Purpose: Open globe injuries are a frequent cause of unilateral vision loss. The purpose of our study was to determine the epidemiological data of open globe injuries during a 15-year period in Central East Slovenia. Methods: A retrospective analysis of 219 patients (219 eyes) with open globe injuries admitted to the Department of Ophthalmology in the University Clinical Centre Maribor, Slovenia, from January 1999 to January 2014 was performed. We analyzed the following parameters: sex, age, month of injury, place of injury, type of injury, and mechanism of injury, grouped according to sex. Results: The majority of patients were male (186 patients, 85%). The mean age of male patients was 38 years with almost 45% of injuries occurring in the age interval between 30 and 50 years. Most injuries occurred during the colder part of the year from October to January. The most common place of injuries was the home (126 eyes, 66.5%). The most common open globe injuries were penetrating injuries (126 eyes, 57.6%) and rupture of the globe (49 eyes, 22.4%). Males most frequently experienced open globe injuries as a result of sharp objects (86 eyes, 46%), while in females, the most common causes of injuries were falls (10 eyes, 31%) and blunt objects (10 eyes, 31%). Conclusions: The vast majority of eye injuries are preventable. Studying the causes of injuries for a determined region is important to provide for preventable measures, like the use of eye protection, and to provide health education, to prevent severe vision loss or blindness.
Namen: Predstaviti dejavnike tveganja pri bolnikih, mlajših od 50 let, z zaporo mrežnične vene (RVO). Metode: Opravljena je bila retrospektivna analiza medicinske dokumentacije bolnikov z zaporo mrežnične vene od januarja 2015 do decembra 2020. Bolniki so bili mlajši od 50 let. Preučili smo podatke o sistemskih in očesnih obolenjih, zdravilih, trombofiliji ali hiperviskoznem sindromu in vaskulitisih. Vsi bolniki so imeli opravljen očesni in sistemski pregled, vključno z določitvijo testov trombofilije. Rezultati: V raziskavo je bilo zajetih 20 bolnikov (22 oči), od tega je bilo 15 moških (71 %) in 6 žensk (29 %). Povprečna starost bolnikov je bila 42 let. Pri 12 očeh (60 %) je bila ugotovljena zapora centralne mrežnične vene (CRVO), pri 10 očeh (40 %) pa zapora veje mrežnične vene (BRVO). Dva bolnika sta imela obojestransko BRVO. Arterijska hipertenzija je bila ugotovljena pri 8 bolnikih (38 %), sladkorna bolezen pri 2 bolnikih (9,5 %) in dislipidemija pri 11 bolnikih (52 %). Pri eni bolnici (5 %) je bila ugotovljena mutacija faktorja V Leiden. Pri 2 bolnikih z RVO sta bili diagnosticirani Behcetova (5 %) in Ealesova bolezen (5 %). 2 bolnika (10 %) sta imela pridružen pigmentni glavkom. Več dejavnikov tveganja je bilo prisotnih pri 10 bolnikih (48 %), medtem ko 4 bolniki niso imeli dejavnika tveganja (19 %). Zaključek: Najpogostejši dejavnik tveganja v naši raziskavi je bila dislipidemija. Trombofilija je bila ugotovljena le pri eni bolnici s CRVO. Pri mlajših bolnikih z RVO je pomembno pozorno preučiti dejavnike tveganja.
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