Saari K M, Aine E
Acta Ophthalmol Suppl. 1984;161:42-51. doi: 10.1111/j.1755-3768.1984.tb06783.x.
To study eye injuries in agriculture we reviewed the case records of 662 patients with eye injuries treated at the Department of Ophthalmology, Central Hospital of Tampere between the years 1972 and 1979. Of the whole material 96 (14.5%) were agricultural workers, 74 (77%) male and 22 (23%) female, with the mean age of 43 years. The mean annual incidence of eye injuries in agriculture was 3.46 per 10.000 people which was higher than in industry (1.9 per 10.000 people) but lower than in construction (5.28 per 10.000 people). The use of AIV solution was the most frequent cause of eye injury in farming (6/10) and was the most common cause of all chemical eye burns in agriculture (6/7). Cow butting with horn caused all eye injuries in dairying ; 50% of these were perforating eye injuries. In lumbering , forest work or a flying piece of wood at chopping caused eye injuries in 29 cases including 19 cases with blunt ocular trauma and 8 cases with perforating eye injuries. Hammering was the most frequent cause of injury in repair work (7/16). Unilateral blindness was seen in 17 cases (17.7%). It was caused mostly by cow butting with horn (6 cases) or lumbering (5 cases). The importance of employment of protective eye screen or glasses also in agriculture is pointed out.
为研究农业领域的眼外伤情况,我们回顾了1972年至1979年间在坦佩雷中心医院眼科接受治疗的662例眼外伤患者的病例记录。在全部病例中,96例(14.5%)为农业工人,其中男性74例(77%),女性22例(23%),平均年龄为43岁。农业领域眼外伤的年均发病率为每10000人中有3.46例,高于工业领域(每10000人中有1.9例),但低于建筑领域(每10000人中有5.28例)。使用AIV溶液是农业中最常见的眼外伤原因(10例中有6例),也是农业中所有化学性眼烧伤的最常见原因(7例中有6例)。奶牛用角顶撞导致了所有奶牛养殖中的眼外伤;其中50%为眼球穿孔伤。在伐木作业中,森林工作或砍伐时飞溅的木块导致29例眼外伤,其中19例为钝性眼外伤,8例为眼球穿孔伤。锤击是维修工作中最常见的致伤原因(16例中有7例)。17例(17.7%)出现单眼失明。主要原因是奶牛用角顶撞(6例)或伐木作业(5例)。文中指出了在农业中使用防护眼罩或眼镜的重要性。