Kikushima Wataru, Sakurada Yoichi, Kashiwagi Kenji
Department of Ophthalmology, University of Yamanashi, Shimokato 1110, Chuo 409-3898, Japan.
J Clin Med. 2022 Nov 29;11(23):7079. doi: 10.3390/jcm11237079.
We aimed to investigate the characteristics and visual outcomes of farm work-associated eye injuries at vineyards. We retrospectively reviewed medical charts of patients with farm work-associated eye injuries. The eyes were divided into two groups according to the type of farming that contributed to the eye injury: the vineyard and other farming groups. Injury types, surgical procedures, and changes in visual acuity were statistically evaluated. After initial treatment, patients were followed up at different periods. We examined 30 eyes, including 14 eye injuries in the vineyard group and 16 eye injuries in the other farming group. The mean age of the patients was 58.8 ± 16.7 years, and 83.3% were male. None of the patients wore any safety eyewear at the time of injury. After initial treatment, the mean best-corrected visual acuity significantly improved from 0.83 ± 0.94 at baseline to 0.30 ± 0.57 at the final follow-up ( = 5.8 × 10). Eye injuries in the vineyard group were mostly caused by the penetration of wires of grape shelves and were frequent from winter to spring. We concluded that farm work-associated eye injuries at vineyards have characteristic properties compared with those during other farm work. The use of safety eyewear is strongly recommended to prevent eye injuries during farm work.
我们旨在调查葡萄园与农活相关的眼外伤的特征及视力预后。我们回顾性分析了与农活相关眼外伤患者的病历。根据导致眼外伤的农活类型，将眼睛分为两组：葡萄园组和其他农活组。对损伤类型、手术方式及视力变化进行统计学评估。初始治疗后，在不同时间段对患者进行随访。我们检查了30只眼睛，其中葡萄园组有14只眼受伤，其他农活组有16只眼受伤。患者的平均年龄为58.8±16.7岁，83.3%为男性。所有患者在受伤时均未佩戴任何安全眼镜。初始治疗后，平均最佳矫正视力从基线时的0.83±0.94显著提高至最终随访时的0.30±0.57（=5.8×10）。葡萄园组的眼外伤大多由葡萄架铁丝穿透所致，且在冬季至春季较为频发。我们得出结论，与其他农活期间的眼外伤相比，葡萄园与农活相关的眼外伤具有特征性。强烈建议在农活期间使用安全眼镜以预防眼外伤。
