Original Article
uwKmeja ~
i
3
~
~
~
l
~
b
~
~
~
i
~
~
~(descriptive ~ i L %retrospective ~ ~ ~ 3 study) ~ 7 bb$iodn&is-uim?nu?aaaL f l U d ~ ~ ~
~
~
n~iu~uu~us~uiiuw~nii?nin(~il?uuim~Bumumiinnni~Giiluiu$l$?uni~?nwi~~'~u(d~uluuoabnwu~u~n~~u ni~~w1~1n~~6as-~s~"~u(daulu~l(pl"?un~~~~~~~iil$7~lui~~~~lwium1~u~~o~u~~ Aadiud 1
Tmnu w . n 2550
fft-kd 30 f?uuiuu w.n. 2551 ~ a n ~ ~ ~ n & i w u h ! $ a u w " u ~ u m ~42 i u aSUI u
igu~wnaiu40 5711 ( 95.24X ) LBUMQU2 m u ( 4.76 l o 110 %q!flu
1 0 318
2)
o i U & n L ~17- 59 il o i q ~ a d u35.5il
m~ijny.cminn-Ymqliii~lu
aiaLnfi 2 6' 111 bfim~innisb~0bba-mon~1:~ 20 310 e ~ n n i s ? f i 9 & t w u <20 i s i u b9u closed globe
injury raws 2 2 378 b ? h open globe injury ~ a n 1 ' 6 ? n ~ i ~ o u % w i ~ b a : ~ ~ ~ n 1i i b;ouwpriiluni$ ?nwi~ d
ij2u1ijn$
injury 9 5iuaium7nun ila:
11
muii& lunnu open globe injury
12 s i u a i u o i ~ n u d4 21u~$u un:
closed globe 2 siuudau 3-u-
~ a ~ i I u n i s ~ n ~ n w i ~ ~ i a a u T a i s w ~ ~ u5.03 iaTm i u~ r a d ~ ~ o
d;E( : n i s ~ ~ ~ u i m ~ ~ u ~ i i ] ~ i ~ i n n ~ a w " ~ u i u ~ i ~ ~ ( d a u ~ o ~~%fln'1%~41u~o\9~;m\91u~bn= w"n?nwi~a~ub~u~u~~li .aim27ol$
~ d 1 ~ ~ n ' i 4 X ( d ~ u o i ~ ~ ~ ~ % u n i ~ u 0 u r f s " u ~ L~ Lm ~~ ~~ iWj nWi ~~ w~ w~ ~P n~i wW P ~ I J Ln i~s ~ ~ ~ ~ ~ ~
dosn'u1unnw 7 u i ~ s n ~ ~ 6 m u a a w ~ ~ n ~ s ~ u ~ ~ l . a " w i i l n Q ~ u i u ~ u ~ 9 u ~ ~ u ~ w ~ ~ $ i i ~ u n i ~ d ~ fl13~1\91~
Occupational ocular injuries that hospitalized at rayong hospital Vicharn Chokruengsakul M. D. *
Abstract The purposes of this descriptive retrospective study were to study the epidemiology, severity classification and visual outcomes of occupational ocular injury treatment in patients hospitalized at Rayong Hospital. Medical records of the patients whom were diagnosed as occupational eye injury and admitted at Rayong Hospital between October I , zoo7 and September 30,2008were reviewed. There were 42 cases include in this study. Among 42 cases, 40 patients were male patients (95.24% ) and 2 patients were female (4.76 x ) . The range of age was between 1 7 - 59 years with mean age 35.5years.Ten patients were injuried by
blunt trauma, i o patients injuried by sharp objects, 2 patients injuried by chemical agent, and 20 patients
*n@slu&@no?
~ ~ ~ W U ~ U ? R T Z U ~ J
*Department of Ophthalmology Rayong Hospital
14 Chonburi Hospital Journal Vol. 3 4 NO. 1 Jan.-Apr. 2009
injuried by nails and polishing objects. Twenty patients had closed globe injury and 2 2 patients had open globe injury. The visual outcomes in closed globe injury were stablized in 9 patients and improved in whereas 12 patients were stabilized,
4
11
patients
patients were improved and 2 patients got worses in open globe injury.
