Luff A J, Hodgkins P R, Baxter R J, Morrell A J, Calder I
Southampton Eye Hospital.
Arch Dis Child. 1993 May;68(5):682-3. doi: 10.1136/adc.68.5.682.
This study addresses the aetiology of perforating ocular injury in childhood and possible preventive measures. Data have been collected from the case notes of 143 patients presenting over a 10 year period to a single ophthalmic unit. Injuries occurred most often in a domestic setting (34%) or with a child at play (19%) and showed an overall four to one ratio of boys to girls. Sports injuries accounted for 15% and assault for 8% of all injuries. A changing pattern of ocular injury is evident: road traffic accidents constituted 6% of injuries, compared with 31% in a similar study published in 1976. The role of litigation is discussed, particularly with regard to firearms, which accounted for 8% of injuries. It is concluded that the most important factor in the prevention of perforating ocular trauma is parental awareness, 53% of injuries occurring with the child in a domestic setting or at play.
本研究探讨儿童眼球穿通伤的病因及可能的预防措施。数据收集自143例在10年期间就诊于单一眼科科室的患者病历。损伤最常发生在家庭环境中（34%）或儿童玩耍时（19%），总体上男孩与女孩的比例为4比1。运动损伤占所有损伤的15%，袭击占8%。眼球损伤的模式正在发生变化：道路交通事故造成的损伤占6%，而1976年发表的一项类似研究中这一比例为31%。文中讨论了诉讼的作用，特别是涉及枪支的情况，枪支造成的损伤占8%。得出的结论是，预防眼球穿通伤的最重要因素是家长的意识，53%的损伤发生在儿童处于家庭环境或玩耍时。
