職業性角膜傷害之流行病學分析

Epidemiologic Study on Occupational Corneal Injuries

劉潔玲(Chieh-Ling Liu) ； 周瑩婷(Ying-Ting Chou) ； 羅錦泉(Jiin-Chyuan Luo)

《中華職業醫學雜誌》 18卷2期 (2011/04) Pp. 71-80

https://doi.org/10.30027/CJOM.201104.0002

摘要

Background: Currently there was still no systematic study regarding occupational eye injuries in Taiwan. In the present study we evaluated the epidemiologic features and risk factors of occupational corneal injuries.Methods: Medical records with confirmed diagnosis of occupational corneal injury from the emergency department during 2008 were collected from a tertiary teaching hospital. Clinical information was collected from medical charts including basic information, location of the injury, duration, mechanism, diagnosis, severity and prognosis. Descriptive and Chi-square tests were used to examine the relationship between occupational corneal injuries and its related factors.Results: Two hundred and seven-six patients were collected during 2008. Among these, 93.4% of occupational corneal injuries were identified. Most of them were young male (89.5%). The average age of the subjects was 37.23 years. The most common type of occupational corneal injury was photokeratoconjunctivitis (27.2%), followed by corneal abrasions (26.4%). Most injuries were happened during night shift. Most patient didn not require further follow-up. Chi-square testing revealed that variables including worker's nationality, injury location, injury time, clinical diagnosis and prognosis were related with the mechanisms of occupational corneal injuries.Conclusion: Most occupational corneal injuries occurred among young male workers. Most of the cases were self-limited with good prognosis. Moreover, these injuries could be prevented with proper protective devices. We suggest regular education and standardized training procedure should be implemented and be frequently monitored. Finally, specific safety concerns among workers from different countries should be taken into consideration according to our results.

關鍵字

職業性眼外傷 ； 角膜眼外傷 ； 光害性角膜炎

並列摘要

Background: Currently there was still no systematic study regarding occupational eye injuries in Taiwan. In the present study we evaluated the epidemiologic features and risk factors of occupational corneal injuries.Methods: Medical records with confirmed diagnosis of occupational corneal injury from the emergency department during 2008 were collected from a tertiary teaching hospital. Clinical information was collected from medical charts including basic information, location of the injury, duration, mechanism, diagnosis, severity and prognosis. Descriptive and Chi-square tests were used to examine the relationship between occupational corneal injuries and its related factors.Results: Two hundred and seven-six patients were collected during 2008. Among these, 93.4% of occupational corneal injuries were identified. Most of them were young male (89.5%). The average age of the subjects was 37.23 years. The most common type of occupational corneal injury was photokeratoconjunctivitis (27.2%), followed by corneal abrasions (26.4%). Most injuries were happened during night shift. Most patient didn not require further follow-up. Chi-square testing revealed that variables including worker's nationality, injury location, injury time, clinical diagnosis and prognosis were related with the mechanisms of occupational corneal injuries.Conclusion: Most occupational corneal injuries occurred among young male workers. Most of the cases were self-limited with good prognosis. Moreover, these injuries could be prevented with proper protective devices. We suggest regular education and standardized training procedure should be implemented and be frequently monitored. Finally, specific safety concerns among workers from different countries should be taken into consideration according to our results.

並列關鍵字

occupational eye injury ； corneal injury ； photokeratoconjunctivitis