The average mean of hospital stay was 5.03 days. In conclusion : The hospitalized occupational eye injuries incurred significant visual loss, morbidity, health care expense and socioeconomic impacts. Safety strategies aimed at preventing eye injury are mandatory especially legal control.
Keywords : Ocupational eye injuries, eye trauma, ocular injury, ocular trauma
rrr(
asnis8n~1
aSuni~dnwi~%;lw~smui~6~1~~a~a7<
u ' o w & ~ n u n i s d n ~ i - u i n ~ a " d ~ z b ~ u ulud2n'~ f l a eaunis r 7
a a
~~~~~~l'66~~~i~b~~'~1ii)~i~Ub%~\3B1
<n~~anmiun$usi7'~Tcjn So5 nis~1inbGul~a\3nirra: 1 l i i m ~ l u ~ ~ B d i u u n T ~ n s z ~ ioGuu%a 1\3d~n : ~k~d~Io (International Statistical Classification of diseased and Relatived Healthy Problem 1 othRevision M% ICD Io l i Y
~ian~nwi:d~iim~u~~'~i~fii~iu~,~~as
iions3u ~ i o z ~ i i n u 3 ~ a m q m a i w n ~ ~ u w " s ~ r i 0 f i ~ i ~~mi a i ui ~u pmsi"u~w ~ n ~ n m . n " 7~6i ~siu X ubmuba~iz~fim-ain nrnudtfin~n~i~inunl-ilu ICD 1 o bnu~iiubsys
smiiuiud
1
n ~ s ~ f i u n s z ~ t ; u I ~ o i n n ~ s ~ ~ i1 na ~noui foin ~mw~i
ipiauyoinu W.R.2550 iiaiud 30 ~ a u n i s ~ " i ? i " l u i ~ n i u 4 1 mu n~~~Ga{d-Jumiuw6'n~nm.n"
n"taFl7Fltr W.H.2551 b g ~ b 2 m l1
9
b1~Ku61uau42 % i uw u j i ( d a u d a d n ~ ~ 3 u b ~ ~40 mu
(dau~~nt~enuiitn~iGa$daudl6?uuinadu510 (95.24% ) 3 bS'tb~@\l2 51u IJAI
(4.76 X )
$Jfl0FlFl$0\9
~Jbl("i'd'2~9109b~l("17 bdG0nFI1 ~ ~ ~ l P l l ~ b ~ ~~" ~d ~~I U9QaI U ~ ~ ~ W W W ~ ~ " I I I O Lai-aozadavain4i ~U~~UIM~
Plsznounioluqnmi siuaz~~ummiu ICD 1 o bnui3u$dau
i~ailsi~~iudliisiuluCnwmz~~~aiua~u~i~n~sui
d I ~ T u n i ~ i n u i r u u ~ ~ a u ~ u . i f b s ~ w u i ul i ai na zi ~ u ~ ~~ i n n d i ~ ~ s \ s ~ i u (daudaiya~$zwi7~ ~fl~uin 17-59
3
fudn$~ym~8cntGu iwn o ~ qa i 3 ~R j l w m z n i ~ i i a i u
~IUZ~~~~IPIL~UIURI~~I 22 ~ I U ~ X T U P ~ I ~ L ~ E ~ I U R I $ I ~ ~ ~ ~ OLraz U~~~~~<L
rii~wplva~nisui~ mihuduiniiu ~iu nisiCoO ~ u z
2
in"uia~~eJdaumiuw~n~nm.n"C~n~iawuidiuau 42 siu ~ n u i i o i ~ ~ 35.5 a i i uil {dau
t8
siul~?uuintiuol"\92 b i " ? s i n r i i s ~ n ~ n . s z ~ G u ~ ~ i w C i d
~ ~ a i ~ ? n u i K ~ l u b s ~ w ~u ~i uai ~a 7 z C u a i u m i r i a mb b ~ ~ ~ l ~ l ~ P l l 51 l J ' Y I ?nuinn=~C~ni~?nwidszuim 1 ~Gacdbnuni~j'maim
m 7 3 7 ~ dI
~>rnmr~~i~m
vht~Snellen's chart b m u ~ d i u ~ l t $ u u w a " u ~ o n i ~ ? n w i ~ ~ n r3u 3 sz<u4a8 I . 3zCuriiumin~d <aazi7uaiumin6'~ni3
?nuiacjrnulu 2 II-JUDU
SneIIen1s chart ideduunii
rinunis?nui 2.
sziY'unium16ifu Ga4=<uaiumiwFS\9nis
Y n u i ~ t u u i n n i2i L 3.
