马来西亚西部小儿眼外伤研究(英文)

A West Malaysian study of pediatric ocular trauma

目的:调查5a期间就诊于马来西亚西部三级转诊中心的小儿眼外伤患者的视力结果。方法:回顾性研究。对所有2009-01/2013-12就诊于急诊创伤科的连续患者进行筛检,选取年龄在15岁以下的眼外伤患者纳入研究对象。排除随访患者。收集患者人口统计学数据、既往治疗和眼部病史资料。详细记录眼外伤情况,治疗和疾病发展情况。结果:小儿眼外伤的患病率为每年17.6/100000。其中男性患者占69.5%(296/426例)。患者的平均年龄为6.08±2.24岁。家用工具(19.7%)和摔伤(19.7%)是致眼外伤最常见的原因。多数患者(79.9%)救诊时的视力≥6/12。眼前节(93.9%)最容易受伤,22.8%的患者需要手术治疗。相对性瞳孔传入障碍与闭合性眼球损伤程度(P=0.001)及不良视力预后(P=0.001)相关。大多数患者(92.7%)的最终视力≥6/12。结论:须提高对小儿眼外伤的预防意识并及时进行治疗,以确保患者视力的最大程度恢复。

AIM： To survey ophthalmological outcomes of pediatric patients who presented during a five - year period with ocular trauma to a tertiary referral center in West Malaysia. METHODS： All consecutive patients presenting to the Accident and Emergency Department from Jan. 2009 to Dec. 2013 were identified. Patients were recruited as study subjects if they were less than 15y of age and had sustained ocular trauma. Follow - up patients were＆amp;nbsp;excluded. Data collected including the subjects＆#39;demographic data and past medical and ocular history. Ocular injury, treatment and progress details were also recorded. RESULTS： The prevalence of pediatric ocular trauma was 17. 6 / 100000 per year. Males represented 69. 5% of the 426 subjects recruited. Mean subject age was 6. 08 years [ standard deviation （ SD）： 2. 24]. Domestic tools （19. 7%） and falls （19. 7%） represented the commonest causes of trauma. Most subjects （79. 9%） had presenting visual acuity （VA） of 6 / 12 or better. The anterior segment of the eye （93. 9%） was most commonly injured, and 22. 8% of subjects required surgery. Relative afferent pupillary defect was associated with closed globe injury （P = 0. 001） and poorer final VA （P = 0. 001）. Final VA in most subjects （92. 7%） was 6 / 12 or better. CONCLUSION： Increased awareness is necessary for the prevention and early ophthalmological intervention of pediatric ocular trauma, to ensure optimum visual rehabilitation for these patients.