Kyriakaki Elli D O, Detorakis Efstathios T, Bertsias Antonios K, Markakis Georgios, Tsakalis Nikolaos G, Volkos Panagiotis, Spandidos Demetrios A, Symvoulakis Emmanouil K
Department of Ophthalmology, University Hospital of Heraklion, 71500 Heraklion, Greece.
Clinic of Social and Family Medicine, School of Medicine, University of Crete, 71500 Heraklion, Greece.
Exp Ther Med. 2023 Feb 8;25(3):130. doi: 10.3892/etm.2023.11829. eCollection 2023 Mar.
The aim of the present study was to explore the associations between visual outcomes of ocular injury patients in a tertiary hospital unit with clinical and demographic variables and to evaluate the psychosocial impact of the injury on the patients. An 18-month prospective study of 30 eye-injured adult patients was conducted in the General University Hospital of Heraklion, Crete, a tertiary referral hospital. All severe eye injury case information was prospectively collected between February 1, 2020 and August 31, 2021. Best corrected visual acuity (BCVA) was labelled not poor (>0.5/10 or >20/400 on the Snellen scale, <1.3 in LogMAR scale) and poor (≤0.5/10 or ≤20/400 on the Snellen scale, ≥1.3 on the LogMAR equivalent). Data regarding participants' perceived stress levels, by using Perceived Stress Scale 14 (PSS-14), were collected prospectively, one year after study end. Out of 30 ocular injury patients selected, 76.7% were men and most of them were self-employed and private or public sector workers (36.7%). Not poor final BCVA was related to not poor initial BCVA [odds ratio (OR) 1.714; P=0.006]. No statistical associations were found between visual outcome and demographic or clinical factors, but not poor final BCVA was associated with improved self-reported psychological condition of the sufferers, as examined by a questionnaire sheet developed to collect information for study purpose (8.36/10 vs. 6.40/10; P=0.011). No patient reported job loss or changed work status following the injury. Not poor initial BCVA was a significant predictor for not poor final visual outcomes (OR 1.714; P=0.006). Patients with not poor final BCVA expressed higher levels of positive psychology (8.36/10 vs. 6.40/10; P=0.011) and less fear of eye injury repetition (64.0 vs. 100.0%; P=0.286). Not poor final BCVA was associated with low PSS-14 scores one year after study end (77.3 vs. 0.0%, P=0.003). Collaboration between ophthalmologists, mental health professionals and primary care team may be important in order to help patients to cope with the psychosocial burden sequel to eye trauma.
本研究的目的是探讨一家三级医院眼科损伤患者的视觉预后与临床及人口统计学变量之间的关联，并评估损伤对患者的心理社会影响。在克里特岛伊拉克利翁大学综合医院（一家三级转诊医院）对30名成年眼外伤患者进行了为期18个月的前瞻性研究。2020年2月1日至2021年8月31日期间前瞻性收集了所有严重眼外伤病例信息。最佳矫正视力（BCVA）被标记为不差（Snellen视力表上>0.5/10或>20/400，LogMAR视力表上<1.3）和差（Snellen视力表上≤0.5/10或≤20/400，LogMAR视力表上≥1.3）。在研究结束一年后，前瞻性收集了参与者使用感知压力量表14（PSS - 14）的感知压力水平数据。在入选的30名眼外伤患者中，76.7%为男性，其中大多数为个体经营者以及私营或公共部门工作人员（36.7%）。最终BCVA不差与初始BCVA不差相关[比值比（OR）1.714；P = 0.006]。在视觉预后与人口统计学或临床因素之间未发现统计学关联，但最终BCVA不差与患者自我报告的心理状况改善相关，这是通过为研究目的而设计的问卷收集信息后进行检查得出的（8.36/10对6.40/10；P = 0.011）。没有患者报告受伤后失业或工作状态改变。初始BCVA不差是最终视觉预后不差的显著预测因素（OR 1.714；P = 0.006）。最终BCVA不差的患者表现出更高水平的积极心理状态（8.36/10对6.40/10；P = 0.011）以及对眼外伤复发的恐惧更少（64.0对100.0%；P = 0.286）。研究结束一年后，最终BCVA不差与低PSS - 14得分相关（77.3对0.0%，P = 0.003）。眼科医生、心理健康专业人员和初级保健团队之间的合作对于帮助患者应对眼外伤后的心理社会负担后遗症可能很重要。
