Abstract
We investigated the temporal changes in major eye injuries in Taiwan by reviewing the medical records of all patients with ocular trauma hospitalized at the National Cheng Kung University Hospital during 2002–2004 and 2012–2014. A total of 169 eyes (161 patients) during 2002–2004 and 121 eyes (120 patients) during 2012–2014 were enrolled (mean ± SD age: 41.9 ± 20.8 years in 2002–2004, and 51.8 ± 19.3 years in 2012–2014). Males accounted for ~75% of patients. The most frequent injury-causing object was metallic material (~24%), and blunt traumas were most frequently attributable to traffic accidents and falls. The most common locations of injuries for males and females were the workplace and home, respectively. Open-globe injuries occurred in ~70% of eyes, requiring primary repair, cataract extraction, and/or intraocular lens implantation. The frequencies of fall injury, lacrimal system laceration, lens injury, corneal/scleral foreign bodies, and use of intracameral antibiotics increased from 2002–2004 to 2012–2014, while those of closed-globe injury, vitreous haemorrhage, optic nerve injury, and medical treatment decreased. The final visual acuity remained poor (≤20/200) in >1/3 of injured eyes. Despite therapeutic advancements, major eye injuries still pose a high risk for poor visual outcome.
Highlights
We investigated the temporal changes in major eye injuries in Taiwan by reviewing the medical records of all patients with ocular trauma hospitalized at the National Cheng Kung University Hospital during 2002–2004 and 2012–2014
Several population- and nation-based studies have estimated the annual incidence rate of hospitalized ocular trauma as a principal diagnosis in 8.14–13.3/100,000 population[2,3,4,5,6]. These studies were limited by the unavailability of original medical records to delineate clinical profiles such as the circumstances of ocular trauma, mechanism and severity of eye injuries, specific treatment, sequelae, and visual outcome, which can only be identified through hospital-based studies
We hypothesized that the epidemiology of ocular trauma has changed in accordance with the modernization of society, and conducted this study on the profiles of hospitalized major ocular trauma cases in 2002–2004 versus 2012–2014 in order to add to the body of knowledge regarding the epidemiology and clinical features of ocular injury
Summary
We investigated the temporal changes in major eye injuries in Taiwan by reviewing the medical records of all patients with ocular trauma hospitalized at the National Cheng Kung University Hospital during 2002–2004 and 2012–2014. Several population- and nation-based studies have estimated the annual incidence rate of hospitalized ocular trauma as a principal diagnosis in 8.14–13.3/100,000 population[2,3,4,5,6] These studies were limited by the unavailability of original medical records to delineate clinical profiles such as the circumstances of ocular trauma, mechanism and severity of eye injuries, specific treatment, sequelae, and visual outcome, which can only be identified through hospital-based studies. Studies investigating the decade changes of the clinical characteristics of major ocular trauma patients requiring hospitalization are scarce[16,17]. We further compared our results to those of studies conducted in western and other Asian populations
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