Incidence of cases sf ocular trauma admitted to hospital and incidence of blinding outcome
Incidence of cases sf ocular trauma admitted to hospital and incidence of blinding outcome
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DOI：
10.1136/bjo.80.7.592
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发表时间：
1996-07-01
影响因子：
4.1
通讯作者：
Minassian, DC
中科院分区：
文献类型：
--
作者：
Desai, P;MacEwen, CJ;Minassian, DC
目的-为了提供流行病学数据的严重眼外伤利用医院眼科服务的当前负担，告知规划和提供眼保健，健康和安全的战略，为预防眼injuries. Methods-一个前瞻性的观察研究进行了所有患者的眼外伤入院在苏格兰的医院，根据顾问眼科医生的护理，在1年的时间。苏格兰的人口代表了有受伤风险的人口。视力结果（Snellen视力在受伤的眼睛）进行了测量，在最后出院的时候，从眼科护理，并在后续up.Results-All眼科部门在苏格兰参加，共415名居民的苏格兰被录取。需要住院的眼外伤的1年累积发生率估计为8.14/100000人群（95% CI 7.38 - 8.97）。约13.2%（n=26/197）的患者出院后视力结果较差，伤眼视力低于6/12。此时，约10.7%（21/197）的患者的伤眼出现致盲结局（视力低于6/60）。在研究期间，没有患者登记为失明或部分失明。家庭是致盲性损伤最常见的单一场所（52%，n=11/21），其次是工作场所（24%，n=5/21）。严重眼外伤致盲结局的1年累积发生率估计为0.41/10万人/年（95%CI 0.26 - 0.64）.结论--目前医院眼科服务的严重眼外伤负担已经从这项基于人群的研究中量化，并且首次，已经提供了对这些损伤的后续盲性结果发生率的直接估计。眼外伤仍然是一个重要的原因，可避免的，主要是单眼视力发病率（视力障碍和失明），与一半以上的致盲伤害现在发生在家里。除了传统的工作、体育和休闲环境及其相关活动外，健康教育和安全战略现在还应考虑将家庭作为预防严重眼损伤的目标。
Aims-To provide epidemiological data on the current burden of serious eye injuries utilising the hospital eye service, to inform the planning and provision of eye health care, and health and safety strategies for the prevention of ocular injuries.Methods-A prospective observational study was carried out of all patients with ocular trauma admitted to hospitals in Scotland, under the care of a consultant ophthalmologist, during a 1 year period. The population of Scotland represented the population at risk of injury. Visual outcome (Snellen visual acuity in the injured eye) was measured at the time of final discharge from ophthalmic care and at follow up.Results-All ophthalmic departments in Scotland participated and a total of 415 residents of Scotland were admitted. The 1 year cumulative incidence of ocular trauma necessitating admission to hospital is estimated to be 8.14 per 100 000 population (95% CI 7.38 to 8.97). Some 13.2% (n=26/197) of patients discharged from follow up had a poor visual outcome with a visual acuity less than 6/12 in the injured eye. Some 10.7% (21/197) patients at this time had a blinding outcome in the injured eye (visual acuity less than 6/60). No patient was registered blind or partially sighted during the study period. The home was the single most frequent place for blinding injuries to occur (52%, n=11/21), followed by the workplace 24% (n=5/21). The 1 year cumulative incidence of blinding outcome from serious ocular trauma is estimated to be 0.41 per 100 000 population per year (95% CI 0.26 to 0.64).Conclusions-The current burden of serious ocular trauma presenting to the hospital eye service has been quantified from this population based study, and for the first time, a direct estimate of the incidence of the subsequent blinding outcome from these injuries has been provided. Ocular trauma remains an important cause of avoidable and, predominantly, monocular visual morbidity (visual impairment and blindness), with over half of the blinding injuries now occurring in the home. Health education and safety strategies should now consider targeting the home for the prevention of serious eye injuries in addition to the traditional work, sports, and leisure environments and their related activities.