Epidemiologic characteristics of 5,362 hospitalized patients with eye trauma
Objective To summarize the epidemiological characteristics of eye trauma patients in southwest China in the last 10 years,and to provide a theoretical basis for eye trauma prevention and treatment.Methods Clinical data of 5,362 eye trauma patients(5,372 eyes)admitted to the Department of Ophthalmology of Daping Hospital from Jan.2012 to Dec.2022 were retrospectively analyzed,in terms of gender,age,occupation,injury-re-lated parameters(side,location,time,cause,type,eye region,etc.),treatment and vision prognosis.Results The male-to-female ratio was 5.42:1.00,with patients aged 46-69 years occupying the largest proportion(44.57％),fol-lowed by those of 18-45 years(38.96％).The top three injured occupational groups were production and transpor-tation workers,agricultural and forestry workers,and primary and secondary school students.Single eye injury ac-counted for 97.24％.The majority of patients were injured at the construction site,followed by other places,and then the workplace.During the study period,the year 2016 claimed the largest number of hospitalized eye trauma patients,with 612 cases.In this case series,accidental injuries(falls,collisions,bullet wounds,stab wounds,etc.)accounted for 52.03％,followed by metal material injuries(15.20％),and blunt object hitting injuries(11.82％).The majority of injuries involved the entire eyeball(38.94％)and then the cornea(20.40％)and combined multi-ple sites(10.54％).Open eye injuries accounted for 57.07％,closed 25.98％,eye appendage injuries 11.64％,and others like chemical and thermal burns 5.32％.After injury,58.34％of patients underwent debridement and suture,8.52％lens surgery,8.17％intraocular surgery,3.38％eyeball probing,3.00％lacrimal surgery,2.42％or-bital surgery,1.16％others,0.97％evisceration of ocular contents,and 0.17％enucleation surgery.After active treatment,the visual acuity of 28.62％of patients was improved to be ≥0.30.Conclusion It is revealed that eye traumas are mostly accidental injuries,with the majority of patients being males aged 18-69 years.Most patients can achieve improved visual prognosis after active treatment.Prevention and timely diagnosis and treatment after eye trauma are vital for vision prognosis.
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