The Epidemiological Characteristics And Clinical Outcomes Of Patients Hospitalized For Workplace-Related Open Globe Injuries

Objective:To evaluate the epidemiological characteristics and clinical outcomes of patients treated for open globe injuries happened at work or in the workplace.Methods:1. Retrospective chart review of 136 consecutive patients with open globe injuries treated at the Ophthalmology Department of FuJian Union hospital from january 2005-December 2010.A total of 58 patients(59 eyes) with open globe injuries happened at work or in the workplace were identified .The analysis of data which included age,sex,information about the injuried time and workplace,mechanism of injury,the classification and terminology of eye trauma ,surgical procedures, the initial and final vision,sociatical factors.2. Compared the data of the Workplace-Related Open Globe Injuries with the no Workplace-Related.the epidemiological characteristics and clinical outcomes of the Workplace-Related group were understood.Result:1. Of the 136 patients with open globe injures , there were 58 patients(59 eyes) injuried at work.93.1% were men, and the average age was 30 years( 18–54 years ). They were difference in sex (93.1%vs85.9%,P=0.034 ) and no difference in age (P=0.05).2. The most common mechanism of injury was Intraocular foreign bodies (IFOB) trauma , 26 patients ( 44.8%) examined had IOFB. Some goods caused open globe traumas including irons,stone woods, other medicals and unknowned things.In the observed groups and contrasted groups They were 34(58.6%)vs 20 (25.6%),12(20.7%)vs15(19.2%),1(1.7%)vs6(7.7%),2(3.4%)vs3(3.8%),4(6.9%)vs2 (2.6%),5(8.6%) vs32(41.0%);3. According to BETT ,The number of Blunt injuries,Penetating injuries,and IFOB were 17(29.3%)vs19(37.2%), 15(25.9%)vs29(37.2%),26(44.8%)vs20(25.6%) in the two groups ,which was different(P=0.034). The time it took patients to present to the emergency room after an ocular trauma was no difference(P=0.34).4. In the Workplace-Related group ,the trauma range has relation with the education,safe train,safe equipment and work factors.5. The surgeries on the workplace-related open globe injuries included the ruptured globe repair lensectomy,vitrectomy,sclera buckle glaucoma surgery,IFOB takeout and enucleation.The numbers( ratio) of patients were 57(98.3%),18(31.0%),21(36. .2%),8(13.8%),7(12.1%),26(53.4%),1(1.7%).The cause of enucleation was uncontrolled serious endophthalmitis.Conclusion:1. The open globe injuries can cause significant morbidity in a young population of patients.2. The statistically higher rate of metal goods in the population at the workplace is approved,which includes IOFB is very obvious.3. The Open globe group final visual acuity is related with the injuries range.In the injured at work, the trauma range has relation with the education,safe train,safe equipment and work factors.4. It does emphasize the importance of strict adherence to the safety uniform and the use of eye protection in the workplace.5. The cure of Workplace-Related open globe injuries has been decided by the clinical outcomes.