Abstract
BackgroundWe aimed to evaluate the severity and prognosis of posterior segment injury between left-behind children (LBC) and guarded children (NLBC).MethodsA retrospective, controlled analysis of a case series was performed. Patients diagnosed with posterior segment injury in Department of vitreous and retinal, the Affiliated Ophthalmology and Otolaryngology Hospital of Fudan University were included in this study. Patients were divided into two groups, including LBC group (n = 48) and NLBC group (n = 44). All the children underwent 25G transconjunctival sutureless pars plana vitrectomy.ResultsCompared with NLBC, LBC had delayed treatment, worse baseline vision and visual prognosis, lower OTS rating, more times of vitrectomies, more complicated surgical procedures, and higher rate of lens removal and silicone oil tamponade.ConclusionsDue to lack of care and delayed treatment, posterior segment ocular trauma in the LBC was more severe, more common complicated with infectious endophthalmitis, and had worse visual prognosis. It was urgent to enforce the guardianship in LBC.
Highlights
We aimed to evaluate the severity and prognosis of posterior segment injury between left-behind children (LBC) and guarded children (NLBC)
Definition of LBC According to previous studies [8, 9], LBC were defined as children who were under 18 years old and were left at home with both or one of their parents migrate to urban areas for at least 6 months
LBC had a higher incidence of infective endophthalmitis than None left-behind children (NLBC)
Summary
We aimed to evaluate the severity and prognosis of posterior segment injury between left-behind children (LBC) and guarded children (NLBC). Ocular trauma is the main cause of damage to children’s vision [1, 2], which severely affects children’s visual development and physical and mental health, and causes great loss to family and society. The incidence rate of paediatric ocular trauma in developing countries accounts for 1 in 1000 [3, 4]. The blindness rate of paediatric ocular trauma in China is as high as 22.4 to 35.9% [5, 6]. Paediatric ocular trauma is often involved in the posterior segment of the eye, accompanied by multiple tissue damage, irreversible damage to visual function, which brings great difficulty to treatment.
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