| Sažetak | CILJ:
Ovim radom se želi utvrditi vrsta i učestalost ozljeda oka bolesnika liječenih na odjelu Klinike za očne bolesti KBC-a Split u razdoblju od 1. siječnja 2009. godine do 31. prosinca 2013. godine ovisno o spolu, dobnoj skupini, zahvaćenoj strani, te srednju vrijednost očnog tlaka i vidne oštrine pri prijemu i otpustu ovisno o zahvaćenoj strani. Također će se utvrditi uzrok ozljeda, te terapijski pristup liječenju na odjelu te terapija po otpustu.
METODE:
Podaci su prikupljeni iz povijesti bolesti pohranjenih u pismohrani KBC-a Split.
REZULTATI:
U razdoblju od 1. siječnja 2009. godine do 31. prosinca 2013. godine na Klinici za očne bolesti KBC-a Split je hospitalizirano ukupno 427 bolesnika s ozljedama oka, tj u prosjeku 85,4 godišnje. Prosječna godišnja incidencija ozljeda oka u Splitsko-dalmatinskoj županiji iznosi 15,83 na 100 tisuća stanovnika. Više je ozljeđivano lijevo (213 ili 49,88%) nego desno oko (201 ili 47,07%). U 13 bolesnika je ozljeda bila obostrana (3,04%). Češće su ozljeđivani muškarci (81,73%), najviše u dobnoj skupini od 21 do 30 godina. Najčešći uzrok ozljede je neadekvatna zaštita pri rukovanju alatom (39,58%), slijede nezgode (30,68%), ozljede prilikom igre ili sportskih aktivnosti (21,32%), ozljede u tučnjavi 7,02% i prometne nesreće (1,40%). Srednja vrijednost oštrine vida pri prijemu je 0,39 (±0,35), a pri otpustu 0,67 (±0,37). Srednja vrijednost intraokularnog tlaka pri prijemu je 19,58 (±9,81), a pri otpustu 15,42(±3,1). Najčešće vrste ozljeda su kontuzija očne jabučice (51,99%), traumatska hifema (34,66%), erozija rožnice (22,48%), te strana tijela (11,94%). Najčešće korišteni lijekovi su topički antibiotici (94,38%), potom topički kortikosteroidi (74%), antiglaukomski lijekovi (17,80%), midrijatici (35,83%). Kirurški je liječeno 47,3% bolesnika.
ZAKLJUČAK:
Ozljede oka su ozbiljan zravstveni problem. Kod većine bolesnika se uz odgovarajuću terapiju oštrina vida i očni tlak oporavili na funkcionalnu razinu. Veliki dio ozljeda se mogao spriječiti upotrebom zaštitne opreme pri rukovanju raznim alatima. |
| Sažetak (engleski) | OBJECTIVES:
This paper seeks to determine the type and frequency of eye injury patients treated in the Department of Ophthalmology, University Hospital Center Split in the period from 1 January 2009 to 31 December 2013, depending on gender, age group, affected side, and secondary value of intraocular pressure and visual acuity on admission and discharge, depending on the affected side. It will also determine the cause of injury, as well as therapeutic approach to the treatment of the ward and therapy after discharge.
PATIENTS AND METHODS:
Data were collected from medical history stored in the archives department of University Hospital Center Split.
RESULTS:
In the period from 1 January 2009 to 31 December 2013 at the Department of Ophthalmology, University Hospital Center Split were hospitalized a total of 427 patients with eye injuries, ie an average of 85.4 per year. The average annual incidence of eye injuries in Splitsko-dalmatinska County is 15.83 per 100,000 inhabitants. Left eye was more often affected (213 or 49.88%) than the right eye (201 or 47.07%), and in 13 cases both eyes were affected (3.04%). Men are more affected (81.73%), mostly in the age group of 21-30 years. The most common cause of injury was inadequate protection when handling tools (39.58%), followed by accidents (30.68%), injuries during the childsplay or sports activities (21.32%), injuries in the brawl (7.02%) and traffic accidents (1.40%). The mean visual acuity on admission was 0.39 (±0.35), and on the discharge of 0.67 (±0.37). The mean intraocular pressure on admission was 19.58 (±9.81), and on the discharge 15.42 (± 3.1). The most common types of injuries are contusions of the eyeball (51.99%), traumatic hyphema (34.66%), corneal erosion (22.48%), and foreign bodies (11.94%). The most commonly used drugs are topically antibiotics (94.38%), followed by topical corticosteroids (74%), antiglaucoma drugs (17.80%), mydriatics (35.83%). Surgical procedure was required in 47.3% of patients.
CONCLUSION:
Eye injuries are a serious health problem. In majority of patients with the appropriate therapy, visual acuity and intraocular pressure recovered to the functional level. Much of the injuries could have been prevented by using protective equipment when handling various tools. |
