Department of Ophthalmology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Sci Rep. 2024 Aug 20;14(1):19307. doi: 10.1038/s41598-024-68488-3.
Ocular trauma, a preventable public health issue, is one of the common causes of ophthalmic morbidity and monocular blindness worldwide. It can occur in almost any setting and at any age in either sex but largely affects males. The mechanism and type of injury, the extent of damage, and the time-lapse between the occurrence of injury and eye care are among the factors that determine the visual outcome of ocular injuries. This study is designed to assess the clinical profile and visual outcome of patients presenting with penetrating ocular injury. A prospective hospital-based study was conducted among penetrating ocular trauma patients who visited UOG tertiary eye care and training center during the study period. All patients with penetrating ocular trauma who fulfilled the inclusion criteria were included in the study. Data on demography, initial and final visual acuity, type of injury, as well as management, were included in a structured questionnaire. The collected data were processed and analysed using Statistical Packages for the Social Sciences (SPSS) version 25.0. The study included 91 cases of penetrating ocular injuries. The majority of the patients 81.2% were males. The male-to-female ratio was 4.3:1. The left eye was involved in 52.7% of the patients. The median age was 20 years, with an IQR of 10-35. The majority (31.9%) of the cases were in the age range of 5-10 years. nearly half of the study participants (45.1%) sustained the injury at home. The commonest source of injury was wooden sticks 49.5%. Six patients were lost to follow-up at three-month visits. Traumatic cataracts (p = 0.001), and poor initial visual acuity were poor prognostic factors. Still ocular injury is a common cause of monocular blindness. We recommend that more has to be done on the primary prevention and control measures.
眼外伤是可预防的公共卫生问题之一，是全球眼科发病率和单眼盲的常见原因之一。它几乎可以在任何环境和任何年龄段的任何性别中发生，但主要影响男性。损伤的机制和类型、损伤的程度以及受伤与眼部护理之间的时间间隔是决定眼外伤视觉结果的因素之一。本研究旨在评估就诊于 UOG 三级眼科保健和培训中心的穿透性眼外伤患者的临床特征和视觉结果。一项前瞻性的基于医院的研究在研究期间对 UOG 三级眼科保健和培训中心就诊的穿透性眼外伤患者进行。所有符合纳入标准的穿透性眼外伤患者均纳入研究。调查问卷中包括人口统计学、初始和最终视力、损伤类型以及治疗等数据。收集的数据使用社会科学统计软件包（SPSS）版本 25.0 进行处理和分析。该研究包括 91 例穿透性眼外伤患者。大多数患者为男性，占 81.2%。男女比例为 4.3:1。左眼受伤的患者占 52.7%。中位数年龄为 20 岁，IQR 为 10-35 岁。大多数（31.9%）患者年龄在 5-10 岁之间。近一半的研究参与者（45.1%）在家中受伤。受伤的最常见原因是木棍，占 49.5%。6 名患者在三个月随访时失访。外伤性白内障（p=0.001）和初始视力差是预后不良的因素。穿透性眼外伤仍然是单眼盲的常见原因。我们建议在初级预防和控制措施方面做更多的工作。
