ปัจจัยที่เกี่ยวข้องกับการสูญเสียการมองเห็นจากอุบัติเหตุบริเวณตา
การสูญเสียการมองเห็นจากอุบัติเหตุบริเวณตา
คำสำคัญ:
การบาดเจ็บที่ตา, การสูญเสียการมองเห็น, คะแนน ocular trauma score (OTS), ปัจจัยเสี่ยงบทคัดย่อ
Ocular trauma is a common cause of visual loss. The visual outcome after ocular trauma can range from visual loss to blindness. Having an accurate prognostic model is crucial for management. This retrospective study aimed to evaluate the risk factors associated with poor visual outcomes after ocular trauma. The study was conducted at Phetchabun Hospital between January 1, 2013 and December 31, 2023. A total of 981 patients, 319 were identified as blind. The mean age of blind patients was significantly older than unblind group, 49.7 vs 40.4 (p < 0.001). Regarding the zone of injury, intraocular globe injuries were more common in the blind group (58.9% vs 20.5%, p < 0.001). Blunt and penetrating injuries were also significantly more frequent in the blind group (p = 0.007 and 0.013 respectively). The mean Ocular Trauma Score (OTS) in the blind group was significantly lower (58.6 vs 86.3, p < 0.001). The age, penetrating injury and OTS was increasing significantly related risk for blindness group, RR 1.01, 1.39, 0.12 respectively. In conclusion: age, mechanism of injury, and OTS and length of stay were significantly associated with vision loss after ocular trauma
เอกสารอ้างอิง
Li C, Fu Y, Liu S, Yu H, Yang X, Zhang M, et al. The global incidence and disability of eye injury: An analysis from the Global Burden of Disease Study 2019. EClinical Medicine 2023;62:102134. doi: 10.1016/j.eclinm.2023.102134
Négrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol 1998;5(3):143–69.
Iftikhar M, Latif A, Usmani B, Canner JK, Shah SMA. Trends and disparities in inpatient costs for eye trauma in the United States (2001-2014). Am J Ophthalmol 2019;207:1–9. doi: 10.1016/j.ajo.2019.05.021
Schein OD, Hibberd PL, Shingleton BJ, Kunzweiler T, Frambach DA, Seddon JM, et al. The spectrum and burden of ocular injury. Ophthalmology 1988;95(3):300–5.
Sukmark S. Factors associated with poor visual outcome after open globe injury at Thungsong Hospital. Thai J Ophthalmol 2019;33(2):76-84.
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 2018;18(1):138-45.
Oughtkaew T, Puangrab S. An evaluation of the precision of ocular trauma score and factors for poor visual outcomes in open globe injury: A retrospective analysis of resource-limited hospital settings. Siriraj Med J 2024;76(10):696–704.
Thoongsuwan S, Rodanant N, Namatra C, Trinavarat A, Tantaterdtum J, Singalavanija A, et al. Visual outcome and prognostic factors in posterior segment intraocular foreign bodies. J Med Assoc Thai 2012;95(Suppl 4):S82–6.
Mekhasingharak N, Namatra C. Classification and regression tree analysis for predicting visual outcome after open-globe injuries in Siriraj Hospital. J Med Assoc Thai 2014;97(9):939–46.
Sintuwong S, Winitchai R. Predictive factors of visual outcome in open globe injuries in Thailand: A prospective study. Asian Biomed 2011;5(2):289–94.
Sternberg P Jr, de Juan E Jr, Michels RG, Auer C. Multivariate analysis of prognostic factors in penetrating ocular injuries. Am J Ophthalmol 1984;98(4):467–72.
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) 2010; 24(1):84–9.
Kuhn F, Maisiak R, Mann L, Mester V, Morris R, Witherspoon CD. The Ocular Trauma Score (OTS). Ophthalmol Clin North Am 2002;15(2):163–5.
Casson RJ, Walker JC, Newland HS. Four-year review of open eye injuries at the Royal Adelaide Hospital. Clin Exp Ophthalmol 2002;30(1):15–8.
Singh P, Tyagi M, Kumar Y, Gupta K, Sharma PD. Ocular chemical injuries and their management. Oman J Ophthalmol 2013;6(2):83–6.
ดาวน์โหลด
เผยแพร่แล้ว
ฉบับ
ประเภทบทความ
สัญญาอนุญาต
ลิขสิทธิ์ (c) 2025 ``โรงพยาบาลพุทธชินราช พิษณุโลก
อนุญาตภายใต้เงื่อนไข Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
