6
Original Article uwKmeja ~ i 3 ~ ~ ~ l ~ b ~ ~ ~ i ~ ~ ~ ~ i L % ~ ~ ~ 3 ~ 7 b L f l U d ~ ~ ~ ~ ~ (descriptive retrospective study) b$iodn&is-uim?nu?aaa- n~iu~uu~us~uiiuw~nii?nin(~il?uuim~Bumumiinnni~Giiluiu$l$?uni~?nwi~~'~u(d~uluuoabnwu~u~n~~u ni~~w1~1n~~6as-~s~"~u(daulu~l(pl"?un~~~~~~~iil$7~lui~~~~lwium1~u~~o~u~~ Aadiud 1 Tmnu w.n 2550 fft-kd 30 f?uuiuu w.n. 2551 ~an~~~n&iwuh!$auw"u~um~iuau 42 S I U ij2u1ijn$ igu~wnaiu 40 5711 ( 95.24 X) LBUMQU 2 mu ( 4.76 2) oiU&nL~ 17- 59 il oiq~adu 35.5 il m~ijny.cminn-Ymqliii~lu lo 110 %q!flu 10 318 aiaLnfi 2 ' 6111 bfim~innisb~0bba-mon~1:~ 20 310 e~nnis?fi9&twu<i 20 siu b9u closed globe injury raws 22 378 b?h open globe injury ~an1'6?n~i~ou%wi~ba:~~~nii?nwi~ 1 b;ouwpriiluni$ closed globe d injury 9 5iuaium7nun ila: 1 1 muii& lunnu open globe injury 12 siuaiuoi~nud 4 21u~$u un: 2 siuudau 3-u- ~a~iIunis~n~nwi~~iaauTaisw~~uiaTm~rad~~o 5.03 iu d;E( : nis~~~uim~~u~ii]~i~inn~aw"~uiu~i~~(dau~o~w"n?nwi~a~ub~u~u~~li ~%fln'1%~41u~o\9~;m\91u~bn= .aim27ol$ ~d1~~n'i4X(d~uoi~~~~%uni~u0urfs"u~~m~~ijni~ww~niw L L ~ ~ W W ~ ~ ~ P ~ W P ~ I J L ~ ~ ~ ~ ~ ~ ~ nis dosn'u1unnw 7ui~sn~~6muaaw~~n~s~u~~l.a"wiilnQ~uiu~u~9u~~u~w~~$ii~uni~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 30,2008 were 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 17- 59 years with mean age 35.5 years.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? ~~~WU~U?RTZU~J *Department of Ophthalmology Rayong Hospital

Ocular Injuries

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igu~wnaiu 40 5711 ( 95.24 X) LBUMQU 2 mu ( 4.76 2) oiU&nL~ 17- 59 il oiq~adu 35.5 il m~ijny.cminn-Ymqliii~lu ~ i 3 ~ ~ ~ l ~ b ~ ~ ~ i ~ ~ ~ ~ i L % ~ ~ ~ 3 ~ 7 b L f l U d ~ ~ ~ ~ ~ 10 318 aiaLnfi 2 '6111 bfim~innisb~0bba-mon~1:~ 20 310 e~nnis?fi9&twu

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Page 1: Ocular Injuries

Original Article

uwKmeja

~ i 3 ~ ~ ~ l ~ b ~ ~ ~ i ~ ~ ~ ~ i L % ~ ~ ~ 3 ~ 7 b L f l U d ~ ~ ~ ~ ~ (descriptive retrospective study) b$iodn&is-uim?nu?aaa-

n~iu~uu~us~uiiuw~nii?nin(~il?uuim~Bumumiinnni~Giiluiu$l$?uni~?nwi~~'~u(d~uluuoabnwu~u~n~~u~ubu

n i ~ ~ w 1 ~ 1 n ~ ~ 6 a s - ~ s ~ " ~ u ( d a u l u ~ l ( p l " ? u n ~ ~ ~ ~ ~ ~ ~ i i l $ 7 ~ l u i ~ ~ ~ ~ l w i u m 1 ~ u ~ ~ o ~ u ~ ~ i n n ~ ~ w " i ~ i u l u b ~ i l ~ u i ~ i a s ~ ~ o ~

