The epidemiology of serious eye injuries from the United States Eye Injury Registry

被引:0
|
作者
D. R. May
F. P. Kuhn
R. E. Morris
C. D. Witherspoon
R. P. Danis
G. P. Matthews
L. Mann
机构
[1] Department of Ophthalmology and Visual Sciences,
[2] Department of Health Organization Management,undefined
[3] Texas Tech University Health Sciences Center,undefined
[4] Lubbock,undefined
[5] TX 79430,undefined
[6] USA Tel.: +1-806-7432400 ext. 258 Fax: +1-806-7915942,undefined
[7] Department of Ophthalmology,undefined
[8] University of Alabama,undefined
[9] Birmingham,undefined
[10] Alabama,undefined
[11] USA,undefined
[12] Department of Ophthalmology,undefined
[13] Indiana University,undefined
[14] Indianapolis,undefined
[15] Indiana,undefined
[16] USA,undefined
[17] Department of Ophthalmology,undefined
[18] University of North Texas,undefined
[19] Fort Worth,undefined
[20] Texas,undefined
[21] USA,undefined
[22] United States Eye Injury Registry,undefined
[23] Birmingham,undefined
[24] Alabama,undefined
[25] USA,undefined
关键词
Retina; Visual Acuity; Public Health Problem; Functional Change; Measurable Protection;
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学科分类号
摘要
· Background: Trauma remains a major problem throughout the world. The prognosis of severe eye injuries is commonly bleak. This paper focuses on the epidemiology of eye trauma, the role of ocular epidemiology, and identification and reduction of risk factors. · Methods: An analysis of the first 8,952 patients reported with severe eye injuries, defined as those eye injuries resulting in permanent and significant (measurable and observable on routine eye examination) structural and/or functional changes to the eye, from the United States Eye Injury Registry as of 31 July 1998. · Results: The age of patients entered was from the 1st year of life to 103 years. Fifty-eight percent of those injured were less than 30 years of age. The male to female ratio was 4.6:1, reaching 7.4:1 in the fourth decade of life. Almost half of the injuries involved the retina, and 77% of the injured eyes required one or more surgical procedures, including a large proportion which have undergone vitreoretinal surgical procedures. · Conclusion: Injuries remain the most serious public health problem facing developed nations. Yet, a persistent inadequacy exists both in the standardized documentation of eye injuries and in their treatment. With appropriate surgical and medical intervention, a majority of the reported injured eyes recovered functional levels of visual acuity. It appears that glasses, including prescription glasses and even non-prescription sunglasses, can offer measurable protection which results in a lower incidence of severe eye injuries to those wearing glasses.
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页码:153 / 157
页数:4
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