Ocular traumas in working age adults in Finland - Helsinki Ocular Trauma Study
Ocular traumas in working age adults in Finland - Helsinki Ocular Trauma Study
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DOI：
10.1111/aos.13313
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发表时间：
2017-05-01
影响因子：
3.4
通讯作者：
Leivo, Tiina
中科院分区：
文献类型：
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作者：
Sahraravand, Ahmad;Haavisto, Anna-Kaisa;Leivo, Tiina
目的描述芬兰南部17至60岁成年人眼外伤的流行病学、原因、治疗和结局。方法2011-2012年1年期间，所有新的眼外伤患者均入院治疗，均为赫尔辛基大学眼科医院（HUEH）。数据来自医院记录和前瞻性的患者问卷调查。结果眼外伤发生率为88/10万/年。在831名创伤患者中，80%是男性，34%是工伤，11%是袭击。大多数受伤是轻微创伤（54%）。挫伤（22.5%）和化学伤和烧伤（13%）是常见的。骨折（5%）、眼睑创伤（3%）、开放性地球仪损伤（OGI，2%）和视神经损伤（0.5%）是罕见的。眼外伤的主要原因是表面异物（33%）、化学品（13%）、身体部位（13%）和运动器材（10%）。最危险的物品是针、石头、弹丸枪、工具和枪支。无OGI患者使用护目镜。所有OGI和大多数挫伤需要终身随访。永久性损伤（73例，9%）是最常见的身体部位，运动器材和工作tools.ConclusionA典型的眼外伤患者是一个男人，年龄31-45岁的轻微外伤造成的异物在工作和最终视力20/20。最常见的严重伤害是家庭或工作中的挫伤、OGI或骨折，由身体部位、运动设备或工作工具引起。常见的和严重的眼损伤的因素提供了保护措施的目标。
PurposeTo describe epidemiology, causes, treatments and outcomes of ocular injuries in adults aged 17 to 60 in southern Finland.MethodsAll new ocular trauma patients admitted to the Helsinki University Eye Hospital (HUEH), during 1year in 2011-2012. The data were from hospital records and prospectively from patient questionnaires. The follow-up time was 3months.ResultsThe incidence for ocular injury was 88/100000/year. From 831 trauma patients, 80% were men, 34% were work-related injuries, and 11% were assaults. Most of the injuries were minor traumas (54%). Contusions (22.5%) and chemical injuries and burns (13%) were common. Fractures (5%), lid wounds (3%), open globe injuries (OGI, 2%) and optic nerve injuries (0.5%) were rare. The main causes of ocular injury were superficial foreign bodies (33%), chemicals (13%), body parts (13%) and sports equipment (10%). The most dangerous objects were needles, stones, pellet guns, tools and guns. No patient with OGI used protective eyewear. All OGI and most of contusions needed a lifelong follow-up. Permanent impairment (73 patients, 9%) was caused most often by body parts, sports equipment and work tools.ConclusionA typical ocular trauma patient was a man aged 31-45 with a minor trauma caused by a foreign body at work and a final visual acuity of 20/20. Most common serious injuries were contusion, OGI or fracture at home or at work and were caused by a body part, sport equipment or work tool. Factors causing common and serious eye injuries provide the targets for protective measures.