Department of Ocular Trauma, Hebei Provincial Key Laboratory of Ophthalmology, Hebei Eye Hospital, Xingtai, Hebei Province, People's Republic of China.
J Craniofac Surg. 2023;34(2):561-563. doi: 10.1097/SCS.0000000000009131. Epub 2022 Nov 21.
The aim was to describe the characteristics and outcomes of patients treated for electric bicycle-related open-globe injuries (OGIs).
A retrospective chart review of all patients who presented with electric bicycle-related OGIs was performed at the Hebei Eye Hospital in North China between January 2012 and December 2018. Demographic data, injury type, presenting clinical examination findings, best-corrected visual acuity (BCVA), secondary ocular complications, necessary surgical procedures and long-term outcome data were recorded.
Twenty-six patients with electric bicycle-related OGIs met the inclusion criteria and were enrolled in the study. Eighteen of the 26 patients (69.2%) were males. the average age of these patients was 44.0 years old. The injuries peaked in winter in the hour between 15:00 and 20:00. Among the patients, 23 (88.5%) were farm workers, 2 (7.7%) were industrial workers, 1 (3.8%) was student. The types of OGIs were 23 ruptures (88.5%), 3 penetrating injuries (11.5%). Data on zone of injuries included 1 zone I injuries (3.8%), 12 zone II injuries (46.2%), 13 zone III injuries (50.0%). Nine eyes (34.6%) had traumatic cataract, 24 eyes (92.3%) had vitreous hemorrhage, 20 eyes (79.9%) had retinal detachment, 19 eyes (73.1%) had choroidal detachment. Ten eyes (38.4%) had hand motion or worse vision at final follow-up. four eyes (15.4%) which had injuries involving all 3 zones resulted in enucleation or evisceration. With respect to BCVA, the initial BCVA was 2.7±0.3 and the final BCVA was 2.0±0.7, indicating that the patients' BCVA was significantly improved by surgery ( t =4.3, P <0.001).
Electric bicycle-related OGIs may have severe consequences. Modern surgical techniques can increase the rate of globe salvage although final vision remains poor. Therefore, increased awareness, proposed policies and suggestions should focus on regulating the use of electric bicycles and reinforcing laws and regulations to improve safety and prevent injuries.
本研究旨在描述电动自行车相关开放性眼球损伤（OGI）患者的特征和结局。
对 2012 年 1 月至 2018 年 12 月在华北地区河北眼科医院就诊的所有电动自行车相关 OGIs 患者进行回顾性病历分析。记录人口统计学数据、损伤类型、就诊时临床检查结果、最佳矫正视力（BCVA）、继发性眼部并发症、必要的手术程序和长期结果数据。
26 例电动自行车相关 OGIs 患者符合纳入标准并被纳入本研究。26 例患者中 18 例（69.2%）为男性，平均年龄为 44.0 岁。这些患者的损伤高峰期在冬季，15:00 至 20:00 之间。23 例（88.5%）患者为农民，2 例（7.7%）为产业工人，1 例（3.8%）为学生。OGI 类型为 23 例破裂伤（88.5%），3 例穿透伤（11.5%）。损伤区包括 1 例 1 区损伤（3.8%），12 例 2 区损伤（46.2%），13 例 3 区损伤（50.0%）。9 只眼（34.6%）有外伤性白内障，24 只眼（92.3%）有玻璃体积血，20 只眼（79.9%）有视网膜脱离，19 只眼（73.1%）有脉络膜脱离。10 只眼（38.4%）最终随访时视力为手动或更差，4 只眼（15.4%）因 3 区均受累而行眼球摘除或眼内容剜除术。BCVA 方面，初始 BCVA 为 2.7±0.3，最终 BCVA 为 2.0±0.7，表明手术可显著提高患者的 BCVA（ t =4.3，P <0.001）。
电动自行车相关 OGIs 可能会产生严重后果。尽管最终视力仍然较差，但现代手术技术可以提高眼球保存率。因此，应提高认识，制定政策和建议，重点规范电动自行车的使用，加强法律法规，提高安全性，预防损伤。
