Association of Alcohol Consumption with the Risk of Ocular Trauma
Sang Beom Han,Hee Kyung Yang,Se Joon Woo,Joon Young Hyon
and Jeong-Min Hwang
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Address for Correspondence: Jeong-Min Hwang, MD. Department of Ophthalmology, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, Seongnam 463-707, Korea. Tel: +82.31-787-7372, Fax: +82.31-787-4057, Email: hjm@snu.ac.kr
Received December 26, 2010; Accepted March 07, 2011.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
This study was conducted to evaluate the influence of alcohol consumption on the risk of ocular trauma. We retrospectively reviewed the medical records of 1,024 patients who visited emergency department and received ophthalmologic examination from January 1 to December 31, 2009. The patients were divided into 2 groups: those with ocular trauma (n = 494) and those without (n = 530); the influence of alcohol consumption was compared between these 2 groups. In the ocular trauma group, the association of the causes and types of ocular trauma with alcohol consumption was evaluated. One of 530 patients of no trauma group and 117 (23.7%) of 494 patients of trauma group were related with alcohol intake, and the difference was statistically significant (P < 0.001). Concerning the causes, physical assault was significantly more common in alcohol-associated injury (P < 0.001). Regarding the types of injury, orbital wall fracture and hyphema showed a significant association with alcohol consumption (P < 0.001). Older age and nighttime injury were significantly related to the increased risk of alcohol-associated ocular trauma (P = 0.018 and < 0.001, respectively). In conclusion, alcohol consumption significantly increases the risk of ocular trauma.
Association of Alcohol Consumption with the Risk of Ocular Trauma
Sang Beom Han, Hee Kyung Yang, Se Joon Woo, Joon Young Hyon, and Jeong-Min Hwang
We evaluated the influence of alcohol consumption on ocular trauma in Korea. The retrospective study of 1,024 patients (494 patients with ocular trauma and 530 patients without) showed remarkable difference. One of no trauma group and 117 (23.7%) of trauma group were related with alcohol consumption. As a cause of ocular trauma, physical assault was significantly more common in alcohol-associated injury (P < 0.001). Regarding the types of injury, orbital wall fracture and hyphema showed a significant association with alcohol consumption (P < 0.001). Older age and night time injury were significantly related to the increased risk of alcohol-associated ocular trauma (P = 0.018 and < 0.001, respectively).
References
1.
Pihl RO, Peterson JB, Lau MA. A biosocial model of the alcohol-aggression relationship. J Stud Alcohol Suppl 1993;11:128–139.
2.
Lee EJ, Kim TY, Kim SC, Park HS, Suh GJ, Shin SD, You EY. Effect of alcohol consumption on the severity of blunt injury. J Korean Soc Emerg Med 2005;16:339–345.
3.
Lee WK, Kim Y. Drinking pattern and nonfatal injuries of adults in Korea. J Korean Soc Traumatol 2009;22:233–241.
4.
Smith AR, O'Hagan SB, Gole GA. Epidemiology of open- and closed-globe trauma presenting to Cairns Base Hospital, Queensland. Clin Experiment Ophthalmol 2006;34:252–259.
5.
Loon SC, Tay WT, Saw SM, Wang JJ, Wong TY. Prevalence and risk factors of ocular trauma in an urban south-east Asian population: the Singapore Malay Eye Study. Clin Experiment Ophthalmol 2009;37:362–367.
6.
Kim MJ. Analysis of the medical expense by alcohol attributed diseases. J Korean Alcohol Sci 2003;4:136–148.
7.
Nirmalan PK, Katz J, Tielsch JM, Robin AL, Thulasiraj RD, Krishnadas R, Ramakrishnan R. Aravind Comprehensive Eye Survey. Ocular trauma in a rural south Indian population: the Aravind Comprehensive Eye Survey. Ophthalmology 2004;111:1778–1781.
8.
McCarty CA, Fu CL, Taylor HR. Epidemiology of ocular trauma in Australia. Ophthalmology 1999;106:1847–1852.
9.
Krishnaiah S, Nirmalan PK, Shamanna BR, Srinivas M, Rao GN, Thomas R. Ocular trauma in a rural population of southern India: the Andhra Pradesh Eye Disease Study. Ophthalmology 2006;113:1159–1164.
10.
Dandona L, Dandona R, Srinivas M, John RK, McCarty CA, Rao GN. Ocular trauma in an urban population in southern India: the Andhra Pradesh Eye Disease Study. Clin Experiment Ophthalmol 2000;28:350–356.
11.
Han SB, Yu HG. Visual outcome after open globe injury and its predictive factors in Korea. J Trauma 2010;69:E66–E72.
12.
Rahman I, Maino A, Devadason D, Leatherbarrow B. Open globe injuries: factors predictive of poor outcome. Eye (Lond) 2006;20:1336–1341.
13.
Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision survival after open globe injury predicted by classification and regression tree analysis. Ophthalmology 2008;115:202–209.