Abstract：
OBJECTIVE: To analyze posttraumatic glaucoma regarding its demographics, presentations, different causes, surgical modalities, and hospitalization burden among patients in southern China.
METHODS: This retrospective study investigated all individuals with posttraumatic glaucoma admitted to the Zhongshan Ophthalmic Center of Sun Yat-Sen University from January 2012 through December 2021.
RESULTS: Out of 2211 cases, 64.82% had closed globe injury (CGI), 28.22% had open globe injury (OGI), and 6.96% had chemical injury (CI). The mean age of all patients was 44.45 ± 19.45 years old. Males (83.36%), rural patients (56.17%), and farmers (27.14%) predominantly had posttraumatic glaucoma. The most common external injury mechanism was blunt objects (37.82%). Compared with the other two groups, the majority of surgical modalities were cataract extraction (27.12%) in the CGI group, combined anterior-posterior surgery (34.79%) in the OGI group, and cyclocryotherapy/cyclophotoagulation (49.1%) in the CI group. The CI group had higher times of hospitalization (3.542 ± 0.242) and hospitalization duration (8.373 ± 0.743 days), whereas the OGI group had more operation expense ($ 1476.729 ± 11.047) and medical consumables expense per head ($ 962.578 ± 25.801).
CONCLUSIONS: Blunt injury, males, adults, farmers, and rural patients were high-risk factors for posttraumatic glaucoma. Chemical-induced glaucoma management requires a longer hospitalization period, while OGI requires more medical expenditure. This knowledge provides a new reference for clinicians to accurately diagnose and intervene in posttraumatic glaucoma. It also suggests that more education and long-term surveillance are needed regarding the presence of glaucoma after ocular trauma.
METHODS: This retrospective study investigated all individuals with posttraumatic glaucoma admitted to the Zhongshan Ophthalmic Center of Sun Yat-Sen University from January 2012 through December 2021.
RESULTS: Out of 2211 cases, 64.82% had closed globe injury (CGI), 28.22% had open globe injury (OGI), and 6.96% had chemical injury (CI). The mean age of all patients was 44.45 ± 19.45 years old. Males (83.36%), rural patients (56.17%), and farmers (27.14%) predominantly had posttraumatic glaucoma. The most common external injury mechanism was blunt objects (37.82%). Compared with the other two groups, the majority of surgical modalities were cataract extraction (27.12%) in the CGI group, combined anterior-posterior surgery (34.79%) in the OGI group, and cyclocryotherapy/cyclophotoagulation (49.1%) in the CI group. The CI group had higher times of hospitalization (3.542 ± 0.242) and hospitalization duration (8.373 ± 0.743 days), whereas the OGI group had more operation expense ($ 1476.729 ± 11.047) and medical consumables expense per head ($ 962.578 ± 25.801).
CONCLUSIONS: Blunt injury, males, adults, farmers, and rural patients were high-risk factors for posttraumatic glaucoma. Chemical-induced glaucoma management requires a longer hospitalization period, while OGI requires more medical expenditure. This knowledge provides a new reference for clinicians to accurately diagnose and intervene in posttraumatic glaucoma. It also suggests that more education and long-term surveillance are needed regarding the presence of glaucoma after ocular trauma.
摘要：
目的：分析创伤后青光眼的人口统计学，介绍,不同的原因,手术方式，中国南方患者的住院负担。
方法：这项回顾性研究调查了2012年1月至2021年12月中山大学中山眼科中心收治的所有创伤后青光眼患者。
结果：在2211例中，64.82％的人患有闭合性全球伤害（CGI），28.22％的人患有开放性全球伤害（OGI），6.96%有化学损伤(CI)。所有患者的平均年龄为44.45±19.45岁。男性（83.36%），农村患者(56.17%)，农民（27.14％）主要患有创伤后青光眼。最常见的外部损伤机制是钝物(37.82%)。与其他两组相比，CGI组的大多数手术方式是白内障摘除术（27.12%），OGI组的前后联合手术（34.79％），和cycclocrytherapy/cyclosupulation(49.1%)在CI组。TheCI组住院次数(3.542±0.242)和住院时间(8.373±0.743天)较高,而OGI组有更多的手术费用(1476.729±11.047美元)和医疗耗材费用(962.578±25.801美元)。
结论：钝性损伤，男性,成年人,农民,农村患者是创伤后青光眼的高危因素。化学诱导的青光眼管理需要更长的住院时间，而OGI需要更多的医疗支出。这些知识为临床医生准确诊断和干预外伤后青光眼提供了新的参考。它还表明，对于眼外伤后青光眼的存在，需要进行更多的教育和长期监测。
方法：这项回顾性研究调查了2012年1月至2021年12月中山大学中山眼科中心收治的所有创伤后青光眼患者。
结果：在2211例中，64.82％的人患有闭合性全球伤害（CGI），28.22％的人患有开放性全球伤害（OGI），6.96%有化学损伤(CI)。所有患者的平均年龄为44.45±19.45岁。男性（83.36%），农村患者(56.17%)，农民（27.14％）主要患有创伤后青光眼。最常见的外部损伤机制是钝物(37.82%)。与其他两组相比，CGI组的大多数手术方式是白内障摘除术（27.12%），OGI组的前后联合手术（34.79％），和cycclocrytherapy/cyclosupulation(49.1%)在CI组。TheCI组住院次数(3.542±0.242)和住院时间(8.373±0.743天)较高,而OGI组有更多的手术费用(1476.729±11.047美元)和医疗耗材费用(962.578±25.801美元)。
结论：钝性损伤，男性,成年人,农民,农村患者是创伤后青光眼的高危因素。化学诱导的青光眼管理需要更长的住院时间，而OGI需要更多的医疗支出。这些知识为临床医生准确诊断和干预外伤后青光眼提供了新的参考。它还表明，对于眼外伤后青光眼的存在，需要进行更多的教育和长期监测。
