Öz
Amaç:Somali popülasyonunda açık glob yaralanması sebebiyle başvuran hastaların epidemiyolojik açıdan değerlendirilmesi.
Hastalar ve Yöntemler:Açık glob yaralanması olup acil servise veya göz kliniğine başvuran hastaların tıbbi kayıtları ve demografik verileri geriye dönüktarandı. Hastaların başvurusırasındaki ve final görme düzeyleri Snellen görme keskinliği çizelgesi yardımıyla değerlendirildi, yaralanmanın olduğu zonlar ve yaralanma tipleri Birmingham Göz Travma ve Terminoloji Sistemi’ne göredeğerlendirilerek kayıt altına alındı.
Bulgular:Çalışmaya 84 hastanın 84 gözü dahil edildi. Hastaların 73 tanesi(%86.9) erkek, 11 tanesi kadındı(%13.1). Tüm hastaların ortalama yaşı 29.2 ± 18.3 (2 - 85 yaş) idi. Erkeklerin yaş ortalaması 29.5 ± 17.6, kadınların27.7 ± 23.2 yılidi. Hastaların 41 tanesinde (%48.8) sağ göz, 43 tanesinde (%51.2) sol göz etkilenmişti. Yaralanma sıklığı en fazla20-30 yaş grubu ile 0-10 yaş grubu aralığındaydı. Hastaların %68.1’inde yaralanma delici kesici yaralanma şeklindeyken, %31.9’u künt travma şeklindeydi. Yaralanmaların %41.7’si iş yerinde, %36.9’u sokakta, %21.4’ü evde meydana gelmişti. Başvuru anında rölatif afferent pupil defekti (RAPD) olan hastaların oranı %20.2 idi. Hastalar, perforasyonun anatomik yerleşimi açısından değerlendirildiğinde 60 hastada (%71.4) Zon I yaralanması, 12 hastada (%14.3) Zon II yaralanması ve yine 12 hastada Zon III yaralanması mevcuttu.
Sonuç:Açık göz yaralanması sonucu görme yetisi olmayan hastaların yüksek yüzdesi, bu sorunun karmaşıklığını ve büyüklüğünü ortaya koymaktadır. Mevcut kanıtlar özellikle çocuk ve genç nüfus gruplarının göz travması açısından artmış risklerini göstermekte ve bu risk gruplarında glob yaralanmasını önleyici çalışmalar yapılması gerektiğini düşündürmektedir.
Anahtar Kelimeler
Kaynakça
- 1. May DR, Kuhn FP, Morris RE, Witherspoon CD, Danis RP, Matthews GP, et al. The epidemiology of serious eye injuries from the United States Eye Injury Registry. Graefe’s Arch Clin Exp Ophthalmol [Internet]. 2000 Feb 29;238(2):153–7. Available from: http://link.springer.com/10.1007/PL00007884
- 2. Fujikawa A, Mohamed YH, Kinoshita H, Matsumoto M, Uematsu M, Tsuiki E, et al. Visual outcomes and prognostic factors in open-globe injuries. BMC Ophthalmol [Internet]. 2018 Dec 8;18(1):138. Available from: https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-018-0804-4
- 3. Onakpoya OH, Adeoye A, Adeoti CO, Ajite K. Epidemiology of Ocular Trauma Among the Elderly in a Developing Country. Ophthalmic Epidemiol [Internet]. 2010 Oct 24;17(5):315–20. Available from: http://www.tandfonline.com/doi/full/10.3109/09286586.2010.508352
- 4. Kadappu S, Silveira S, Martin F. Aetiology and outcome of open and closed globe eye injuries in children. Clin Experiment Ophthalmol [Internet]. 2013 Jul;41(5):427–34. Available from: http://doi.wiley.com/10.1111/ceo.12034
- 5. 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 [Internet]. 2014;7(3):486–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24967196
- 6. Kuhn F, Morris R, Witherspoon CD, Heimann K, Jeffers JB, Treister G. A standardized classification of ocular trauma. Graefe’s Arch Clin Exp Ophthalmol [Internet]. 1996 Jun;234(6):399–403. Available from: http://link.springer.com/10.1007/BF00190717
- 7. Baker RS, WILSON MR, FLOWERS CW, LEE DA, WHEELER NC. Demographic Factors in a Population-Based Survey of Hospitalized, Work-Related, Ocular Injury. Am J Ophthalmol [Internet]. 1996 Aug;122(2):213–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0002939414720124
- 8. Kutlutürk Karagöz I. Characteristics of pediatric and adult cases with open globe injury and factors affecting the visual outcome: a retrospective analyses of 294 cases from Turkey. Turkish J Trauma Emerg Surg [Internet]. 2017; Available from: https://www.journalagent.com/travma/pdfs/UTD-03607-CLINICAL_ARTICLE-KUTLUTURK_KARAGOZ.pdf
- 9. Vasu U, Vasnaik A, Battu RR, Kurian M, George S. Occupational open globe injuries. Indian J Ophthalmol [Internet]. 2001 Mar;49(1):43–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15887715
