Ocular Trauma Pattern in the North Bund Area of Shanghai Pinpoints Risk Factors and Predicts Visual Outcomes

Abstract

Background To identify the ocular trauma pattern in the north Bund area of Shanghai. Methods This is a retrospective, cross-sectional study. Patients between January 2016 and December 2018 with trauma in one eye and being hospitalized for at least one day in Shanghai General Hospital were selected in this study. All patients received first evaluation at the emergency room, followed by careful eye examination by one of attending ophthalmologists and reevaluation by one of the authors. Demographics and related patient’s clinical data at the time when trauma occurred were recorded, including age, gender, occupation, cause and type of trauma, location and size of injury, type of surgery, and hospitalization time. Results 206 patients were reviewed. We found that gender and age are two mutually correlated risk factors for ocular trauma. We also identified occupation as a major risk factor, which is closely associated with penetrating injury. Moreover, season change adds an additional layer of risk factor for ocular trauma, showing a significantly higher peak of ocular trauma incidence in hot summer months. Furthermore, RD and VH were identified as two prevailed types of complications. Importantly, we found that complications, along with location and/or size of injuries, determine the visual outcomes. Conclusions We identified a clear ocular trauma pattern in the north Bund area of Shanghai. Importantly, complications, location and/or size of injuries determine the visual outcomes. Our findings pinpoint risk factors for ocular trauma, which predict visual outcomes and might be further applied in eye injury prevention.

A Retrospective Study of the Etiology and Patterns of Ocular Trauma in Preschool Children Presenting to the Emergency Department over a Five-Year Period in Shenzhen

“…Literature suggests that 90% of ocular injuries can be prevented [4]. Current studies focusing on pediatric ocular trauma primarily address hospitalized children [5][6][7], with limited reports on such injuries in children presenting to emergency departments. Through a retrospective analysis of pediatric ocular trauma patients seen in the emergency department, this study aims to understand the epidemiological characteristics of ocular trauma in children to inform targeted preventive measures that could reduce the incidence of ocular trauma and associated visual impairment in children.…”