Abstract

AIM: To summarize and analyze the clinical data of patients with ocular injuries during Spring Festival in the past five years, and analyze the effect of injury on the patient and visual outcome.<p>METHODS: The clinical data of 155 cases of ocular trauma admitted during the Spring Festival from 2013 to 2017 were collected, including their age, sex, place, course, causes, nature of trauma, <i>etc</i>. The clinical features and the trends of ocular traumas in each year were summarized, and analysis the impact of injury on the vision prognosis, probe the relationship between ocular trauma sore and hospitalization days and costs. <p>RESULTS: A total of 155 ocular trauma patients(158 eyes)were enrolled in this study. The ratio of male to female was 6.05: 1, the mean age was 34.8±20.0 years old, and the proportion of 30-44 years old was higher. There were more rural residents than urban residents, showing differences on the course of injury(<i>Z</i>=-3.232, <i>P</i><0.01). The general trend was that the number of people injured in the Spring Festival holidays increased. Fireworks were the main cause of injury, accounting for 41.9%, followed by toy gun injuries(16.1%), and the latter was the main cause of child injury. Closed globe injury accounted for a large proportion(76.6%)). Conservative treatment were needed for 71 eyes(44.9%), the majority patients still for surgery intervention. Open globe injury of ocular trauma sore was lower than closed globe injury(<i>Z</i>=-5.249, <i>P</i><0.01), and the blindness rate of the former was higher. The visual acuity on discharge was significantly higher than admission(<i>Z</i>=-7.487, <i>P</i><0.01). Hospitalization expenses increased with the number of hospitalization days, and both were positively correlated(<i>r_s</i>=0.755, <i>P</i><0.01). The average ocular trauma sore was about 77.41±16.96, which was negatively correlated with hospitalization costs(<i>r_s</i>=-0.474, <i>P</i><0.01)and negative correlation with hospitalization days(<i>r_s</i>=-0.359, <i>P</i><0.01). <p>CONCLUSION: During the Spring Festival, ocular trauma occurred in middle-aged men and rural population. Fireworks were the main cause of injury. The eyeball shape and visual function was damaged after ocular trauma. Timely diagnosis and treatment could save the visual function of some patients. The heavier the injury, the higher the hospital days and hospitalization costs, which increased the personal and social burden.

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