L ~ - JSnellenls ~ J
chart
~ziY'uniumiueia\9G a s z C u r i i u n i ~ a " s m
?nuiana\ruinnii 2 ~n3"1109Snellen's chart a d ~ ~ z < u o i u m i ( d ~ u a a n ~ f l ~ 3 z <7u e<ad ii~
ai~~~~a~nirjl6?uuirn~~uwuii~iinoin Y
I
I
Y
20/20,20/30,20/40,20/50, 20/70 20/100,20/200
l i i n u b d ~ ; n ~ ~ ~ s ~ " a J l ~ n ~ ~ b b n ni o~ i~~ ai 7 n;u1 . b
LLazdindi 20/200-5/200, Count Finger, Hand
k q i n u d u m i ~dugnAunistdira3ndudiu3u i o n u
Movement, Projection Light, Perception Light baa= No
dd~<~rfinoinnis~;u~wGn ~?aomnnol~ra6'ansz~Gu~u"7
Perception Light
bdabd<uui$uusz<u"uJriiumi
P~I~IM~U~J
20 ~ ~ u L ~ ~ o ~ A ~ J M d d ~l <~Q J) ~' ~~ J ~ J ~
rioui~azwa'ilni-a?nwidi LGOU bmuni~a"nni~uasiw"uXau n ~ u $ i i ~ i , t n ' b ~ n m i u ~ ~ b ~ 3 \ 9 ~ a ~ n i 5 u i ~ b ~ u u l n ~ ruptured cornea bba= sclera 14 siu 6aa'b6?unis Snellen's chart
n i 3 3 ~ ~ ~ i : w ' w a l l n 8 i ~ 9 i l w 3 s~mi n~zi ~ i i t r i u a diKn l ~ d i u a u $2 % i u iintraocular foreign body d posterior segment Xa~d~ld?unis?nuiicI i(dau2 51u u"o~a~%~d3uisu~~umi~i~ d
; n a i x n f i n ~ ~ ~ G u ~ ~ i ~ ~miumisii9n i ~ a a z m i2 d
m7z79n 2 H I L ~ ? Y D ~ ~ I ~ E / I B L $ U
16 Chonburi Hospital Journal Vol.
34
NO. I Jan.-Apr. 2009
Iudau~o\nnis^aQq<uwu-di 20 aiu bgu closed
b3u open
globe injury 2 2 aiu
globe injury lun4u
flifJmifl\nd bbd 6
9 1 l ~ ~ ~ T ~ < ~1 bbb17 ~ 1 71 ~ ~
a ~ u d ~ ftraumatic lu hyphema bbaz lens dislocation
d
closed globe injury bfiuni~u?nb<uniuuonm-~ 1 0 aiu
No Perception Light $obbdmou~7ii I i i u ~nfli-jbfli
biu tear conjunctiva, cornea abration w?o lacerated
~$im~?i'bKa"ms=Kufiiumimaua~%nl? iauluntju open
cornea
itraumatic
mzQnaza67u~$id\n 8
hyphema 12 aiu bnuu7n~finqin 17U
globe injury
12
a i a 9 z 6 u w i u n i ~ ~ $ o ~ 621aanab~d i~~u
L L ~ ~ < n f l f l l 5 ~ 1L$M ~ bi ~ ~ d ~l ~ ~ u ~ ~ ~ ~ u t n u n ~ ~ ~
nicdgnainaoo conjunctiva M?Ocorneal abrasion wjo d
n ? u u s u o d i o ~ a u d a ~ ~ r n ~ ~ ~ o ~UBL~~I~$LRI iau~au n~arimsn<oumuiniiu $ 9 9 ~~ ~ i o n o o nd h~
No Perception Light d ~ u a u15 170
count Finger
(68.1 8 % ) 4 z 6 u F 1 7 u n i ~ ~ 9 n 7 % ? n ~ 7 d a u ~ p . 9 ~701 ~ ; ~o d b ~
A c d u \ n ~9i7ku( 18.18%)"d~nbuoo i i ~ ~ ~i aiz [~ u f l ~ u m i ~ g u b4~ 47u
