• Injury · Sep 2020

    Trends in occupational-related open globe injury presenting to a tertiary referral centre of Northern Thailand.

    • Direk Patikulsila, Janejit Choovuthayakorn, Pongsant Supreeyathitikul, Thanaphat Chaovisitsaree, Voraporn Chaikitmongkol, Nawat Watanachai, and Paradee Kunavisarut.
    • Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Thailand.
    • Injury. 2020 Sep 1; 51 (9): 2004-2008.

    PurposeTo determine characteristics of occupational-related open globe injury (OGI) in a tertiary referral centre within an agricultural activity endemic area.MethodsThe medical records of patients diagnosed as open globe injury received during work and admitted to Chiang Mai University Hospital, Thailand from January 2006 to December 2016, were retrospectively reviewed.ResultsSix hundred and fifteen patients were included in this analysis with a mean (SD) age of 44.6 (14.1) years and a median (IQR) follow-up of 6.5 (2.5 to 17) months. Males were predominant (92%). The highest risk groups were patients in the age range of 40 to 59 years (52%). The common locations of injuries were gardening/farming (52%) followed by work at construction/industrial site (32%). Over the study period, there was an increasing proportion of intraocular foreign body (IOFB), while the proportion of penetrating injuries decreased (p = 0.001). An increasing frequency of injuries from mowing were noted (p = 0.003). Types of injury also varied in different working settings as follows: while higher proportion of penetrating OGI occurred at the office (86%), IOFB occurred more frequently at gardening/farming site (59%). Work setting did not influence either the initial visual acuity (VA) (p = 0.53) or the final VA (p = 0.73). Significant improvements in final VA were demonstrated across all work settings, but 46% of patients still had a final visual acuity worse than 20/400.ConclusionsThe majority of occupational-related OGI in this study were related to agricultural work. A high incidence of injuries during mowing and a high frequency of IOFB should be considered when discussing guidelines and public recognition should be raised regarding safety protective measures at work.Copyright © 2020 Elsevier Ltd. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…