- 10. Bejiga A. Causes and Visual Outcomes of Perforating Ocular Injuries among Ethiopian Patients. Community eye Heal [Internet]. 2001;14(39):45–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17491927
- 11. Nirmalan PK, Katz J, Tielsch JM, Robin AL, Thulasiraj RD, Krishnadas R, et al. Ocular trauma in a rural south Indian population. Ophthalmology [Internet]. 2004 Sep;111(9):1778–81. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0161642004005354
- 12. Chatterjee S, Agrawal D. Primary prevention of ocular injury in agricultural workers with safety eyewear. Indian J Ophthalmol [Internet]. 2017;65(9):859. Available from: http://www.ijo.in/text.asp?2017/65/9/859/214644
- 13. Gyasi M, Amoaku W, Adjuik M. Epidemiology of hospitalized ocular injuries in the upper East region of ghana. Ghana Med J [Internet]. 2007 Dec;41(4):171–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18464900
- 14. Kıvanç SA, Akova Budak B, Skrijelj E, Tok Çevik M. Demographic Characteristics and Clinical Outcome of Work-related Open Globe Injuries in the Most Industrialised Region of Turkey. Türk Oftalmol Derg [Internet]. 2017 Jan 17;47(1):18–23. Available from: http://cms.galenos.com.tr/Uploads/Article_15499/18-23-ing.pdf
- 15. Mensah A, Fany A, Adjorlolo C, Touré M-L, Kasieu Gbe M, Mihluedo KA, et al. [Epidemiology of eye injuries in Abidjanian children]. Sante [Internet]. 14(4):239–43. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15745874
- 16. Nwosu SN. Domestic ocular and adnexal injuries in Nigerians. West Afr J Med [Internet]. 14(3):137–40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8519699
- 17. Rahman I, Maino A, Devadason D, Leatherbarrow B. Open globe injuries: factors predictive of poor outcome. Eye [Internet]. 2006 Dec 23;20(12):1336–41. Available from: http://www.nature.com/articles/6702099
- 18. Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision Survival after Open Globe Injury Predicted by Classification and Regression Tree Analysis. Ophthalmology [Internet]. 2008 Jan;115(1):202–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0161642007003806
- 19. Yu Wai Man C, Steel D. Visual outcome after open globe injury: a comparison of two prognostic models--the Ocular Trauma Score and the Classification and Regression Tree. Eye (Lond) [Internet]. 2010 Jan;24(1):84–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19229267
Öz
Objectives:Epidemiological evaluation of cases presenting with open globe trauma in the Somali population.
Patients and Methods: Medical records and demographic data of patients with open globe injuries who applied to the emergency department or eye clinic were retrospectively reviewed.At the time of admission and final visual acuity levels of the patients were evaluated with Snellen visual acuity chart, zones and types of injuries were evaluated and recorded according to Birmingham Eye Trauma and Terminology System.
Results: In the study 84 eyes of 84 cases were included.73 (86.9%) of the patients were male and 11 (13.1%) were female.The mean age was 29.2 ± 18.3 (2 - 85 years)of all patients.The mean age was 29.5 ± 17.6 years for males and 27.7 ± 23.2 years for females.In 41 (48.8%) patients the right eye was affected and in 43 (51.2%) patients the left eye was affected.The most frequent injuries were in the 20-30 age group and 0-10 age group.In 68.1% of the patients, the injury was penetrating and 31.9% were blunt trauma. 41.7% of the injuries occurred in the work-area, 36.9% in the street and 21.4% in the home.The proportion of patients with relative afferent pupil defect (RAPD) at the time of admission was 20.2%.When the patients were evaluated in terms of anatomical location of perforation, 60 patients (71.4%) had Zone I injury, 12 patients (14.3%) had Zone II injury and 12 patients had Zone III injury.
Conclusion:The high percentage of patients with visual impairment due to open eye injury reveals the magnitude and complexity of this problem.Theevidences Show that increased risk of eye trauma, especially for children and young population groups. This suggests that there should be studies to prevent globe injury in these risk groups.
