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Epidemiological profile and visual outcome of ocular trauma in a referral center in northeastern Brazil

Perfil epidemiológico e prognóstico visual do trauma ocular em um centro de referência da região nordeste do Brasil

Abstract

Objectives:

To evaluate the epidemiological profile and prognosis of patients with mechanical ocular trauma.

Methods:

Descriptive cross-sectional observational study of consecutive patients evaluated during a one-year period at a public referral center in São Luis, Maranhão, Brazil. The Ocular Trauma Score (OTS) was used to estimate final visual acuity. The variables were analyzed using the chi-square test with a significance level of 5%.

Results:

Out of a total of 154 patients (mean age of 30.1 years), 27.92% were younger than 16 years, and 81.8% were men, with most coming from the state's countryside (55.2%). Most of the patients were dependents (34%) or rural workers (19%). Regarding the OTS prognosis, 33.77% of the patients were category 5 and 31.16% category 1 or 2, indicating worse prognosis. The best prognoses (visual outcomes) were inversely proportional to age and time to treatment (p<0.001).

Conclusion:

Ocular trauma remains an important cause of ocular morbidity in childhood and in informal work. Adult supervision and socio-educational measures are mandatory to change this scenario.

Keywords:
Eye injuries/epidemiology; Eye injuries/prevention & control; Morbidity; Prognosis

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