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道路交通事故后眼外伤模式及其视觉预后的研究

A Study on the Pattern of Ocular Injuries and Their Visual Outcomes Following Road Traffic Accidents.

作者信息

Gagrai Jennifer, Prasad Rahul, Bhagat Varsha, Kumari Sindhu, Mishra Nishtha

机构信息

Department of Ophthalmology, Regional Institute of Ophthalmology, Rajendra Institute of Medical Sciences, Ranchi, IND.

出版信息

Cureus. 2025 May 12;17(5):e83985. doi: 10.7759/cureus.83985. eCollection 2025 May.

Abstract

BACKGROUND

Ocular trauma is a major contributor to preventable monocular visual morbidity, which includes blindness and visual impairment. It is the most prevalent cause of unilateral blindness, accounting for unilateral visual loss and blindness worldwide. Thus, the study evaluated ocular injuries resulting from road traffic accidents (RTAs), along with clinical findings and the visual outcomes in affected patients.

MATERIALS AND METHODS

It was a prospective observational study. The study was conducted at the Department of Trauma & Emergency of the Regional Institute of Ophthalmology, Rajendra Institute of Medical Sciences (RIMS), Ranchi, Jharkhand, India. Overall, 292 patients were enrolled in the study.

RESULTS

The average age of all the included participants was 42 ± 10.5 years. A total of 234 (80.2%) of participants were male. It was discovered that closed-globe injuries had superior visual acuity than open-globe injuries. The majority of affected eyes achieved a best corrected visual acuity of 6/6. Visual acuity between both eyes was found to be highly statistically significant at a p-value less than 0.001.

CONCLUSION

The study concluded that men experience more trauma in RTAs. Statistically significant results have been observed among participants in terms of visual acuity between the right and left eyes. Various fractures involving the orbital walls were noted.

摘要

背景

眼外伤是可预防的单眼视力损害的主要原因,其中包括失明和视力障碍。它是单侧失明最常见的原因,在全球范围内导致单侧视力丧失和失明。因此,本研究评估了道路交通事故(RTA)导致的眼外伤,以及受影响患者的临床发现和视力结果。

材料与方法

这是一项前瞻性观察性研究。该研究在印度贾坎德邦兰契市拉金德拉医学科学研究所(RIMS)眼科区域研究所的创伤与急诊科进行。总体而言,292名患者纳入了该研究。

结果

所有纳入参与者的平均年龄为42±10.5岁。共有234名(80.2%)参与者为男性。研究发现,闭合性眼球损伤的视力优于开放性眼球损伤。大多数受影响眼睛的最佳矫正视力达到6/6。双眼之间的视力在p值小于0.001时具有高度统计学意义。

结论

该研究得出结论,男性在道路交通事故中遭受的创伤更多。在参与者的左右眼视力方面观察到了具有统计学意义的结果。还发现了涉及眶壁的各种骨折。

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