Ocular Trauma Patients Admitted to a Tertiary Emergency Department: Retrospective Study

Year 2025, Volume: 15 Issue: 2, 186 - 193, 15.06.2025

Meliha Fındık , Ramazan Kıyak , Süha Serin , Bahadır Çağlar

https://doi.org/10.16919/bozoktip.1675067

Abstract

Objective: This study aimed to retrospectively evaluate the demographic characteristics, causes of trauma, types of trauma, examination findings, and posttraumatic visual status of patients with ocular trauma admitted to the Emergency Department of Balıkesir University Hospital.
Materials and Methods: The study retrospectively reviewed the file records of 402 ocular trauma patients admitted to Balıkesir University Hospital between January 1, 2020, and December 31, 2023. Mechanism, type, anatomical localization, associated injuries, examination findings, and visual status.
Results: The mean age of the patients was 44.10±20.64 years, and 75.12% were male. The most common settings of trauma were gardening/agricultural work (30.10%), home accidents (20.15%), and work accidents (11.19%). The most common type of trauma was blunt trauma (66.20%), followed by penetrating injuries and occupational accidents. Visual impairment (blurred vision/diminished vision) and vision loss were most commonly observed in isolated eye trauma and blunt trauma.
Conclusion: Eye traumas are frequently caused by preventable causes, and gardening and agricultural activities are important risk factors, especially in rural areas.

Keywords

Ocular injuries, emergency department, visual loss

Üçüncü Basamak Acil Servise Kabul Edilen Oküler Travma Hastaları: Retrospektif Çalışma

Abstract

Amaç: Bu çalışmanın amacı, Balıkesir Üniversitesi Hastanesi Acil Servisi'ne başvuran göz travmalı hastaların demografik özelliklerini, travma nedenlerini, travma türlerini, muayene bulgularını ve travma sonrası gelişen görme durumlarını retrospektif olarak değerlendirmektir.
Gereç ve Yöntem: Çalışma, 1 Ocak 2020- 31 Aralık 2023 tarihleri arasında Balıkesir Üniversitesi Hastanesi'ne başvuran 402 göz travmalı hastanın dosya kayıtlarının retrospektif olarak incelenmesiyle gerçekleştirildi. Travmanın mekanizması, türü, anatomik lokalizasyonu, eşlik eden yaralanmalar, muayene bulguları ve görme durumu analiz edildi.
Bulgular: Hastaların yaş ortalaması 44,10±20,64 olup, %75,12’si erkekti. Travmaların en sık meydana geldiği ortamlar bahçe-tarım işleri (%30,10), ev kazaları (%20,15) ve iş kazaları (%11,19) idi. En yaygın travma türü künt travmalar (%66,20) olup, bunu penetran yaralanmalar ve iş kazaları izledi. Görme bozukluğu (bulanık görme/görmede azalma) ve görme kaybı en sık olarak izole göz travması ve künt travmalarda gözlendi. Görme kaybına en çok neden olan muayene bulguları ise kornea perforasyonu, total hifema ve korneaskleral perforasyondu.
Sonuç: Göz travmaları sıklıkla önlenebilir nedenlere bağlı gelişmekte olup, özellikle kırsal bölgelerde bahçe ve tarım faaliyetleri önemli bir risk faktörüdür.

Keywords

Göz travması, acil servis, görme kaybı

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