4.6 Article

Characteristics of eye injuries, medical cost and return-to-work status among industrial workers: a retrospective study

Journal

BMJ OPEN
Volume 12, Issue 1, Pages -

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2021-048965

Keywords

occupational & industrial medicine; ophthalmology; public health; rehabilitation medicine

Funding

  1. Universiti Kebangsaan Malaysia University Research Grant [KOMUNITI/2011/019]

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The study aimed to determine characteristics of eye injuries, medical costs, and return-to-work status among industrial workers in Malaysia. A total of 884 workplace accidents involving eye injury were identified, with the highest incidence in the 30-39 age group and among Malay ethnics. Males were more affected than females, and a significant relationship was found between severity of eye injury and employee work status. Indirect medical and vision rehabilitation costs were higher than direct costs.
Objective The aim of this study is to determine the characteristics of eye injuries, medical costs and return-to-work status among industrial workers to provide better vision rehabilitative services. Setting Nationwide data from the Social Security Organisation (SOCSO) of Malaysia. Participants A stratified random sample of workers registered with the SOCSO of Malaysia with documentation of eye injury. Primary and secondary outcome measures Characteristics of eye injuries and medical costs related to eye injury (primary) and return-to-work status (secondary). Results A total of 884 from 8861 case files workplace accidents involving eye injury registered with Social Security Services (SOCSO) were identified. The mean age was 35 +/- 10 years and the highest incidence of work-related eye injury occurred in the age group 30-39 years and among Malay ethnics. Males are affected more than females' workers. The highest cause of eye injury was the impact from a moving object excluding falling objects (89.2%) and anterior segment injuries occurred more than posterior segment injuries. The total direct and Indirect medical cost was RM1 108 098.00 (US$316 599.40) and RM4 150 140.00 (US$1 185 754.20) for 884 cases. Conclusion The majority of workers suffered from the low level of eye injury. A significant relationship was found between the severity of eye injury and employee work status. The indirect cost of medical and vision rehabilitation was higher than the direct cost. Awareness and vision rehabilitation programmes at the workplace need to be addressed for better prevention and rehabilitative service.

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