dau 4 siudnicjuaob~udiniiHand Movement ii aier
~ i ~ i n ~ a i u ~ u ~ ~ ~ \ n a o o n ~ ~ idu uim Y U~ I ~ VGO \~ ~ lmo
~knisuo\n~Gu No Perception Light &~rdnouuan% nia
a~eradnaz0nmil~uinrsaza~1un'i~~~~ioaouuo~~161 mmnaio i 2 mu 1d~~o$aidil\n0indil~dau1~l?uni1
e e
aua<uduwub3u chemical corneal burn ~%floo&& 2
aiu dauTun4u open globe injury wu
corneal w?o sclera rupture
17
22
% i ub3u
57u lg?uniaejiGmd
b~owuiuiab ~ a zintraocular i foreign body
4
Tn'n947vio miumiaiod 4
L L R5 ~
2
siu w7Kn
~iu~ood\nGalf]?uniaTnw~domiu
miaiod 3 ~75719Wd 3 /?777~Tli?%
Closed globe injury S05.0
~ 1 2 ~ 1 ~ 1 ~ ~ 'L LU R ~: L\ L l~ l~ ~~ I ~ Z I ~T ~~~ 1~ ~ ~ U
diu?uiil?u
wi'uniumi
Closed globe injury Open globe injury 3
20120-20130 20/40-20/50
5
I
20/70-201100
6
4
201200-51200
2
2
Count Finger -Hand Movement
2
10
Projection and Perception Light
I
4
No Perception Light
1
1
bin~'iiii~%qruJ~ndna~
SO^. 1 n i . j d n d u a ~ ~ n m u ni : ~ t a ~ u " a u ~ ~ 2 m ~ ~ " i m i
6
n7579Wd 4
baioand1aowu1uial2 siu ~&\nainforeign body go o$uboudmi fin
baaz
: ~[$-Ju I 51~1% C l o s e d g l o b e injury f h ~ i i ' a ~ i ?
MUIULM?
Ldaqq7n~5u(d~ihuGnnisl@iR$ 2V Y 7 ~ ~ ~ ~ d ~ ~ n i ~ i n ~ ~ l ~ l
~~anaanluqnni(Gasnla"i)
~ 2 6 . 6~ ~ ~ ~ ~ n n i ~ ~ m n i a ~ n o ~ ~ n ' ~ m i u n ~ q ~ Zn ~ i Ia~ ~i ~ml ~i n o i ~ ~ n i ~ d4 ii u nr Yi u5i ~ a 2~{ i i~l ~ ~ u ~ ~ Open globe injury
d
n777sn 5 S
So5.2 ~ n m 7 d n ~ i m ~ ~ : ~ n n i ~ ~ ~ ~ ~ n i ~ ~ u a a n u i
Z ~ Z J H ~ U ~ ~ M ~ : ~ ~ S % W ~
~ian1~ninnio~ua~~~a~u"a1u~nmi ~ 0 5 . 3e n m 7 b n ~ ~ m l n ~ l , j G n i ~ o ' unai aonn~i~~ u i ~
I
!closed globe injury Open globe injury 20120-20130
ni~lld~a~~tal:alu~nmij2~
" *" 20140-20150 S05.5 u ~ n ~ ~ n ~ n ~ q ~ a ~ ~ n m ~ i ~ u n u ~ ~ r n q u d ~ n n ~ ~ ~ 20170-201100 ~ 0 5 . 6uwnun~n:q~a~~nm71mu1,ji7'mq~~dnnnFia~ 201200-51200
Count Finger -Hand Movement Projection and Perception Light No Perception Light
ni3innlu
2
$laudadwd 1 00
aiu
n4u ~ n u w u i i l uclosed globe injury 14 4-10
bbazb$ubgu
17
(70%)az6uaium1b~anTuGnii201 aiu
( 8 5 % )n i u w c ~ o n i ~ ~ n iw1 i1
( 5 5 % )~az6udiumi~$uuinna'7 2 m
a
9
a7u sr6u
nrnan? : li{d2tl
2
3 i d u Closed globe injury Q n o ~ r ~ ~ i2i r ? ~
Ci~7j i(il?f~ 2
