背景：台灣目前對於職業性眼傷尚無系統性研究。故本研究之目的針對眼睛「角膜」之職業性眼傷，分析其成因及風險因子。方法：本研究是一病歷回溯性研究，蒐集2008年1月1日至2008年12月31日因工作造成眼睛角膜外傷至北部某醫學中心急診室求診之18歲以上成人病患。資料蒐集包括基本資料，受傷地點、時間，受傷機轉，受傷部位，診斷，嚴重度及回診狀況等，做描述性與卡方統計分析探討。結果：大部分在工作場所中受傷(93.4%)，多為年輕男性(89.5%)，平均年齡為 37.23歲(SD 10.886)。最常見診斷是光害性角膜炎(27.2％)，其次是角膜表淺性損傷(26.4％)。受傷時間越晚，發生率越高。大多數人皆不須返診(33%)。卡方分析結果達統計顯著差異(p<0.05) ，與受傷新機轉有顯著關係的有國籍，受傷部位(單、雙眼)、受傷時間、診斷及回診狀況。結論：我們研究結果發現，職業性「角膜」外傷的患者主要也是年輕男性，他們的傷勢普遍輕微，且大多數病患都可在門診追蹤。然而這些傷害是可以預防與使用良好的防護設備，
如護目鏡而避免。這將大大減少不必要損失工作日。此外，病人往往也輕忽回診之重要性，因此，有必要加強工人職業眼病之認識及教育。最後，「外籍」勞工的訓練及安全也是未來越來越重要之一項課題。

Background: Currently there was still no systematic study regarding occupational eye injuries in Taiwan. In the present study we evaluated the epidemiologic features and risk factors of occupational corneal injuries. Methods: Medical records with confirmed diagnosis of occupational corneal injury from the emergency department during 2008 were collected from a tertiary teaching hospital. Clinical information was collected from medical charts including basic information, location of the injury, duration, mechanism, diagnosis, severity and prognosis. Descriptive and Chi-square tests were used to examine the relationship between occupational corneal injuries and its related factors. Results: Two hundred and seven-six patients were collected during 2008. Among these, 93.4% of occupational corneal injuries were identified. Most of them were young male(89.5%). The average age of the subjects was 37.23 years. The most common type of occupational corneal injury was photokeratoconjunctivitis (27.2%), followed by corneal abrasions (26.4%). Most injuries were happened during night shift. Most patient didn not require further follow-up. Chi-square testing revealed that variables including worker’s nationality, injury location, injury time, clinical diagnosis and prognosis were related with the mechanisms of occupational corneal injuries. Conclusion: Most occupational corneal injuries occurred among young male workers. Most of the cases were self-limited with good prognosis. Moreover, these injuries could be prevented with proper protective devices. We suggest regular education and standardized training procedure should be implemented and be frequently monitored. Finally, specific safety concerns among workers from different countries should be taken into consideration according to our results.