Clinical outcomes of globe injury at dr. H. Abdul Moeloek Hospital, Lampung

Abstract

Globe injury is one of the most common traumas in the workplace. The aim of the study was to evaluate clinical outcomes of globe injury in dr. H. Abdul Moeloek Hospital Lampung. This study was a cross-sectional study. Data collection from medical record included demographic characteristic, the type of globe injury, visual acuity before and after treatment from January 2016 to December 2017. The data was analysed by using used chi-square test and Fisher exact test. There were 39 subjects with globe injury. There were 26 (66.7%) subjects of male and 13 (33,3 %) subjects of female. There were 15 subjects (38.5%) who worked as farmers and laborers. A total of 16 subjects (41.0%) presented with visual acuity less than three meters finger counting. The most common types of trauma were open globe injury in 26 subjects (66.66%) and closed globe injury in 13 subjects (33.33%). There was a significant difference between the type of trauma and the early visual acuity at initial presentation (p-value = 0.008). Visual acuity improvement was found in 11 subjects (28.2%). There was no difference between the type of trauma and visual acuity improvement after trauma management (p-value = 0.136). This study showed that workers in the informal sector have a higher incidence of eye trauma. Open globe injury results in worse visual acuity and irreversible blindness. Preventing eye trauma in the work environment will reduce the prevalence of permanent blindness. Keywords: Globe injury, visual acuity, workers