@article{ref1,
title="Trends in occupational-related open globe injury presenting to a tertiary referral centre of Northern Thailand",
journal="Injury",
year="2020",
author="Patikulsila, Direk and Choovuthayakorn, Janejit and Supreeyathitikul, Pongsant and Chaovisitsaree, Thanaphat and Chaikitmongkol, Voraporn and Watanachai, Nawat and Kunavisarut, Paradee",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To determine characteristics of occupational-related open globe injury (OGI) in a tertiary referral centre within an agricultural activity endemic area. <br><br>METHODS: The medical records of patients diagnosed as open globe injury received during work and admitted to Chiang Mai University Hospital, Thailand from January 2006 to December 2016, were retrospectively reviewed. <br><br>RESULTS: Six hundred and fifteen patients were included in this analysis with a mean (SD) age of 44.6 (14.1) years and a median (IQR) follow-up of 6.5 (2.5 to 17) months. Males were predominant (92%). The highest risk groups were patients in the age range of 40 to 59 years (52%). The common locations of injuries were gardening/farming (52%) followed by work at construction/industrial site (32%). Over the study period, there was an increasing proportion of intraocular foreign body (IOFB), while the proportion of penetrating injuries decreased (p = 0.001). An increasing frequency of injuries from mowing were noted (p = 0.003). Types of injury also varied in different working settings as follows: while higher proportion of penetrating OGI occurred at the office (86%), IOFB occurred more frequently at gardening/farming site (59%). Work setting did not influence either the initial visual acuity (VA) (p = 0.53) or the final VA (p = 0.73). Significant improvements in final VA were demonstrated across all work settings, but 46% of patients still had a final visual acuity worse than 20/400. <br><br>CONCLUSIONS: The majority of occupational-related OGI in this study were related to agricultural work. A high incidence of injuries during mowing and a high frequency of IOFB should be considered when discussing guidelines and public recognition should be raised regarding safety protective measures at work.<br><br>Copyright © 2020 Elsevier Ltd. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0020-1383",
doi="10.1016/j.injury.2020.05.042",
url="http://dx.doi.org/10.1016/j.injury.2020.05.042"
}