Eye injuries constitute a significant cause of preventable lifelong visual impairment or blindness. It is important to identify the context in which these injuries occur to develop intervention programs to reduce the incidence and severity of injury.
To evaluate the nature, external cause, place of occurrence and incidence rate of eye injuries treated at hospitals in Western Australia.
Retrospective, population-based study of patients presenting to all emergency departments or admitted to hospital with primary or secondary eye injuries between 2005 and 2014.
The combined incidence rate of eye injuries requiring tertiary care was 278 per 100 000 person-years (95% CI 276-280). Significantly more males (79%, 44 569) presented to emergency departments ( < 0.001), and most injuries involved the cornea and conjunctiva (83%). The injury incidence rate was 248 per 100 000 person-years (95% CI 246-250). A total of 2823 and 3951 individuals were admitted to hospital for a primary or secondary eye injury, respectively. The most frequent primary diagnosis on admission was contusion (19%). Assault (24%) was the most common cause of injury requiring inpatient treatment. Indigenous individuals were hospitalised for an eye injury at a rate of 109 per 100 000 person-years (95% CI 102-116), compared to 27 (95% CI 26-27) for non-Indigenous individuals. Each year was associated with an increase in the mean number of eye injuries (7% and 5% for emergency department and hospital admission data, respectively).
Indigenous individuals and males experience eye injuries requiring tertiary management disproportionately. Indigenous female patients were conspicuously affected by eye injuries. Remedial intervention strategies should incorporate violence prevention as assault is a significant cause of eye injury.
眼部损伤是导致可预防的终身视力损害或失明的重要原因。重要的是要确定这些损伤发生的背景，以便制定干预计划来降低损伤的发生率和严重程度。
评估 2005 年至 2014 年间在西澳大利亚州所有急诊部就诊或因原发性或继发性眼部损伤住院的患者的眼部损伤性质、外在原因、发生地点和发生率。
对 2005 年至 2014 年间所有因原发性或继发性眼部损伤就诊于急诊部或住院的患者进行回顾性、基于人群的研究。
需要三级护理的眼部损伤综合发生率为 278 例/100000 人年（95%CI 276-280）。明显更多的男性（79%，44569 人）就诊于急诊部（<0.001），且大多数损伤累及角膜和结膜（83%）。损伤发生率为 248 例/100000 人年（95%CI 246-250）。共有 2823 人和 3951 人因原发性或继发性眼部损伤分别住院治疗。入院时最常见的原发性诊断为挫伤（19%）。需要住院治疗的损伤最常见的原因是外伤（24%）。原住民每 100000 人年发生眼部损伤的住院率为 109 例（95%CI 102-116），而非原住民为 27 例（95%CI 26-27）。每年的眼部损伤人数都有所增加（急诊部和住院数据分别增加 7%和 5%）。
原住民和男性不成比例地经历需要三级管理的眼部损伤。原住民女性患者眼部损伤明显受到影响。补救干预策略应将预防暴力纳入其中，因为外伤是眼部损伤的一个重要原因。
