NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG TỔN THƯƠNG MI MẮT DO CHẤN THƯƠNG VÀ KẾT QUẢ ĐIỀU TRỊ TẠI BỆNH VIỆN ĐA KHOA VÙNG TÂY NGUYÊN

Abstract

Purpose: Describe the clinical characteristics and evaluate the results of treatment of traumatic eyelid damage at Tay Nguyen General Hospital. Methods: A prospective observational describing study with 86 eyes of 85 patients diagnosed eyelid injuries at Tay Nguyen General Hospital from October 2023 to May 2024 followed for 3 months. Results: 86 eyes of 85 patients (63 males and 22 females) were analized. An average age was 34.5 ±18.2. Causes included traffic accidents 43%, domestic accidents 18.6%, fights 17.4%, occupational accidents 15.2%, dog bites 5.8%. Injury to both eyes 1.2%, one eye 98.8%. Rate of patients with surgery time before 24 hours was 74.2%, from 24 hours to 48 hours 16.1%, 72 hours to 7 days 6.5%, and after 7 days 3.2%. Eyelid contusion injuries accounted for 27.9%, eyelid lacerations 72.1%. Considering eyelid lacerations types, the incidence of simple lacerations, lacrimal passage-involving eyelid lacerations and crossing the eyelid margin lacerations represented 48.4%, 35.5% and 16.1% of cases. Combined injuries with skull were 20.9% and eyeball-orbit 34.9%. Superior and inferior lacrimal canaliculus lacerations included 18.2% and 81.8%. Medical treatment in 25.6%, surgical treatment 74.4%. After 3 months, 87% of patients had good eyelid anatomy, 88.7% of patients achieved good eyelid function, 88.3% of patients achieved good lacrimal anatomy, 72.2% of patients achieved good lacrimal function. Of 17.7% patients had complications, infections were 1.6%, lagophthalmos-ectropion 4.8%, hypertrophic scars 4.8%, lacrimal punctum malpositions-loss of silicone tube 6.5%. Conclusion: Eyelid injuries occurred mostly in men of working age group, due to traffic accidents. The main cause of hospitalization in children was dog bite. Eyelid injuries were often accompanied with injuries of the brain or eyeball. Eyelid wound complications often affected aesthetics and patient's life, such as hypertrophic scars, lagophthalmos-ectropion, lacrimal punctum malpositions. And these complications were not related to time and causes of injuries.