한국의 개방성 안구손상 환자의 유형 및 시력의 예후인자

• 영문명: Characteristics and Prognostic Factors of Open-Globe Injuries in Korea
• 발행기관: 대한안과학회
• 저자명: 김혜선 이성철 이승규,Hye Sun Kim, MD, Sung Chul Lee, MD, Christopher Seungkyu Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number10, 1505~1511쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.10.15

영문 초록

Purpose: To characterize epidemiologically open-globe injuries and to identify prognostic factors for visual outcomes after open-globe injuries in Korea. Methods: The medical records of 138 patients with open-globe injuries presenting to the Severance Hospital between January 2005 and June 2011 were retrospectively reviewed. Results: Out of 138 patients, 85.5% were men. The types of injury included penetrating injury (44.2%), intraocular foreign body (15.9%), blunt injury (35.5%), and perforating injury (3.6%). The most common cause of injury was accidents at work (49.3%) and 60.9% of these injuries were a penetrating wound in zone I limited to the cornea. Predictors of poor visual outcome using univariate analysis included wound extended to posterior sclera, wound length of 10 mm or more, poor initial visual acuity of hand motion or less, and presence of associated ocular injuries at presentation including hyphema, lens injury, vitreous hemorrhage, and retinal detachment. Initial visual acuity and wound size were independent prognostic factors of visual outcome. Conclusions: Accidents at work are the most important cause of open-globe injuries in Korea. Accordingly, protective measures such as appropriate eyewear and safety education at work are warranted. Initial visual acuity and wound size predicted favorable visual outcome. J Korean Ophthalmol Soc 2012;53(10):1505-1511

키워드

Corneal laceration, Eyeball rupture, Open globe injury, Scleral laceration