The clinical analysis of the ocular trauma caused by wood

Abstract

Objective To analyze the clinical features and treatment of the ocular trauma caused by wood. Methods A total of 25 eyes of 25 cases with ocular trauma caused by wood from Aug. 2018 to Dec. 2018 in Affiliated Hospital of Weifang Medical University were retrospectively analyzed. Results There were 15 cases with closed ocular trauma, the complications included hyphema, lens injury and cyclodialysis cleft. There were 2 cases with 3 kinds of complications, 2 cases with 2 kinds of complications and 11 cases with only 1 kind of complication. All the 15 cases underwent lens surgery, and among them 4 cases received cilliary suture and 10 cases received vitrectomy combined with lens surgery. Among 10 cases with open ocular trauma, the range of injury in zone Ⅰ was 7 cases, 2 cases in zone Ⅱ and 1 case in zone Ⅲ. The 10 cases underwent one stage debridement and suturing, which combined with lens surgery in 4 cases, 2 cases with vitrectomy and 10 cases with vitrectomy and lens surgery. The difference was statistically significant between types of complications in group A and visual acuity impairment (P<0.05). The difference was statistically significant between locations of trauma and visual acuity impairment in group B (P<0.05). The difference in postoperative visual acuity was statistically significant between two groups. Conclusion With the increase of complications in closed ocular trauma, the visual impariment is obviously influenced. The range of injury is a significant factor affecting visual prognosis in open ocular trauma. The visual acuity of patient with injury in zoneⅠis better than that in zone Ⅱ and zoneⅢ. Open ocular trauma has a worse prognosis of visual acuity than that of closed ocular trauma. Key words: Trauma, ocular, wood; Severity, injury; Method, surgery