TIU~U
O p e n g l o b e injury fhiC.u"oyo
~do~~ind~~s"tlni~~'nwic-ia
Closed globe injury Open globe injury ~:miraiumik&uinnii
t
2~ 0 7
11
4
Tubi~14 7' ~zuz~aai6nu~a~udl8uni~w"n?nricpl"alu
bssweriuia4o 5.03 7ulunfiu closed globe injury 3zuz na~aadu4.3 Tuul n= i$
open globe injury x u z n r n ~ a t h
.82 ?A
oinnisaoumu~80u6ubbaziviidifiu~na'oga
aiwui1ariau~~numlul6aau~f]n~sM"fio\3n"u~du~uanG~sl"u ~ R T O ~n i~0 I~ ~ i u m i f i o ~n~idiuauCoud8au~biumi r7u
81~~~"~\3~~~0\3"11b~~w"7\31~
1 8 Chonburi Hospital Journal Vol. 3 4 NO. I Jan.-Apr. 2009
Ziniaim l u ' b s u w ~ i ~ i o s a s ~ w i s r n i ~ a ~ u w ~
aisnis<n~assunibnm52550; l.lb
6.
qlbU i33iIlq6~206. ~ ~ ~ b ~ ~ ~ 7 i l ~ l ~ ~
qgnin. <nysriaismp ~onais$idd I.
Feist
RM,
MD.
Ocular
epidemiology. Arch Ophthalmol.
1989
2.
; I0 7 ( 4 )
q6~1 &Aqa\sd,
%%I
f l ? < l d Y l ~ ~ d , a"uYled1
n i s ~ n w i ~ d ~ a u l m ~ d ud~ i u~n i ~
uTun3wqms.
G. A five-year
retrospective study of the
n i s ~ n w i l u b s ~ w u i u i a ~ u ~ n i ~ s z . a i(?mI<70). ~n94"
epidemiological
characteristics
<Tlyb2Ylfl13 255 1 ;22(2): 1 1 1 - 1 17.
in
Ophthalmol.
and
visual
a
a
Mediterranean
area.
score
u~i~~aiauelqb.u~asasui~s?.a. ~snsrisnisnou~m
9.
~ . a i w ~ n ~ a i ~ ~ a s m ~ a ~ uv~daeri n i s ~ i9-u Ii 5u
BMC
srim?m?naiwisrniq.uniw.
2008;8:6-7.
auwlmqains, sy%m
fioaisns\l.
. qb?$ttaas.ui3si.a
nis
E ] ~ Z b f i ~ ~ i 2 Z ? ~ ~ b ~ ( " ! ~ocular i 9 ~ i btrauma ~ ~ ~ . a "
Io.
~ub~\lwuiuiaws"~~aiun'iuni. mvai
u n % ~ n i ~ ~ . a s r2548;23(2):99is. I09.
5.
2007
Cillino S, Casuccio A, Di Pace F, Pillitteri F, Cillino
trauma
4.
for 8.
outcomes of patients hospitalized for ocular
3.
and Relatived Healthy Problems i oth Revision
trauma
1503-4.
2543; I4(2):229-36.
International Statistical Classification of diseased
7.
Farber
3 ( 1 ):28-37.
4
2 5 4 a : ~ G 468-477. i
wszsiaG~~3fiuwm~s~uw.w.2537,si.a~s~
moud zan/s(suiPai I I.
30 D~UIUU 2537).
w s r n a ~ ~ ~ r n s ~ u ~ s r ~ s s n n i w ~ uWf Ri n . is
siafiasiy~unwibiud 205 nsud
bnwa 6ifin"nd. Ocular Injury in Thammasat
2534,
p. 1 ): 19-24. Hospital. ~ n y s r i ~ i s m2543;14(
7 ~ 2~5 dwqwqniuu 2534).
?uaas%m g5'mudis-q. q C f i r ~ ~ g n m i ~ m n ~ m z i a
uuny? : ~ ~ i ? m a i < u
i 8w (au