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Abstract：
Ocular surface chemical injury (OSCI) is a common type of ocular emergency that can potentially cause significant and permanent visual impairment. However, the global prevalence, demographic factors, socioeconomic burden, and psychological impact of OSCI have not been well investigated or reported. This review aims to provide a comprehensive overview of these aspects, highlight gaps in the literature, and advocate key strategies in reducing the incidence of OSCI. OSCI was responsible for 0.1-15% of all ocular emergency presentations, with an estimated incidence of 5.1-50 per 100,000 population-year. Young working adult men were the most at-risk group, though high rates of OSCI were also observed in young children in developed countries, especially from detergent pods. Low- and middle-income countries were noted to have higher proportions of assault-related and pediatric OSCI cases, often with more severe presentations. Direct and indirect costs for some hospitalized patients led to loss of all personal and household income after the injury. Emergency department costs in the United States were estimated at $106.7 million over four years and costs of treating long term complications such as glaucoma were estimated to be as high as $93,003 over five years. Significant negative impacts on visual and health-related quality of life and psychological well-being have been reported after injury, with higher rates of anxiety, depression, and psychological distress compared to the general population.
摘要：
眼表化学损伤（OSCI）是一种常见的眼部急症，可能会导致严重和永久性的视力损害。然而,全球流行，人口因素，社会经济负担,OSCI的心理影响尚未得到很好的调查或报告。这篇综述旨在全面概述这些方面，突出文献中的差距，并倡导降低OSCI发生率的关键策略。OSCI占所有眼部急诊报告的0.1-15％，估计发病率为每100,000人口年5.1-50。年轻的成年男性是最危险的群体，尽管发达国家的幼儿OSCI发生率也很高，尤其是洗涤剂盒.低收入和中等收入国家被注意到有较高比例的攻击相关和儿科OSCI病例，经常有更严厉的演讲。一些住院患者的直接和间接成本导致受伤后所有个人和家庭收入损失。在美国,急诊科的费用在四年内估计为1.067亿美元,治疗长期并发症如青光眼的费用在五年内估计高达93,003美元。据报道，受伤后对视觉和健康相关的生活质量和心理健康产生了重大负面影响，更高的焦虑率，抑郁症,与普通人群相比，心理困扰。
