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

Fangnan Duan,Weiyun Shi,Hua Gao,Sai Zhang,Xiunian Chen,Xiaolin Qi

doi:10.1155/2020/5826263

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.

Highlights

Ocular trauma is a major preventable cause of permanent visual impairment. ere are approximately 55 million eye injuries each year, among whom 750,000 requires hospitalization around the world [1]. e annual incidence of hospitalized ocular trauma is between 8.6 and 27.7 per 100,000 population in China [2, 3]
The epidemiological data of eye injuries in the province are lacking. e aim of this study was to provide a basis for the prevention of ocular trauma in Shandong by retrospectively investigating the clinical characteristics of eye injuries and probing the prognostic factors associated with visual outcomes
We utilized the ocular trauma score to evaluate the severity of ocular trauma [8]. e initial visual acuity was the best corrected Snellen visual acuity (BCVA) at the time of presentation, while the final visual acuity was obtained upon the most recent outpatient visit

Summary

Introduction

Ocular trauma is a major preventable cause of permanent visual impairment. ere are approximately 55 million eye injuries each year, among whom 750,000 requires hospitalization around the world [1]. e annual incidence of hospitalized ocular trauma is between 8.6 and 27.7 per 100,000 population in China [2, 3]. E annual incidence of hospitalized ocular trauma is between 8.6 and 27.7 per 100,000 population in China [2, 3]. Ocular trauma is a major preventable cause of permanent visual impairment. Ocular injuries, especially those with poor prognosis, have increased economic burdens on patients, their families, and society [4, 5]. Shandong Province, with 106,000,000 permanent residents, is one of the most populous areas in China. E aim of this study was to provide a basis for the prevention of ocular trauma in Shandong by retrospectively investigating the clinical characteristics of eye injuries and probing the prognostic factors associated with visual outcomes The epidemiological data of eye injuries in the province are lacking. e aim of this study was to provide a basis for the prevention of ocular trauma in Shandong by retrospectively investigating the clinical characteristics of eye injuries and probing the prognostic factors associated with visual outcomes

Methods

Results

Conclusion