Niu Liangliang, Xu Huan, Liu Binghui, Song Maomao, Hu Chunchun, Wang Yan, Jiang Rui
Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China.
NHC Key Laboratory of Myopia and Related Eye Diseases, Key Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, China.
Ann Med. 2025 Dec;57(1):2537915. doi: 10.1080/07853890.2025.2537915. Epub 2025 Jul 29.
This study aimed to assess the clinical characteristics, management strategies, and outcomes of ocular and adnexal injuries caused by animal attacks.
A retrospective analysis was conducted on patients hospitalized for animal-induced eye injuries at the Eye and ENT Hospital of Fudan University (2003-2023). This study was approved by the Ethics Committee of the Eye and ENT Hospital of Fudan University (Ref. No. 2024146, August 2024). Informed consent was waived. The study complied with the Declaration of Helsinki. Clinical presentations, treatment approaches, and outcomes were systematically reviewed.
Sixteen patients with ocular injuries from animal attacks were included, with 75.0% being male ( < 0.05) and a median age of 13.5 years (range: 2-69 years). Injuries were most commonly caused by birds (5 cases), followed by dogs (4), cats (2), fish (2), wasps (2), and bees (1). Most injuries occurred during attempts to approach or interact with the animals. Corneal injury was most frequent (12 cases, < 0.05), followed by eyelid and canalicular lacerations, cataracts, endophthalmitis, retinal detachment, globe rupture, penetrating ocular injuries, and orbital fractures. Treatments started on average 4.03 ± 4.98 days post-injury. Surgeries included eyelid/canalicular repair, globe reconstruction, lens extraction, and pars plana vitrectomy (PPV). Cataracts ( < 0.05) and retinal detachment ( ≤ 0.01) were linked to poorer initial visual acuity (LogMAR). Post-treatment VA improved significantly, from 2.4 to 0.19 ( ≤ 0.01), especially in lens surgery patients ( < 0.05).
Animal-induced ocular and adnexal injuries predominantly affect males and may cause irreversible visual impairment. Cataracts and retinal detachment predict poor initial vision. Early diagnosis and timely surgery, especially lens surgery, are essential for recovery. Public education and prevention are essential to reduce such injuries.
本研究旨在评估动物袭击导致的眼附属器损伤的临床特征、管理策略及预后。
对复旦大学附属眼耳鼻喉科医院（2003 - 2023年）收治的因动物致眼损伤住院患者进行回顾性分析。本研究经复旦大学附属眼耳鼻喉科医院伦理委员会批准（编号：2024146，2024年8月）。豁免知情同意。本研究遵循《赫尔辛基宣言》。对临床表现、治疗方法及预后进行系统回顾。
纳入16例因动物袭击导致眼损伤的患者，其中男性占75.0%（P < 0.05），中位年龄13.5岁（范围：2 - 69岁）。损伤最常见由鸟类引起（5例），其次为狗（4例）、猫（2例）、鱼（2例）、黄蜂（2例）和蜜蜂（1例）。大多数损伤发生在试图接近或与动物互动期间。角膜损伤最为常见（12例，P < 0.05），其次为眼睑和泪小管裂伤、白内障、眼内炎、视网膜脱离、眼球破裂、穿透性眼外伤及眼眶骨折。治疗平均在伤后4.03 ± 4.98天开始。手术包括眼睑/泪小管修复、眼球重建、晶状体摘除及玻璃体切割术（PPV）。白内障（P < 0.05）和视网膜脱离（P ≤ 0.01）与较差的初始视力（LogMAR）相关。治疗后视力显著改善，从2.4提高至0.19（P ≤ 0.01），尤其是晶状体手术患者（P < 0.05）。
动物致眼附属器损伤主要影响男性，可能导致不可逆的视力损害。白内障和视网膜脱离预示初始视力不佳。早期诊断和及时手术，尤其是晶状体手术，对恢复至关重要。公众教育和预防对于减少此类损伤至关重要。
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