角膜异物432例调查分析

Investigation and analysis on corneal foreign bodies in 432 cases

目的:对福建泉港区角膜异物进行调查分析。方法:收集我院2007-07/2008-07角膜异物患者432例445眼,对性别、年龄、异物分类、位置、视力等项目进行统计分析。结果:在角膜异物432例445眼中男404例(93.5%),平均(25±4.5)岁,21～40岁为发病集中年龄(49.3%),职业以工人为主(63.4%),异物以铁屑铁渣居多,302眼(67.9%),异物位于角膜Ⅰ区157眼(35.3%),角膜Ⅱ区177眼(39.8%),角膜Ⅲ区111眼(24.9%)。1d内就诊120例(27.8%),2～3d194例(44.9%),治疗前后视力基本不变或有所提高。结论:角膜异物是常见的职业性眼外伤,改善工作环境及加强个人防护能有效地预防角膜异物的发生。

AIM. To investigate and analyze the corneal foreign bodies in 432 cases in Quangang area of Fujian province. METHODS： Totally 432 cases （445 eyes） with corneal foreign bodies from July 2007 to July 2008 were investigated retrospectively. The statistical data included gender, age, classification and location of the foreign body. treatment, vision etc. were analyzed. RESULTS： Of all cases, 404 patients （93. 5%） were male. The average age was （25±4.5） years, with a range of 6 to 75 years and most patients （49.3%） were 21- 40 years old. A total of 274 patients （63.4%） were workers. The foriegn body was iron in 302 cases （67.9%）. And the foreign bodise of 157 eyes （35.3%） was at corneal zoneI, 177 eyes （39.8%） at corneal zone Ⅱ, and Ⅲ eyes （24.9%） at corneal zone 4. One hundred and twenty （27.8%） patients received treatment within one day of the first hospital visit, and 194 patients （44.9%） within 3 days. Vision remained basically unchanged or increased before and after treatment. CONCLUSION： Corneal foreign body is a common occupational eye injury. Improving the working environment and reinforcing protection can prevent the occurrence of the disease effectively.