A a d i u d 1 Tmnu w . n 2550 fft-kd 30 f?uuiuu w.n. 2551 ~an~~~n& iwuh !$auw"u~um~ iuau 42 SIU ij2u1ijn$

igu~wnaiu 40 5711 ( 95.24 X ) LBUMQU 2 mu ( 4.76 2 ) o i U & n L ~ 17- 59 il o i q ~ a d u 35.5 il m~ijny.cminn-Ymqli i i~lu

l o 110 %q!flu 1 0 318 aiaLnfi 2 '6111 bfim~innisb~0bba-mon~1:~ 20 310 e~nn i s? f i 9& twu< i 20 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 i i ? n w i ~ 1 b;ouwpriiluni$ closed globe d

injury 9 5iuaium7nun ila: 1 1 muii& lunnu open globe injury 12 s i ua i uo i~nud 4 21u~$u un: 2 siuudau 3-u-

~ a ~ i I u n i s ~ n ~ n w i ~ ~ i a a u T a i s w ~ ~ u i a T m ~ r a d ~ ~ o 5.03 i u

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 ~ w " n ? n w i ~ a ~ u b ~ u ~ u ~ ~ l i a ~%fln'1%~41u~o\9~;m\91u~bn=

.aim27ol$ ~ d 1 ~ ~ n ' i 4 X ( d ~ u o i ~ ~ ~ ~ % u n i ~ u 0 u r f s " u ~ ~ m ~ ~ i j n i ~ w w ~ n i w L L ~ ~ W W ~ ~ ~ P ~ W P ~ I J L ~ ~ ~ ~ ~ ~ ~ ~ L ~ ~ - S ~ ' ~ ~ B I n 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 ~ u a m n i ~ l ~ ~ ~ u i m ~ B ~ w i u ~ i ~ i n

f l 13~1 \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 30,2008 were 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 35.5 years.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

Page 2: Ocular Injuries

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 22 patients had open globe

injury. The visual outcomes in closed globe injury were stablized in 9 patients and improved in 1 1 patients

whereas 12 patients were stabilized, 4 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

r r r ( a s n i s 8 n ~ 1

a S u n i ~ d n w i ~ % ; l w ~ s m u i ~ 6 ~ 1 ~ ~ a ~ a 7 < u 7 ~ u ~ ~ u u

7 aunis u 'ow&~nun isdn~ i -u in~a"d~zb~uu~f lae r lud2n'- a a

~ ~ ~ ~ ~ ~ l ' 6 6 ~ ~ ~ i ~ b ~ ~ ' ~ 1 i i ) ~ i ~ U b % ~ \ 3 B 1 l ; i l ? n n l 2 f i l ~ 7 ~ b A U

<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 ~ i 1 \ 3 d ~ : ~ ~ ~ oGuu%a n k d I o

(International Statistical Classification of diseased and

Relatived Healthy Problem 1 oth Revision M% ICD I o l i Y

~ i a n ~ n w i : d ~ i i m ~ u ~ ~ ' ~ i ~ f i i ~ i u ~ , ~ ~ a s 1 e r ' 6 ~ m 1 ~ ~ r ~ m

Page 3: Ocular Injuries

iions3u ~ ioz~ i inu3~amqmaiwn~~uw"s~r i0 f i~ i~miu~ps"~

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LLazdindi 20/200-5/200, Count Finger, Hand

Movement, Projection Light, Perception Light baa= No

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Snellen's chart

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~ n u i i o i ~ ~ a i i u 35.5 il {dau t 8 ~ I U Z ~ ~ ~ ~ I P I L ~ U I U R I ~ ~ I 22 ~ I U ~ X T U P ~ I ~ L ~ E ~ I U R I $ I ~ ~ ~ ~ O U ~ ~ ~ ~ ~ < L ; ~ ~ ~ ' ~ ~ Lraz

