Journal of the Korean Ophthalmological Society 1990;31(4):509-518.
Published online April 1, 1990.
A Clinical Study of Ocular Injury Cases.
Seong Ju Kim, Byung Il Park
Department of Ophthalmology, College of Medicine, Chonnam National University, Kwangju, Korea.
안부 외상환자에 대한 임상적 고찰
김성주(Sung Joo Kim),박병일(Byung Il Park)
Abstract
The authors clinically analysed 2,856 ocular injury patients among 36,922 patients who visited department of ophthalmology of Chonnam National University Hospital during the 9 years form January 1, 1981 to August 31, 1989. The results were as follows: 1. The incidence of ocular injury was 15.6% of all outpatient in first group(1981-83) and 29.7% in third group(1987-89.8). There was tendency to increase group by group and the average incidence was 7.7% of all patient. Among them, 2180 cases(76.3%) were male and 676 cases(23.7%) female. Males were nearly three times as many as females. 2. In comparison with age groups, the largest group in eye injury cases was in the age group of 20-29 years(27.2%). And the incidence was more common in the age of 3rd to 4th decades(47.2%), consisting about 1/2 of the total patient. 3. According to affected side, there was no significant difference between the right eye(43.2%) and the left eye(45.6%). Both eye involvement was 320cases(11.2%) and ones ide involvement was 1301 cases(45.6%). 4. According to seasonal distribution, visits were more common in spring(27.5%) and least in autumn(22.4%). 5. In regard to days, the most patients visited on sunday(20.0%), while the least patients on monday(10.4%). 6. The most common cause of ocular injuries was violence(26.4%), followed by injuries from traffic accident(19.1%), metal particles(11.3%) and explosive material(9.6%). In the cases of ocular perforation, metal particles(26.5%) is most common cause, followed by traffic accident(24.0%), flying particle(11.3%). 7. The most common ocular injury was corneal injury(37.8%), followed by eye lid injury(20.0%), traumatic hyphema(13.5%) and conjunctival injury(12.9%). 8. The incidence of IOF for ocular perforation patients was 43 cases(7.8%), and more common in male(6.6%) than female(1.2%). 9. Before treatment, visual acuity showed 0.08 or less in 627 cases(72.6 %) and 0.6 or more in 95 cases(11.0%), however after treatment, the number of the patients with visual acuity under 0.08 decreased to 325 cases(37.6%) and over 0.6 increased to 288 cases(33.3%).
Key Words: Corneal injury;ocular injury;traffic accident;violence


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