Abstract:AIM: To retrospectively analyze the epidemiological characteristics and modern ophthalmic microscopic technology of 137 cases(138 eyes)with ocular trauma to observe the result of ocular trauma prognosis vision.
METHODS:Clinical data of 137 cases(138 eyes)with ocular trauma in our hospital were reviewed; injured causes, time, place and time of get hurt by species, kind, and complications of injury classification and operation method, eyesight before and after treatment were recorded. Vision < 0.1 as the poor standards of prognosis was compared with visual acuity ≥0.1 group. The difference in vision between before and after treatment was analyzed.
RESULTS:The gender ratio of 137 cases of ocular trauma was 6.61:1, with 19-49 years old for young adults, with an average age of 33.28 years. The first cause of injury was metal implements, the second was wood. 90 cases(90 eyes)underwent second stage surgical treatment, accounting for 65.2%. There were 34 cases(34 eyes)accepted the vitrectomy, the best-corrected visual acuity(BCVA)≥0.5 in 31 cases(31 eyes)6 months after surgery, accounting for 22.5%, BCVA≥ 0.1 in 77 cases(77 eyes), accounting for 55.8%. Constituent ratio of visual acuity before and after treatment had statistically significant difference. The visual acuity were markedly improved after treatment(the Chi-square=137.40, P=0.000). 1 case of explosion hurt patient's 1 eye performed eye excision.
CONCLUSION: Ocular trauma in undeveloped areas accords with international ocular trauma in epidemiological characteristics, and has its own characteristics. Positive first phase treatment and second phase vitrectomy can effectively improve the postoperative BCVA, reduce the complications and improve the quality of life for ocular trauma patients after injury.