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Characteristics and Visual Outcomes of Eye Trauma in the Chinese Armed Services
  1. J Xiao1,2,
  2. Dr Maonian Zhang1,
  3. C Jiang1,
  4. Y Zhang1,
  5. H Qiu1,
  6. C Chaloulias3 and
  7. H Suleman3
  1. 1Department of Ophthalmology, Chinese PLA General Hospital, Beijing, China
  2. 2Department of Ophthalmology, Chinese PLA 150th Hospital, Luoyang, Henan, China
  3. 3National Institute of Health Research Surgical Reconstruction Microbiology and Rehabilitation Centre mentor scheme, Royal Centre for Defence Medicine, Queen Elizabeth ospital, Birmingham, United Kingdom
  1. Department of Ophthalmology, Chinese PLA General Hospital, No 28, Fuxing Road, Beijing, China, 100853


Objectives: To outline the characteristics and outcomes of eye injuries in the Chinese People’s Liberation Army.

Methods: A retrospective review of military inpatient eye injuries, in one military region, population 250,000 soldiers, between January 2006 and December 2010.

Results: There were 709 eye injury patients (759 eyes) during the 5-year period with an incidence of inpatient eye injuries of 57 per 100,000 person-years. The mean age of patients was 24 years, the vast majority male. The majority of eye injuries occurred during recreational time (62%), with the commonest causing being violence (46%). The immediate post-injury vision acuity of 48% of eyes was >6/12; 93% of cases had mechanical ocular injuries and 7% had non-mechanical ocular injuries. 71% of patients were sent to an evacuation hospital within 24 hours and 75% had surgery within 24 hours of injury. The majority of cases (97%) were hospitalized for one visit. On discharge, there was a statistically significant improvement in visual outcomes with 85% of eyes achieving >6/12.

Conclusions: Eye injuries secondary to violence were a frequent occurrence amongst young male PLA members, particularly during recreational time. Most injuries were not sight-threatening, with the majority of patients achieving an excellent visual outcome.

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