title: The clinical characteristics of alcohol-related ocular rupture.
abstract: OBJECTIVE
  To evaluate the characteristics and outcomes of drunken patients treated for ocular rupture, and to compare these results to patients injured without alcohol consumption.
  
  
  METHODS
  The medical records of 182 patients with or without alcohol consumption before injury who were treated and followed up because of ocular rupture at the Affiliated Hospital of Weifang Medical University from October 2007 to October 2011 were evaluated retrospectively. The characteristics and outcomes of 45 alcohol-related injury patients were compared with the rest in the cohort. The clinical data included in this study were: anatomic sites and length of the wound, involvement of ocular adnexa injuries, evisceration rate, and final mean visual acuity.
  
  
  RESULTS
  Wound locations were significantly different between the alcohol-related group and the non-alcohol-related one. Compared with the non-alcohol-related ocular rupture population, the anatomic sites of the drunken patients were more likely to be located at zone I and zone II (60.0 vs 40.1 %; χ2 = 5.39,P < 0.05). The difference of wound length between the alcohol-related group and the non-alcohol-related one was significant. The alcohol-related patients had a longer wound length (Z = -8.590,P < 0.05). Compared with the non-alcohol population, the alcohol-consuming patients were more likely to suffer adnexa injuries (84.4 vs 59.8 %; χ2 = 5.86,P < 0.05), and had worse final visual acuities (Z = -7.195,P < 0.05). The evisceration rate of the alcohol-related patients was significantly higher than the non-alcohol patients (24.4 vs 9.4 %; χ2 = 6.62,P < 0.05).
  
  
  CONCLUSIONS
  Drinking more easily leads to injury of the front part of eyes. Moreover, the drunken patients had a worse visual acuity outcome, longer wound length, higher evisceration rate, and were more prone to endure adnexa injuries. The importance of prevention and education to recognize the hazards of drinking cannot be overemphasized.
authors.affiliation: Department of Ophthalmology, Affiliated Hospital of Weifang Medical University, Yu-He Street 2428, Weifang, 261031, Shandong Province, China, luxuvy@163.com.
authors.forename: Liu
authors.initials: L
authors.lastname: Jian-Wei
authors.forename: Hu
authors.initials: H
authors.lastname: Zhen-Bo
authors.forename: Wang
authors.initials: W
authors.lastname: Shu-Na
authors.forename: Zhu
authors.initials: Z
authors.lastname: Yu-Guang
authors.forename: Deng
authors.initials: D
authors.lastname: Ai-Jun
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019973:Alcohol-Related Disorders / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D065306:Corneal Injuries / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D017234:Eye Evisceration; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D005143:Eyelids / Q000293:injuries; D005260:Female; D006801:Humans; D016850:Limbus Corneae / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D020221:Optic Nerve Injuries / Q000209:etiology / Q000473:pathology / Q000601:surgery; D009915:Orbit / Q000293:injuries; D012189:Retrospective Studies; D012421:Rupture; D012590:Sclera / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology