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KMID : 0385920110220060743
Journal of the Korean Society of Emergency Medicine
2011 Volume.22 No. 6 p.743 ~ p.750
Evaluation of Eye Injury Cases in a Single Emergency Department
Kim Seong-Hun

Ryoo Hyun-Wook
Park Jung-Bae
Suh Kang-Suk
Chung Jae-Myung
Shin Su-Jeong
Kim Jong-Kun
Park Shin-Ryul
Sung Ae-Jin
Abstract
Purpose: After cataracts, eye injuries are the second leading cause of visual impairment worldwide. But most eye injuries are preventable simply by wearing appropriate eye protection. In this study we evaluate factors leading to eye
injury in a sample of emergency department (ED) patients.

Methods: This study was conducted with 424 isolated eye injury patients who visited our ED from January to December of 2008. The following data were reviewed; date of visit, characteristics of subjects, existing use of eyewear,
relationship of injury to work, causative activity, location where the injury occurred, type of injury, disposition at ED
discharge, length of hospital stay, and the existence of sequelae. Severe eye injuries were classified based on the type of injury, disposition at ED, remaining visual loss, and sequelae.

Results: Among the total 424 isolated eye injury patients, 411 cases were analyzed. Eye injuries occurred most frequently at home (22.6%), in a factory workplace (21.2%), or an outdoor agricultural workplace (18.2%). The incidence of
eye injuries peaked in the fifth decade of life. Among the 306 (74.5%) cases that were workplace unrelated, the main
causative activities were assault (18.0%), injury associated with play (14.1%), sports (11.1%), and lawn mowing (9.2%).

Conclusion: The most common location where the eye injury occurred was at home. Eye injuries prevention in the workplace is well promoted, but in fact, eye injuries were more common at home and during non-occupational activities. We suggest that public education programs which highlight non-occupational eye injury risk and prevention
measures should be instituted to reduce preventable eye injuries.
KEYWORD
Eye injuries, Prevention and control, Risk factors
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