Anahtar Kelimeler
Kaynakça
- 1. May DR, Kuhn FP, Morris RE, Witherspoon CD, Danis RP, Matthews GP, et al. The epidemiology of serious eye injuries from the United States Eye Injury Registry. Graefe’s Arch Clin Exp Ophthalmol [Internet]. 2000 Feb 29;238(2):153–7. Available from: http://link.springer.com/10.1007/PL00007884
- 2. Fujikawa A, Mohamed YH, Kinoshita H, Matsumoto M, Uematsu M, Tsuiki E, et al. Visual outcomes and prognostic factors in open-globe injuries. BMC Ophthalmol [Internet]. 2018 Dec 8;18(1):138. Available from: https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-018-0804-4
- 3. Onakpoya OH, Adeoye A, Adeoti CO, Ajite K. Epidemiology of Ocular Trauma Among the Elderly in a Developing Country. Ophthalmic Epidemiol [Internet]. 2010 Oct 24;17(5):315–20. Available from: http://www.tandfonline.com/doi/full/10.3109/09286586.2010.508352
- 4. Kadappu S, Silveira S, Martin F. Aetiology and outcome of open and closed globe eye injuries in children. Clin Experiment Ophthalmol [Internet]. 2013 Jul;41(5):427–34. Available from: http://doi.wiley.com/10.1111/ceo.12034
- 5. 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 [Internet]. 2014;7(3):486–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24967196
- 6. Kuhn F, Morris R, Witherspoon CD, Heimann K, Jeffers JB, Treister G. A standardized classification of ocular trauma. Graefe’s Arch Clin Exp Ophthalmol [Internet]. 1996 Jun;234(6):399–403. Available from: http://link.springer.com/10.1007/BF00190717
- 7. Baker RS, WILSON MR, FLOWERS CW, LEE DA, WHEELER NC. Demographic Factors in a Population-Based Survey of Hospitalized, Work-Related, Ocular Injury. Am J Ophthalmol [Internet]. 1996 Aug;122(2):213–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0002939414720124
- 8. Kutlutürk Karagöz I. Characteristics of pediatric and adult cases with open globe injury and factors affecting the visual outcome: a retrospective analyses of 294 cases from Turkey. Turkish J Trauma Emerg Surg [Internet]. 2017; Available from: https://www.journalagent.com/travma/pdfs/UTD-03607-CLINICAL_ARTICLE-KUTLUTURK_KARAGOZ.pdf
- 9. Vasu U, Vasnaik A, Battu RR, Kurian M, George S. Occupational open globe injuries. Indian J Ophthalmol [Internet]. 2001 Mar;49(1):43–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15887715
- 10. Bejiga A. Causes and Visual Outcomes of Perforating Ocular Injuries among Ethiopian Patients. Community eye Heal [Internet]. 2001;14(39):45–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17491927
- 11. Nirmalan PK, Katz J, Tielsch JM, Robin AL, Thulasiraj RD, Krishnadas R, et al. Ocular trauma in a rural south Indian population. Ophthalmology [Internet]. 2004 Sep;111(9):1778–81. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0161642004005354
- 12. Chatterjee S, Agrawal D. Primary prevention of ocular injury in agricultural workers with safety eyewear. Indian J Ophthalmol [Internet]. 2017;65(9):859. Available from: http://www.ijo.in/text.asp?2017/65/9/859/214644
- 13. Gyasi M, Amoaku W, Adjuik M. Epidemiology of hospitalized ocular injuries in the upper East region of ghana. Ghana Med J [Internet]. 2007 Dec;41(4):171–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18464900
- 14. Kıvanç SA, Akova Budak B, Skrijelj E, Tok Çevik M. Demographic Characteristics and Clinical Outcome of Work-related Open Globe Injuries in the Most Industrialised Region of Turkey. Türk Oftalmol Derg [Internet]. 2017 Jan 17;47(1):18–23. Available from: http://cms.galenos.com.tr/Uploads/Article_15499/18-23-ing.pdf
- 15. Mensah A, Fany A, Adjorlolo C, Touré M-L, Kasieu Gbe M, Mihluedo KA, et al. [Epidemiology of eye injuries in Abidjanian children]. Sante [Internet]. 14(4):239–43. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15745874
- 16. Nwosu SN. Domestic ocular and adnexal injuries in Nigerians. West Afr J Med [Internet]. 14(3):137–40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8519699
- 17. Rahman I, Maino A, Devadason D, Leatherbarrow B. Open globe injuries: factors predictive of poor outcome. Eye [Internet]. 2006 Dec 23;20(12):1336–41. Available from: http://www.nature.com/articles/6702099
- 18. Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision Survival after Open Globe Injury Predicted by Classification and Regression Tree Analysis. Ophthalmology [Internet]. 2008 Jan;115(1):202–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0161642007003806
- 19. Yu Wai Man C, Steel D. Visual outcome after open globe injury: a comparison of two prognostic models--the Ocular Trauma Score and the Classification and Regression Tree. Eye (Lond) [Internet]. 2010 Jan;24(1):84–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19229267
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Göz Hastalıkları |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2021 |
| Gönderilme Tarihi | 23 Mart 2020 |
| Yayımlandığı Sayı | Yıl 2021Cilt: 12 Sayı: 2 |
