Ocular injuries

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