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목적: 안외상의 지역적인 특징과 시대적인 변천사를 알아보아 안외상의 치료와 예방에 이용하고자 하였다. 대상과 방법: 1996년 1월 1일부터 2005년 12월 31일까지 본원에서 안외상으로 입원치료를 받은 환자 372명을 대상으로 의무기록 조회 를 통해 2000년을 기준으로 이전인 1군, 이후인 2군의 두 군으로 나누어 산업재해의 빈도, 성별, 연령, 계절별 분포, 손상부위, 안외상 수단, 원인, 양상, 1차 수술, 합병증, 2차 수술, 시력변화 등에 관한 통계를 조사하였다. 결과: 1군은 223명, 2군은 149명이었으며, 남자가 87.9%로 많았다. 1군에서는 20대, 2군에서는 40대가 각각 많았고 1군에서는 가을, 2군에서는 봄에 가장 많았다. 안외상 수단으로 산업재해가 가장 많았고 2군에서 폭력, 교통사고, 스포츠가 증가하였다. 원인물질로는 철편이, 1차 수술로는 각막봉합이 두 군에서 모두 가장 많았다. 합병증으로는 각막혼탁이 가장 많았으며, 치료 전후 시력을 비교했을 때 두 군 간의 유의한 차이는 없었다(p=0.251). 결론: 안외상의 지역적인 특징과 시대적인 변천사를 알 수 있었고, 이를 안외상의 예방과 치료에 이용할 수 있을 것으로 생각된다.
Purpose: To investigate the regional characteristics and changing history in the era of ocular injuries, in order to use the results for the treatment and prevention of ocular injuries. Methods: A retrospective survey was performed with 372 patients, who were hospitalized due to ocular injuries from January 1, 1996 to December 31, 2005, using the year 2000 as the divider for establishing the 2 groups. The change of incidence in industrial ocular injuries, sex, age, distribution of season, side, mode, cause, nature, primary ocular surgery, complications, secondary operation, and change in visual acuity were reviewed statistically. Results: The number of patients in group one was 223 and 149 in group two with a greater incidence in males (87.9%). The incidence peaked at the third decade of age in group 1, and at the fifth decade in group 2. The incidence was highest in the autumn in group 1, and in the spring in group 2. Regarding the mode of ocular injury, industrial injury was the most common, and ocular injuries from violence, traffic accidents and sports increased. Within the two groups, the most common cause of injury involved a piece of iron, and the most common surgery was primary corneal closure. The most common complication was corneal opacity. There was no statistical difference in the improvement of visual acuity between the two groups (p=0.251). Conclusions: This survey gathered the characteristics and changing history in the era of ocular injuries in order to use the results for the treatment and prevention of ocular injuries.
Purpose: To investigate the regional characteristics and changing history in the era of ocular injuries, in order to use the results for the treatment and prevention of ocular injuries. Methods: A retrospective survey was performed with 372 patients, who were hospitalized due to ocular injuries from January 1, 1996 to December 31, 2005, using the year 2000 as the divider for establishing the 2 groups. The change of incidence in industrial ocular injuries, sex, age, distribution of season, side, mode, cause, nature, primary ocular surgery, complications, secondary operation, and change in visual acuity were reviewed statistically. Results: The number of patients in group one was 223 and 149 in group two with a greater incidence in males (87.9%). The incidence peaked at the third decade of age in group 1, and at the fifth decade in group 2. The incidence was highest in the autumn in group 1, and in the spring in group 2. Regarding the mode of ocular injury, industrial injury was the most common, and ocular injuries from violence, traffic accidents and sports increased. Within the two groups, the most common cause of injury involved a piece of iron, and the most common surgery was primary corneal closure. The most common complication was corneal opacity. There was no statistical difference in the improvement of visual acuity between the two groups (p=0.251). Conclusions: This survey gathered the characteristics and changing history in the era of ocular injuries in order to use the results for the treatment and prevention of ocular injuries.