主人造成的眼部损伤:一项由熟悉的宠物引起的狗咬伤创伤的新研究:一个病例系列

IF 0.6 Q4 SURGERY
Alireza Attar , Alireza Askari , Amirmohammad Fathian
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引用次数: 0

摘要

本研究旨在研究被狗咬伤后的眼部损伤。该研究调查了受伤的类型、所涉及的狗的品种、受害者的人口统计数据以及所使用的临床管理策略。它还试图强调预防措施的必要性,以及负责任的养狗对尽量减少这些伤害的重要性。回顾性分析了哈利利医院设拉子眼科中心2022年至2024年期间因家养狗咬伤而遭受眼部创伤的患者的医疗记录。仅包括可识别犬种的患者。收集的数据包括患者的年龄、性别、损伤类型、手术干预、医疗管理、结果和并发症。所有患者均在伤后2天内接受手术治疗,随访至少3个月。大多数患者(71%)年龄在12 - 28岁之间。罗威纳犬和德国牧羊犬是最常见的品种。最常见的损伤是下小管撕裂伤(57%),一些病例同时出现下睑缘和上睑缘撕裂伤。手术干预主要包括用克劳福德支架和外侧跗骨带进行小管修复。并发症包括外翻和远眦2例,但没有发现视力障碍。这项研究强调了主人自己的狗造成眼部损伤的重大风险,年轻人是受影响最大的群体。罗威纳犬和德国牧羊犬是最常见的品种,但像波美拉尼亚这样的小品种也造成了严重的伤害。下小管撕裂伤是最常见的损伤,反映了面部中央区域的解剖脆弱性。及时的手术干预,主要是用克劳福德支架修复小管和眼睑边缘修复,取得了积极的结果,并发症最少。这些发现强调了负责任的宠物主人、公众教育和预防策略对减少此类伤害的重要性。此外,这些伤害的心理影响,特别是对儿童的影响,仍然是一个需要进一步研究的领域。结论本研究强调了由熟悉的宠物造成的狗咬伤造成眼部损伤的风险。它强调了负责任的养狗、公众教育和预防措施的重要性,特别是对弱势群体。需要进一步研究这些伤害的心理影响和更大规模的研究来制定有效的预防策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Owner-inflicted ocular injuries: A novel study of dog bite trauma caused by familiar pets: A case series

Introduction and importance

This novel study aims to investigate ocular injuries caused by dog bites inflicted by the victims' own pets. The study examines the types of injuries, the breeds of dogs involved, the demographics of the victims, and the clinical management strategies used. It also seeks to highlight the need for preventive measures and the importance of responsible dog ownership in minimizing these injuries.

Case presentation

A retrospective review of medical records from Shiraz Eye Center, Khalili Hospital, between 2022 and 2024 was conducted for patients who suffered ocular trauma from bites by their domestic dogs. Only patients with identifiable dog breeds were included. Data collected included patient age, gender, injury type, surgical intervention, medical management, outcomes, and complications. All patients underwent surgery within 2 days of injury and were followed up for at least 3 months. The majority of patients (71 %) were between 12 and 28 years old. Rottweilers and German Shepherds were the most commonly involved breeds. The most frequent injury was lower canaliculi lacerations (57 %), with some cases presenting both lower and upper lid margin lacerations. Surgical interventions primarily involved canalicular repair with Crawford stents and lateral tarsal strip procedures. Complications included ectropion and telecanthus in two cases, but no visual impairments were noted.

Discussion

This study underscores the significant risk of ocular injuries inflicted by owners' own dogs, with young individuals being the most affected group. Rottweilers and German Shepherds were the most frequently involved breeds, but smaller breeds like Pomeranians also caused serious injuries. Lower canalicular lacerations were the most common injury, reflecting the anatomical vulnerability of the central facial region. Timely surgical intervention, primarily canalicular repair with Crawford stents and lid margin repairs, yielded positive outcomes with minimal complications. These findings emphasize the importance of responsible pet ownership, public education, and preventive strategies to reduce such injuries. Additionally, the psychological impact of these injuries, particularly in children, remains an area requiring further research.

Conclusion

This study highlights the risks of ocular injuries from dog bites inflicted by familiar pets. It emphasizes the importance of responsible dog ownership, public education, and preventive measures, particularly for vulnerable groups. Further research into the psychological impact of these injuries and larger studies are needed to develop effective prevention strategies.
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