Abstract
Purpose. To review the epidemiology of serious pediatric ocular trauma presenting to Kasr El Aini Hospital, Cairo University. Methods. Children with serious ocular trauma during a six-month period were examined and their data was analyzed. Results. Eighty eyes of 75 patients were included in this study, with 64% males (P < 0.001) and average age of 5 years (5 months–15 years). There were 67 (83.75%) open globe injuries, 11 (13.75%) closed globe injuries, and 2 (2.5%) chemical injuries. Of the open globe injuries, 24 (30%) were ruptured globes and 43 (53.75%) were lacerations (31 penetrating injuries (38.75%), 6 IOFBs (7.5%), and 6 perforating injuries (7.5%)). Of the closed globe injuries, 3 had hyphema (3.75%), 5 had traumatic cataracts (6.25%), and 3 had vitreous hemorrhage with retinal detachment (3.75%). Forty-two patients (56%) presented within 24 hours, 28 patients (37.33%) presented between 24 hours and 1 week, and 5 patients (6.6%) presented after one week from the time of trauma. Seven eyes developed posttraumatic endophthalmitis (10% of open globe injuries). On leaving the hospital, 55 (68.75%) eyes had poor vision, 13 (16.25%) had moderate vision, and 12 (15%) had good vision. Conclusion. Children at a higher risk of trauma are males, >5 years, unsupervised, and involved in street activities. Immediate comprehensive primary management and secondary rehabilitation are mandatory in these cases.
Highlights
The burden of eye trauma on societies is well documented [1,2,3,4,5,6,7,8,9,10,11]
Visual impairments as a result of ocular trauma lead to a variety of socioeconomic problems and today still remain a significant cause of ocular morbidity, and this impact could be devastating in children [12,13,14,15,16,17,18,19,20,21,22,23]
This study investigates the demographics, etiology, prognostic factors, management, and visual outcomes of pediatric eye trauma at a major university hospital during a 6-month period
Summary
Visual impairments as a result of ocular trauma lead to a variety of socioeconomic problems and today still remain a significant cause of ocular morbidity, and this impact could be devastating in children [12,13,14,15,16,17,18,19,20,21,22,23]. Pediatric ocular trauma forms about 20–50% of all eye injuries reported [22, 24,25,26,27,28,29]. Few studies have been reported on ocular trauma in Egypt [22, 30] and especially pediatric groups [31]. This study investigates the demographics, etiology, prognostic factors, management, and visual outcomes of pediatric eye trauma at a major university hospital during a 6-month period
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