Clinical Characteristics and Visual Outcomes of Patients Hospitalized for Ocular Trauma in Shandong Province, China

Abstract

Purpose. To analyze the clinical characteristics and visual prognoses of patients with ocular trauma treated in Shandong Eye Hospital. Methods. The inpatient data of patients with eye injuries hospitalized in our institution from January 2014 to December 2018 were retrospectively reviewed, including demographic information, types of trauma, causes of injury, treatment, and initial and final visual acuities. Results. A total of 1,425 patients (1,622 eyes), aged 39.5 ± 18.5 years, were included. The ratio of male to female was 5.3 : 1. Of the mechanical eye injuries, there were 490 (34.4%) open-globe injuries and 454 (31.9%) closed-globe injuries. Nonmechanical eye injuries had 426 patients (29.9%), while 55 patients (3.9%) had adnexal injuries. Over a half of the traumas were work-related (51.1%, 728 patients). Most patients were treated with surgical intervention (1,404 eyes, 87.9%). There were significant differences in the final visual acuities between open-globe injuries and closed-globe injuries (P<0.001), as well as between mechanical injuries and nonmechanical injuries (P<0.001). The final visual acuity was closely correlated with the initial visual acuity (Spearman’s correlation coefficient = 0.618, P<0.001) and the OTS score (Spearman’s correlation coefficient = 0.691, P<0.001). Conclusion. Ocular trauma usually occurs in young and middle-aged men and in the workplace in Shandong Province. The proportion of nonmechanical injuries is high, and the prognosis is poor. A comprehensive understanding of the characteristics of ocular trauma is useful for blindness prevention and treatment.

Clinical Review of Ocular Traumas Resulting in Enucleation or Evisceration in a Tertiary Eye Care Center in Hungary

“…The incidence of ocular trauma leading to enucleation is reported to be 1.1% among patients with ocular trauma in China [ 10 ]. Ocular trauma is the second most frequent primary indication for enucleation following tumours in Hungary [ 11 ].…”

“…To the best of our knowledge, this is the first study to report on the characteristics of ocular injuries leading to enucleation/ evisceration in Europe. e incidence of ocular trauma leading to enucleation is reported to be 1.1% among patients with ocular trauma in China [10]. Ocular trauma is the second most frequent primary indication for enucleation following tumours in Hungary [11].…”

Epidemiological features and management of eye burn patients in Wuxi, China

“…According to the findings of the Parmar’s study, 70% of patients experienced injuries at or near their homes, prompting us to pay closer attention to heat (flames, fireworks and hot liquids), electricity and microwave meals 18. According to the findings of this study, alkali is the most common chemical burn material, followed by acid 13 19 20. Reducing eye burn from pyrotechnics and firecrackers, as well as increasing laws and law enforcement, might be crucial during holidays.…”