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Page 4: Ocular Injuries

16 Chonburi Hospital Journal Vol. 34 NO. I Jan.-Apr. 2009

Iudau~o\nnis^aQq<uwu-di 20 aiu bgu closed

globe injury 22 aiu b3u open globe injury lun4u

closed globe injury bfiuni~u?nb<uniuuonm-~ 1 0 aiu

biu tear conjunctiva, cornea abration w?o lacerated

cornea i traumatic hyphema 12 aiu bnuu7n~finqin

mzQnaza67u~$id\n 8 17U L L ~ ~ < n f l f l l 5 ~ 1 ~ b ~ ~ d ~ L$M i

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b~owuiuia b~azi intraocular foreign body 4 siu w7Kn

baioand1aowu1uial2 siu ~&\nain foreign body go

o$uboudmi fin 2 ~iu~ood\nGalf]?uniaTnw~domiu

m i a i o d 3

~75719Wd 3 /?777~Tli?%

Closed globe injury

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b i n ~ ' i i i i ~ % q r u J ~ n d n a ~

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Open globe injury

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flifJmifl\nd bbd 6 9 1 l ~ ~ ~ T ~ < ~ ~ 1 7 ~ ~ 7 ~ $ ~ 1 bbb17 1

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globe injury 1 2 a i a 9 z 6 u w i u n i ~ ~ $ o ~ 6 1 i ~ ~ u 2 aanab~d

l ~ ~ u ~ ~ ~ ~ u t n u n ~ ~ ~ n ~ ~ l ~ ~ ~ ~ ~ ~ ~ i G ~ ~ ~ ~ ~ ~ ~ m u a ~ ~ ~ d ~ ~

count Finger No Perception Light d ~ u a u 15 170

(68.1 8 % ) 4 z 6 u F 1 7 u n i ~ ~ 9 n 7 % ? n ~ 7 d a u ~ p . 9 ~ 0 ~ o d b ~ 1 71;~ A c d i a z ~ u f l ~ u m i ~ g u b ~ u \ n 4 47u ~9i7ku( 18.18%) "d~nbuoo

~ i ~ i n ~ a i u ~ u ~ ~ ~ \ n a o o n ~ ~ u i m ~ G ~ l m o u ~ ~ ~ n idu Y U I ~ V O \ ~

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mmnaio i 2 mu 1d~~o$aidi l \n0indi l~dau1~l?uni1

Tn'n947vio miumiaiod 4 L L R ~ 5 baaz 6

n7579Wd 4

MUIULM? : ~[$-Ju I 51~1% Closed g lobe injury f h ~ i i ' a ~ i ?

Ldaqq7n~5u(d~ihuGnnisl@iR$ 2 V Y 7 ~ ~ ~ ~ d ~ ~ n i ~ i n ~ ~ l ~ l m " ~ m l 7 " ~ n :

Zn I ~ i ~ l ~ n o i ~ ~ n i ~ 4 i u r Y u i d i n i 5 ~ a ~ ~ ~ u ~ ~ 2 { i i l ~

d n777sn 5 S Z ~ Z J H ~ U ~ ~ M ~ : ~ ~ S % W ~

wi'uniumi

20120-20130

20/40-20/50

20/70-201100

201200-51200

Count Finger -Hand Movement

Projection and Perception Light

No Perception Light

!closed globe injury I Open globe injury

20120-20130

20140-20150

20170-201100

201200-51200

Count Finger -Hand Movement

Projection and Perception Light

No Perception Light

diu?uii l?u

n i 3 i n n l u 2 n4u ~ n u w u i i l u closed globe injury nrnan? : li{d2tl 2 3 i d u Closed globe injury Q n o ~ r ~ ~ i i r ? ~ 2

