Clinical characteristics and prognosis of pediatric ocular trauma

Abstract

Objective To analyze clinical characteristics and causes of pediatric ocular trauma. Methods A retrospective study. Data of 39 eyes of 35 children with ocular trauma was collected. The gender, involved eye, causes, site and extent of injury, initial visual acuity, surgical management, postoperative complications and treatment results were observed. Results Of all the pediatric patients, 26 cases were boys, and 9 cases were girls. The age was 5-18 years. Classification of ocular trauma: thermal burn injuries in 1 eye ( 2.6%), open globe injuries in 35 eyes (89.7%), and closed globe injuries in 3 eyes (7.7%). The most common cause of injuries was sharp toll (25.6%), followed by fireworks (20.5%), traffic accidents (15.4%), blunt objects (15.4%), stick (7.7%), crush (2.6%), dog bites (2.6%), fall on the ground (2.6%) and causes unknown (7.7%). The visual acuity improved in 28 eyes (71.8%), remained unchanged in 9 eyes (23.1%), and decreased in 2 eyes (5.1%) after treatment. The follow-up time was 6-48 months. Conclusion Pediatric ocular trauma is prone to boys, and gives priority to perforating injuries. Sharp object injury is the most common cause for open-globe injury. Key words: Ocular trauma, pediatric; Characteristics; Result, treatment