关键词: 眼外伤, 流行病学, 预防, 儿童

Abstract: Objective To investigate the clinical epidemiology characteristics of children′s ocular trauma in Ganzhou city of Jiangxi province to carry out the better work for blindness prevention and treatment. Method Totally 734 eyes of 693 children with ocular trauma in 4 hospitals of Ganzhou city from July 2013 to July 2015 were collected,all kinds of causes of injuries were summarized and the data including age,environment,occurrence time,clinic time,character,complication,treatment and vision were analyzed in this retrospective study. Results Causes of children′s ocular trauma were varied,and the most common injuries were contacted with sharp scissors,and firecrackers wounding,falling,dropping and alkali burning were concurrently ranked second.Most traumas were unintentional injury.The age group of 11~14 years old had the highest incidence,whose main causes were mainly blast injuries and the beaten by others.The public places were the most common circumstance but the school accounted for only 6.62% of damage.Country and town (72.11%) had higher incidence than city.26.12% children were injured in January and February.The average clinic time was (16.8±1.7) hours.Perforating injuries were the most common type,which were followed by eye contusion.The most common traumatic complications were cataract of 201 sick eyes and hyphema of 197 sick eyes.Most of children injured were relatively saved the vision with effective treatment,some of who experienced several different operations.The rate of blindness after eye trauma was about 21.79% except the uncooperative patients. Conclusions The morbidity of ocular trauma in children is high and lead to high disability rate.Prevention is the important work to reduce the incidence of injury.It is necessary for reducing the blindness rate to strengthen publicity and education about eye trauma and take precautionary measures in advance and accurate treatment afterwards.

Key words: ocular trauma, epidemiology, prevention, children