Epidemiological analysis of inpatients with ocular trauma in a single center

Yang Jie; Wang Qun; Yuan Jianpeng; Quan Wei

doi:10.3760/j.issn.1673-4777.2026.04.018

Abstract：Objective To analyze the epidemiological characteristics of inpatients with ocular trauma admitted to a Grade A tertiary hospital in Beijing from 2015 to 2019.Methods A total of 621 patients with traumatic ocular diseases admitted to the Third Medical Center,Chinese PLA General Hospital from January 2015 to December 2019 were retrospectively enrolled.Data including gender,age,type of admission diagnosis and surgical treatment were recorded.Multivariate Logistic regression model was used to analyze the risk factors for traumatic ocular diseases.Result Among the 621 patients,483 were male and 138 were female.In terms of age distribution,there were 64 cases under 13 years old,221 cases aged 13-30 years,295 cases aged＞30-60 years and 41 cases over 60 years old.Regarding occupational distribution,172 were construction workers,105 were manufacturing workers and 89 were students.There were significant differences in the proportion of patients among different genders,ages and occupations(all P＜0.001).The top three admission diagnoses were orbital wall fracture(294 cases,47.3％,including 271 cases caused by blunt trauma),canaliculus laceration(142 cases,22.9％,including 96 cases caused by blunt instrument cutting)and lens dislocation(44 cases,7.1％,including 38 cases caused by high-velocity impact).There was a significant difference in the proportion of ocular trauma types among patients receiving different surgical methods(P＜0.001).Multivariate Logistic regression analysis showed that male sex(odds ratio=1.83,95％confidence interval:1.29-2.60),construction worker occupation(odds ratio=2.45,95％confidence interval:1.78-3.38)and blunt instrument injury(odds ratio=4.12,95％confidence interval:2.96-5.73)were independent risk factors for orbital wall fracture(all P＜0.05).The age of＞30-60 years old(odds ratio=4.21,95％confidence interval:2.89-6.13)and sharp instrument cutting(odds ratio=3.87,95％confidence interval:2.64-5.67)were independent risk factors for canaliculus laceration(both P＜0.001).Conclusions Young and middle-aged laborers are high-risk groups for ocular trauma,with occupa-tional exposure and daily activities as the main inducing factors,indicating that occupational protection and safety education on sports activities are urgently needed to be strengthened.Orbital wall fracture should be taken as a key direction for prevention and treatment,and surgical strategies should be individually designed based on age and injury type.