2020, Number 3
<< Back Next >>
Rev Cub Oftal 2020; 33 (3)
Epidemiological characterization of open globe ocular trauma
García FL, Yang Y, Perera ME, Molina SY, Chang HM
Language: Spanish
References: 20
Page: 1-12
PDF size: 339.94 Kb.
ABSTRACT
Objective:
Determine the clinical-epidemiological characteristics of open globe ocular trauma.
Methods:
A cross-sectional observational descriptive study was conducted of open globe ocular trauma and posterior segment damage in patients admitted to the Vitreous-Retina Service of Ramón Pando Ferrer Cuban Institute of Ophthalmology from July 2017 to July 2018.
Results:
Of the patients studied, 68.18% were under 50 years of age and 88.64% were men. Penetrating trauma was the most common type (91.11%); 68.89% of the lesions were found in zone 1, with a predominance of injuries smaller than or equal to 4 mm (75.56%). Most traumas occurred while at work (50%). The prevailing occupational activity being performed at the moment of the trauma was hammering on metal (71.11%); 65.91% of the traumas occurred in urban areas; 96.46% of the patients were not wearing the required protection equipment; 57.77% had an initial visual acuity of count fingers or better; and participation of foreign bodies accounted for 77.78%.
Conclusions:
In open globe ocular trauma a predominance is found of age under 50 years, male sex and penetrating traumas. Most are unilateral and occur while working without the required ocular protection. In more than half of the patients initial visual acuity is finger counting or better. The most common associated ocular signs are intraocular foreign body and traumatic cataract.
REFERENCES
Quiala Alayo L, Duperet Carvajal D, Verdecia Martínez A, del Valle Caballero DC, Navarro Scott M. Heridas corneales en pacientes asistidos con urgencia. MEDISAN. 2014;18(9):1267-73.
Bino Ahammed B. Trauma ocular abierto y cerrado. Bogotá: Fundación Universitaria de Ciencias de la Salud; 2017.
Hernández López F. Comportamiento clínico-epidemiológico de los pacientes con trauma ocular con afectación del segmento anterior [Tesis]. Universidad Nacional Autónoma de Nicaragua; 2015.
American Academy of Ophthalmology. Eye health statistics. AAO; 2017.
Chico KD. Trauma ocular [Tesis]. Ecuador: Universidad Técnica de Ambato. Facultad de Ciencias de la Salud; 2015.
Legrá Nápoles S. Trauma ocular, un caso interesante dentro de la Oftalmología Pediátrica (Tesis). Ecuador: Universidad Nacional de Chimborazo; 2017.
Sánchez R, Pivcevic D, León A, Ojeda M. Trauma ocular. Cuad Cir. 2018;22(1):91-978.
Machín Mahave A. Análisis epidemiológico y evolutivo de los traumatismos oculares abiertos en Cantabria [Tesis]. España: Universidad de Cantabria; 2016.
Martin Begué N, Menlendo Pérez S. Antibioticoterapia en el traumatismo ocular abierto. España: Protocolo del hospital Universidad Vall d'Hebron; 2017.
Gómez AM, Marengo J, Fanciotti P, Aguirre J, Tacconi C, Gutiérrez V, et al. Traumatismos oculares perforantes en el Servicio de Oftalmología del hospital Angel C. Padilla. Oftalmol Clin Exp. 2013;6(3):89-99.
Razo-Blanco Hernández DM, Lima Gómez V. Ocular trauma score comparison with open globe receiving early or late care. Cir Ciruj. 2015;83(1):9-14.
Shukla B, Agrawal R, Shukla D. Systematic analysis of ocular trauma by a new proposed ocular trauma classification. Ind J Ophthalmol. 2017;65(8):719-22.
Meng Y, Yan H. Prognostic factors for open globe injuries and correlation of ocular trauma score in Tianjin, China. J Ophthalmol. 2015 [acceso: 18/08/2020];(2). Disponible en: https://www.hindawi.com/journals/joph/2015/345764/
García Ferrer L, Rodríguez Rodríguez BN, Chiang Rodríguez C, Chang Hernández M, Galindo Reydmound K. Rotura ocular posterior traumática. Rev Cubana Oftalmol. 2016;29(3):581-8.
Madhusudhan AP, Evelyn-Tai LM, Zamri N, Adil H, Wan-Hazabbah WH. Open globe injury in Hospital Universiti Sains Malaysia - A 10-year review. Int J Ophthalmol. 2014;7(3):486-90.
Kaushik Thakur N, Hussain Laskar Z, Kumar Srivastava P, Ganesh Bharambe M, Gopal Nath S. Epidemiological characteristics and visual outcome of ocular trauma in Southern Assam in a Tertiary Care Center. Int Jour Cont Med Res. 2017;4(2):473-6.
Cruz Izquierdo D, Castillo Pérez A. Caracterización epidemiológica del trauma ocular a globo abierto en zona I en el Instituto Cubano de Oftalmología "Ramón Pando Ferrer" (2007-2008). Rev Cubana Oftalmol. 2011;24(1):151-60.
Cruz Izquierdo D, Capote Cabrera A, Cárdenas Díaz T, Benítez Merino C, Noriega Martínez J. Trauma ocular a globo abierto en zona I. Rev cubana Oftalmol. 2011;24(2):399-404.
Curbelo Concepción D, Triana Casado I, Medina Perdomo J. Comportamiento de los traumatismos oculares en pacientes ingresados en el Instituto Cubano de Oftalmología. MEDISUR. 2009;7(3):32-7.
Pérez M. Estudio sobre traumatismos oculares. Rev Cubana Oftalmol. 2004;17(1):51-6.