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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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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
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$usi7'~Tcjn So5 nis~1inbGul~a\3nirra:
1 l i i m ~ l u ~ ~ B d i u u n T ~ n s z ~ i 1 \ 3 d ~ : ~ ~ ~ oGuu%a n k d I o
(International Statistical Classification of diseased and
Relatived Healthy Problem 1 oth Revision M% ICD I o l i Y
~ i a n ~ n w i : d ~ i i m ~ u ~ ~ ' ~ i ~ f i i ~ i u ~ , ~ ~ a s 1 e r ' 6 ~ m 1 ~ ~ r ~ m
iions3u ~ ioz~ i inu3~amqmaiwn~~uw"s~r i0 f i~ i~miu~ps"~
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(dau~~nt~enuiitn~iGa$daudl6?uuinadu
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in"uia~~eJdaumiuw~n~nm.n"C~n~iawuidiuau 42 siu
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vht~ Snellen's chart bmu~d iu~ l t$uuwa"u~on i~?nwi~~n
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Ynu i~ tuu inn i i 2 L L ~ - J ~ J Snellenls chart
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a d ~ ~ z < u o i u m i ( d ~ u a a n ~ f l ~ 3 z < u e i i ~ 7 <ad 20/20,20/30,20/40,20/50, 20/70 20/100,20/200
LLazdindi 20/200-5/200, Count Finger, Hand
Movement, Projection Light, Perception Light baa= No
Perception Light bdabd<uui$uusz<u"uJriiumi
rioui~azwa'ilni-a?nwid i LGOU bmuni~a"nni~uasiw"uXau
Snellen's chart
n i 3 3 ~ ~ ~ i : w ' w a l l n 8 i ~ 9 i l w 3 s m ~ i ~ inz~i i t r iua
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~ i a i u m i u w ~ n ~ n m . n " ~ i ~ X u 7 6 siu bmuba~iz~fim-ain
n ~ s ~ f i u n s z ~ t ; u I ~ o i n n ~ s ~ ~ i n ~ o i f ~ m w ~ i 1 a n u oin
n is~" i? i " lu i~niu 4 1 mu n~~~Ga{d-Jumiuw6'n~nm.n"
b1~Ku61uau 42 %iu w u j i ( d a u d a d n ~ ~ 3 u b ~ ~ m u 40
510 (95.24 % ) 3 bS'tb~@\l 2 51u (4.76 X ) $Jfl0FlFl$0\9
~ " ~ ~ I U Q I U ~ ~ ~ W W W ~ ~ " I I I O L ~ U ~ ~ U I M ~ ai-aozadavain4i
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~ i n n d i ~ ~ s \ s ~ i u ~ f l ~ u i n (daudaiya~$zwi7~ 17-59 3
~ 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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m737~d I ~ > r n m r ~ ~ i ~ m
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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 ~ n u 4 i
ruptured cornea bba= sclera 14 siu 6aa'b6?unis
diKn l ~ d i u a u $ 2 % i u i intraocular foreign body d posterior segment Xa~d~ld?unis?nuiicI i(dau2 51u
d ; n a i x n f i n ~ ~ ~ G u ~ ~ i ~ ~ i ~ a a z m i miumisii9n 2
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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
nicdgnainaoo conjunctiva M?O corneal abrasion wjo d n ? u u s u o d i o ~ a u d a ~ ~ r n ~ ~ ~ o ~ i a u ~ a u UBL~~I~$LRI
n~arimsn<oumuin iiu $ 9 9 ~ ~ ~ i o n o o n h d ~ i i ~ ~ ~ i [ dau 4 siudnicjuaob~udinii Hand Movement i i aier
~knisuo\n~Gu No Perception Light &~rdnouuan% nia e e aua<uduwub3u chemical corneal burn ~%floo&&
2 aiu dauTun4u open globe injury wu 22 %iu b3u corneal w?o sclera rupture 1 7 57u lg?uniaejiGmd
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
S05.0 ~ 1 2 ~ 1 ~ 1 ~ ~ ' U ~ \ l l ~ ~ ~ ~ 1 L L R : L L ~ ~ ~ I Z I T ~ ~ ~ ~ ~ U
b i n ~ ' i i i i ~ % q r u J ~ n d n a ~
SO^. 1 n i . j d n d u a ~ ~ n m i u n : ~ t a ~ u " a u ~ ~ 2 m ~ ~ " i m i
~~anaan luqnn i (Gasn la" i )
~ 2 6 . 6 ~ ~ ~ ~ ~ n n i ~ ~ m n i a ~ n o ~ ~ n ' ~ m i u n ~ q ~ ~ i a ~ m i
Open globe injury
So5.2 ~ n m 7 d n ~ i m ~ ~ : ~ n n i ~ ~ ~ ~ ~ n i ~ ~ u a a n u i
~ i a n 1 ~ n i n n i o ~ u a ~ ~ ~ a ~ u " a 1 u ~ n m i
~ 0 5 . 3 enm7bn~~mln~ l , jGn i~o 'uaan~~ n i o n i ~ u i ~
ni~lld~a~~tal:alu~nmij2~ " *"
S05.5 u ~ n ~ ~ n ~ n ~ q ~ a ~ ~ n m ~ i ~ u n u ~ ~ r n q u d ~ n n ~ ~ ~
~ 0 5 . 6 uwnun~n:q~a~~nm71mu1,ji7'mq~~dnnnFia~
flifJmifl\nd bbd 6 9 1 l ~ ~ ~ T ~ < ~ ~ 1 7 ~ ~ 7 ~ $ ~ 1 bbb17 1
a ~ u d ~ f l u traumatic hyphema bbaz lens dislocation d No Perception Light $obbdmou~7 ii I i i u ~nfl i- jbfl i
~$im~?i'bKa"ms=Kufiiumimaua~%nl? iauluntju open
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 \ ~
a~eradnaz0nmil~uinrsaza~1un'i~~~~ioaouuo~~161lild
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
$laudadwd 14 4-10 (70%) az6uaium1b~anTuGnii 201 Ci~7j
1 00 bbazb$ubgu 17 aiu (85%) n iuwc~on i~~nw i i 1 1 i ( i l ? f ~ 2 TIU~U O p e n g l o b e in jury fh iC.u"oyo
aiu (55%) ~az6udiumi~$uuinna'7 2 m a 9 a7u sr6u ~ d o ~ ~ i n d ~ ~ s " t l n i ~ ~ ' n w i c - i a
Closed globe injury
3
5
6
2
2
I
1
Open globe injury
I
4
2
1 0
4
1
Closed globe injury Open globe injury
~:miraiumik&uinnii 2 ~ 0 7 1 1 4
t Tubi~ 14 7' ~zuz~aai6nu~a~udl8uni~w"n?nricpl"alu
bssweriuia4o 5.03 7ulunfiu closed globe injury 3zuz
na~aadu 4.3 Tuluni=$ 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 ~ ~ I n i0~~ iumi f io~r7u n~idiuauCoud8au~biumi
8 1 ~ ~ ~ " ~ \ 3 ~ ~ ~ 0 \ 3 " 1 1 b ~ ~ w " 7 \ 3 1 ~
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).