■这项研究描述了社会人口统计学特征,临床,治疗性的,和眼部烧伤的进化方面有助于改善其管理。
■在阿比让的科科迪大学医院(CHU)眼科进行了一项回顾性研究,科特迪瓦,从2020年1月1日至2021年1月31日。它专注于49例眼外伤患者的记录,包括12个双边病例,共61只眼睛。对于每个病人来说,社会人口统计数据,创伤剂的性质,烧伤病因,眼部烧伤阶段,受影响眼睛的初始和最终未矫正视力,并收集治疗。
■在该部门咨询的436例眼外伤中,眼部烧伤的比例为11%。患者平均年龄为27.9岁±14.2岁,范围为3至60岁,男性占主导地位(70%)。学生是最常见的社会专业类别(39%)。与工作有关的事故是主要情况,在三分之一的案例中。化学剂是主要的创伤剂,在54%的案例中。平均咨询时间为3.5天±7.9,范围为1至60天。Roper-Hall分类的第1阶段是观察最多的阶段(占病例的51%)。在28%的病例中,受影响的眼睛的初始视力小于1/20。治疗主要是医疗,三分之一的治疗眼的最终视力低于1/20。
■视力预后受烧伤分期的影响,病因,和咨询时间,根据社会和地理起源而有所不同。
This study describes the socio-demographic characteristics, clinical, therapeutic, and evolutionary aspects of ocular burns to contribute to the improvement of their management.
A retrospective study was conducted in the Ophthalmology Department of the Cocody University Hospital (CHU) in Abidjan, Côte d\'Ivoire, from January 1, 2020, to January 31, 2021. It focused on 49 patient records with ocular trauma, including 12 bilateral cases, totaling 61 eyes. For each patient, socio-demographic data, the nature of the traumatic agent, burn etiologies, ocular burn stage, initial and final uncorrected visual acuity of the affected eye, and treatment were collected.
The proportion of ocular burns was 11% out of 436 cases of ocular trauma that consulted in the department. The average age of patients was 27.9 years ± 14.2, ranging from 3 to 60 years, with a male predominance (70%). Students were the most frequent socio-professional category (39%). Work-related accidents were the predominant circumstances, in a third of cases. Chemical agents were the main traumatic agents, in 54% of cases. The average consultation time was 3.5 days ± 7.9, ranging from 1 to 60 days. Stage 1 of the Roper-Hall classification was the most observed stage (51% of cases). Initial visual acuity of the affected eye was less than 1/20 in 28% of cases. Treatment was mainly medical, and a third of treated eyes had a final acuity less than 1/20.
Visual prognosis is influenced by burn stages, etiologies, and consultation time, varying according to social and geographical origins.