Meena Seema, Bhatnagar Kavita, Jaisingh Kirti, Shakrawal Jyoti, Tandon Manjari, Agrawal Nikhil
Ophthalmology, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Cureus. 2024 Jan 29;16(1):e53198. doi: 10.7759/cureus.53198. eCollection 2024 Jan.
This study was conducted to describe the epidemiology, prognostic factors, and visual outcomes of open globe injuries (OGIs) at a tertiary care centre in Western Rajasthan, India.
Data of OGI patients treated at the Department of Ophthalmology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, from March 2019 to December 2021 were reviewed retrospectively. Demographic details including age, gender, place of injury, wound characteristics (i.e., cause, mechanism, location, and size), visual acuity (VA), and associated ocular injuries were recorded. The Ocular Trauma Classification System (OTCS) and the Birmingham Eye Trauma Terminology (BETT) were used to categorize OGIs. All the data was entered into a Microsoft Excel sheet (Microsoft Corporation, Redmond, Washington, United States) and analyzed with IBM SPSS Statistics for Windows, Version 23.0 (Released 2015; IBM Corp., Armonk, New York, United States).
A total of 40 patients with OGIs were included. OGI was discovered to be four times higher in males and 47.5% of the total cases were observed in patients aged 0-15 years, followed by patients aged 16-30 (27.5%). The rupture injury showed a higher incidence rate (32.5%) than the penetrating injury (62.5%). Of all OGIs, 75% were grade 4 injuries, with zone 1 being the most often affected zone and wood stick injury being the most prevalent aetiology. A significant difference was noted (p<0.001) in comparing presenting VA with final VA with paired sample t-test. A negative Spearman correlation was noted between age and final VA (r = 0.53, p = 0.000), and the grade of injury and final VA (r = 0.51, p = 0.001.) Conclusion: Young males were the most susceptible group to sustain OGIs due to their more physical activities. Health education and safety in the workplace and during sports are crucial to reduce the incidence of OGI.
本研究旨在描述印度拉贾斯坦邦西部一家三级医疗中心开放性眼球损伤（OGIs）的流行病学、预后因素及视觉预后。
回顾性分析2019年3月至2021年12月在拉贾斯坦邦焦特布尔市全印度医学科学研究所眼科接受治疗的OGI患者的数据。记录人口统计学细节，包括年龄、性别、受伤地点、伤口特征（即病因、机制、位置和大小）、视力（VA）及相关眼外伤情况。采用眼外伤分类系统（OTCS）和伯明翰眼外伤术语（BETT）对OGIs进行分类。所有数据录入微软Excel工作表（微软公司，美国华盛顿州雷德蒙德），并使用IBM SPSS Statistics for Windows 23.0版（2015年发布；IBM公司，美国纽约州阿蒙克）进行分析。
共纳入40例OGI患者。发现男性OGI发生率是女性的四倍，47.5%的病例发生在0至15岁的患者中，其次是16至30岁的患者（27.5%）。破裂伤的发生率（32.5%）高于穿通伤（62.5%）。在所有OGIs中，75%为4级损伤，1区是最常受累区域，木棍伤是最常见的病因。采用配对样本t检验比较初诊视力与最终视力时，差异有统计学意义（p<0.001）。年龄与最终视力之间存在负向Spearman相关性（r = 0.53，p = 0.000），损伤分级与最终视力之间也存在负向Spearman相关性（r = 0.51，p = 0.001）。结论：年轻男性因体力活动较多，是最易发生OGIs的群体。 workplace应是workplace（工作场所）的误写。工作场所和运动期间的健康教育及安全对于降低OGI的发生率至关重要。"
