Characteristics Analysis Of Patients With Ocular Trauma In Shihezi Area

Objective: To analyze the clinical characteristics and prognostic vision of adult patients with ocular trauma in Shihezi area,and to explore the predictive value of ocular trauma score(OTS)system in final vision of patients with ocular trauma.Methods : Basic data(gender,age,ethnicity,etc.),injury eye,time of visit,cause of injury,environment of injury,season of injury,complications of 1532(1607 eyes)hospitalized patients from January 2007 to December 2017 Retrospective study and recording of trauma type,visual acuity,etc.The univariate and multivariate logistic regression analysis of the above factors was performed to analyze the factors related to poor visual acuity after treatment(the best corrected visual acuity of injured eye at discharge <0.05)..According to the OTS scoring method developed by the American Eye Trauma Association,1532(1607 eyes)hospitalized patients with post-injury initial visual acuity and OTS classification were subjected to chi-square test to calculate the probability of final vision,and the final visual acuity probability of the study.The table compares with the standard final vision probability table.Results: The patients with ocular trauma are mainly young males and Han nationality;most of them occur outdoors in summer;the causes of injuries are mostly blunt injuries;the types are mainly contused and perforated;the complications are more common with traumatic anterior hemorrhage.Univariate logistic regression analysis showed that ages 38 to 47 years(P=0.03),48-57 years(P<0.001)and 58 years or older(P<0.001),13-24 hours of treatment time(P=0.013)25~72h(P=0.001),sharp injury(P<0.001),explosive injury(P=0.002),industry in injured environment(P<0.001),perforation in trauma type(P<0.001)P<0.001),penetrating injury(P<0.001),intraocular foreign body(P=0.004),eyeball rupture(P<0.001),traumatic cataract in complications(P<0.001),lens dislocation(P<0.001)Vitreous blood(P<0.001),retinal detachment(P<0.001),end ophthalmitis(P=0.001),and postoperative eye removal(P<0.001)were risk factors for poor visual acuity after treatment;multivariate logistic regression The results of the analysis showed: age(P = 0.000,OR = 1.03),perforation(P = 0.000,OR = 4.88),penetrating injury(P = 0.000,OR = 14.88),intraocular foreign body(P = 0.000,OR = 4.08)),eyeball rupture(P = 0.000,OR = 24.37),traumatic cataract(P = 0.001,OR = 1.94),lens dislocation(P = 0.000,OR = 7.63),vitreous hemorrhage(P = 0.001,OR = 2).54),retinal detachment(P = 0.000,OR = 14.64),postoperative eye removal(P = 0.008,OR = 6.69)was the main risk factor for poor visual acuity after treatment.The overall visual acuity scale of this study was the same as the standard final visual acuity probability table.The overall trend was the same.There was no statistical difference between the two(P>0.05),indicating that the more severe the ocular trauma patients,the lower the OTS score,and the final visual acuity.The worse.Conclusion: 1.The majority of 1532 patients with eye trauma were young males and han nationality.Occurs outdoors in summer;The cause of injury was mostly blunt instrument injury.The main types of ocular trauma were contusion and perforation.Traumatic anterior chamber hematocele was the most common complication.2.The main risk factors of poor vision in 1532 patients with ocular trauma were age,open ocular trauma,traumatic cataract,lens dislocation,vitreous hemorrhage,retinal detachment,and after enucleation of eyeball.3.OTS is able to provide the helpful information for the patients of prognostic vision.