Analysis of characteristics of ocular trauma in hospitalized soldiers in ophthalmology departments
LI Yan1, MEI Lina1, DENG Liqin1, JIN Xin1, HOU Baoke2, WANG Dajiang2
1. Department of Ophthalmology, the Third Medical Center of PLA General Hospital, Beijing 100039,China; 2. Department of Ophthalmology, the First Medical Center of PLA General Hospital, Beijing 100086, China
Abstract：Objective To analyze the causes and characteristics of ocular trauma in hospitalized soldiers so as to provide reference for the prevention and treatment. Methods The clinical data of 224 military patients with ocular trauma who were admitted from January 2019 to January 2024 in the Ophthalmology Department of the First and Third Medical Center of PLA General Hospital were retrospectively analyzed. Results A total of 224 patients were included, accounting for 22.1% of the patients with ocular trauma during the same period, including 220 males (98.2%), 4 females (1.8%), 181 soldiers (80.8%), 35 cadres below the regiment (15.6%) and 8 cadres above the regiment (3.6%). Their ages ranged from 18 to 89 years, with an average of (27.29±9.43) years. There were 180 cases of mechanical ocular trauma (80.4%), including 132 cases of closed ocular trauma and 48 cases of open ocular trauma. There were 4 cases of non-mechanical ocular trauma (1.8%) and 40 cases of orbital and accessory organ trauma (17.9%).The main causes of closed ocular trauma were collision and smash injury (88.6%) in 117 cases, the main causes of open ocular trauma were foreign body entering the eye in 22 cases (45.8%), and bullet injury in 18 cases (37.5%).The main causes of non-mechanical ocular trauma were alkali burn in 1 case (25.0%) and laser injury in 3 cases (75.0%).After treatment, the number of patients with grade 1 vision was significantly higher than before treatment, and the number of patients with grade 4 vision was lower than before treatment. Conclusions The most common group of military ocular trauma is soldiers, which mostly occurs in military training and work. It is very important to strengthen safety protection, wear appropriate goggles, master eye first aid knowledge, and seek timely medical treatment after injury.
李燕, 梅丽娜, 邓丽琴, 金鑫, 侯豹可, 王大江. 多中心眼科住院军人眼外伤特征分析[J]. 武警医学, 2024, 35(10): 844-846.
LI Yan, MEI Lina, DENG Liqin, JIN Xin, HOU Baoke, WANG Dajiang. Analysis of characteristics of ocular trauma in hospitalized soldiers in ophthalmology departments. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(10): 844-846.
Teyhen D S,Goffar S L,Shaffer S W,et al.Incidence of musculoskeletal injury in US army unit types: a prospec- tive cohort study [J].J Orthop Sports Phys Ther,2018,48(10):749-757.
Kuhn F,Morris R,Witherspoon C D,et al.The birmingham eye trauma terminology system (BETT) [J].J Fr Ophtalmol,2004,27(2):206-210.
[8]
Pieramici D J,Sternberg P,Aaberg T M,et al.A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group [J]. Am J Ophthalmol,1997,123(6):820-831.
[9]
Sabel B A,Wang J Q,Cárdenas-Morales L,et al.Mental stress as consequence and cause of vision loss:the dawn of psychosomatic ophthalmology for preventive and personalized medicine[J].EPMA J,2018,9(2):133-160.
2024, Vol. 35 