$laudadwd 14 4-10 (70%) az6uaium1b~anTuGnii 201 Ci~7j

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3

5

6

2

2

I

1

Open globe injury

I

4

2

1 0

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1

Page 5: Ocular Injuries

Closed globe injury Open globe injury

~:miraiumik&uinnii 2 ~ 0 7 1 1 4

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na~aadu 4.3 Tuluni=$ open globe injury x u z n r n ~ a t h

.82 ?A

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~ R T O ~ ~ I n i0~~ iumi f io~r7u n~idiuauCoud8au~biumi

8 1 ~ ~ ~ " ~ \ 3 ~ ~ ~ 0 \ 3 " 1 1 b ~ ~ w " 7 \ 3 1 ~

Page 6: Ocular Injuries

18 Chonburi Hospital Journal Vol. 34 NO. I Jan.-Apr. 2009

~ o n a i s $ i d d

I . Feist RM, Farber MD. Ocular trauma

epidemiology. Arch Ophthalmol. 1989 ; I 07(4)

1503-4.

2. Cillino S, Casuccio A, Di Pace F, Pillitteri F, Cillino

G. A five-year retrospective study of the

epidemiological characteristics and visual

outcomes of patients hospitalized for ocular

trauma in a Mediterranean area. BMC

Ophthalmol. 2008;8:6-7.

3. a auwlmqains, sy%m fioaisns\l. n is

E ] ~ Z b f i ~ ~ i 2 Z ? ~ ~ b ~ ( " ! ~ i 9 ~ i b ~ ~ ~ . a " ocular trauma

score ~ub~\lwuiuiaws"~~aiun'iuni. m v a i

u n % ~ n i ~ ~ . a s r i s . 2548;23(2):99- I 09.

4. bnwa 6ifin"nd. Ocular Injury in Thammasat

Hospital. ~ n y s r i ~ i s m p . 2543;14( 1 ): 19-24.

5. ?uaas%m g5'mudis-q. q C f i r ~ ~ g n m i ~ m n ~ m z i a

Ziniaim l u ' b s u w ~ i ~ i o s a s ~ w i s r n i ~ a ~ u w ~ z ~ ~ u s ~ .

aisnis<n~assunibnm5 2550; 3( 1 ):28-37.

l . l b 4

6. qlbU i33iIlq6~206. ~ ~ ~ b ~ ~ ~ 7 i l ~ l ~ ~ ' b ~ \ l ~ ~ l ~ l l ~ d 2 ~

qgnin. <nysriaismp 2543; I 4(2):229-36.

7. International Statistical Classification of diseased

and Relatived Healthy Problems i oth Revision

for 2007

8. q6~1 &Aqa\sd, %%I f l?<ldYl~~d, a"uYled1

uTun3wqms. n i s ~ n w i ~ d ~ a u l m ~ d u ~ i u n i d ~ ~ u

n is~nwi lubs~wu iu ia~u~n i~sz .a i~n94" (?mI<70).

<Tlyb2Ylfl13 255 1 ;22(2): 1 1 1 - 1 17.

9. u~i~~aiauelqb.u~asasui~s?.a. ~snsrisnisnou~m

~ . a i w ~ n ~ a i ~ ~ a s m ~ a ~ u n i s ~ i u i u v~daeri 9- I 5

sr im?m?naiwisrniq.uniw. uuny? : ~ ~ i ? m a i < u

. qb?$ttaas.ui3si.a 2 5 4 a : ~ G i 468-477.

I o. w s z s i a G ~ ~ 3 f i u w m ~ s ~ u w . w . 2 5 3 7 , s i . a ~ s ~ i y ~ ~ 1 0 ~ i

moud zan/s(suiPai 30 D~UIUU 2537).

I I. w s r n a ~ ~ ~ r n s ~ u ~ s r ~ s s n n i w ~ u f i n i s WR.

2534, s iaf iasiy~unwi biud 205 nsud i 8w (au

7 ~ ~ d 25 wqwqniuu 2534).