Mehrabi Bahar Mohammadreza, Asadi Khameneh Esmaeil, Asadigandomani Hassan, Razavi Alireza, Tabatabaei Seyed Ali, Mahdizad Zahra, Masoudi Samghabadi Fatemeh
Ocular Trauma and Emergency Department, Farabi Eye Hospital, Tehran University of Medical Sciences, Qazvin Square, Qazvin Street, Tehran, Tehran, Iran.
Research Center for Clinical Virology, Tehran University of Medical Sciences, Tehran, Iran.
BMC Ophthalmol. 2025 Jan 7;25(1):9. doi: 10.1186/s12886-024-03840-9.
This study aimed to explore ocular and periocular injuries resulting from animal and bird attacks among patients referred to a tertiary referral eye hospital of Iran over ten years (2014-2024).
In this retrospective analysis, we collected data on patient demographics, the species of the attacking animal and bird, the nature of the ocular and periocular injuries, details of ophthalmological examinations, therapeutic interventions, and surgical treatments.
One hundred and twenty-nine patients, with an average age of 36 ± 23 years (range: 1-77 years), were included in this study, of whom 81 were male. Among these patients, 70 (54.3%) experienced open globe injuries, and seven were diagnosed with endophthalmitis during their hospital stay. Specifically, of the 60 injuries caused by birds, 47 patients (78.3%) experienced open globe injuries, whereas this rate was 21 out of 66 (31.8%) for injuries caused by quadrupeds (P-value ≤ 0.001). Rural patients had a significantly longer time interval from trauma occurrence to hospital admission (83.58 ± 31.46 h in the rural group vs. 29.85 ± 6.48 h in the urban group, P-value = 0.012) and from hospital admission to the first surgical intervention (8.8 ± 1.14 h in the rural group vs. 6.83 ± 6.13 h in the urban group, P-value = 0.020). Additionally, final visual acuity was significantly better in urban patients than in rural patients.
Animal and bird-related ocular trauma in Iran predominantly involves injuries caused by birds, with rural patients experiencing worse visual outcomes and delayed referral.
本研究旨在探讨在十年间（2014 - 2024年）转诊至伊朗一家三级眼科转诊医院的患者中，动物和鸟类袭击导致的眼部及眼周损伤情况。
在这项回顾性分析中，我们收集了患者的人口统计学数据、攻击动物和鸟类的种类、眼部及眼周损伤的性质、眼科检查细节、治疗干预措施以及手术治疗情况。
本研究纳入了129例患者，平均年龄为36 ± 23岁（范围：1 - 77岁），其中男性81例。在这些患者中，70例（54.3%）发生了开放性眼球损伤，7例在住院期间被诊断为眼内炎。具体而言，在60例由鸟类造成的损伤中，47例患者（78.3%）发生了开放性眼球损伤，而在66例由四足动物造成的损伤中，这一比例为21例（31.8%）（P值≤0.001）。农村患者从受伤到入院的时间间隔（农村组为83.58 ± 31.46小时，城市组为29.85 ± 6.48小时，P值 = 0.012）以及从入院到首次手术干预的时间间隔（农村组为8.8 ± 1.14小时，城市组为6.83 ± 6.13小时，P值 = 0.020）明显更长。此外，城市患者的最终视力明显优于农村患者。
伊朗与动物和鸟类相关的眼外伤主要由鸟类造成，农村患者的视力预后较差且转诊延迟。
