Childhood ocular trauma in the Copenhagen area from 1998 to 2003: eye injuries caused by airsoft guns are twice as common as firework‐related injuries

Saunte, Jon Peiter; Saunte, Mads Egil

doi:10.1111/j.1755-3768.2008.01197.x

Cited by 18 publications

(16 citation statements)

References 3 publications

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“…Irideal trauma was found in 33% of our patients, which is similar to traumatic mydriasis in 25-44% and iris dialysis in 21% of patients in previous studies (Fleischhauer et al 1999;Ramstead et al 2008;Saunte & Saunte 2008;Kratz et al 2010;Staffieri et al 2010).…”

Section: Discussionsupporting

confidence: 88%

Toy gun eye injuries – eye protection needed Helsinki ocular trauma study

Haavisto

Sahraravand

Puska

et al. 2018

Acta Ophthalmologica

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Purpose We report the epidemiology, findings, treatment, long‐term outcome and use of resources for eye injuries caused by toy guns in southern Finland. Methods All new patients injured by toy guns in one year (2011–2012) and treated at Helsinki University Eye Hospital were included. Follow‐ups occurred at 3 months and 5 years. Results Toy guns caused 15 eye traumas (1% of all eye traumas). Most patients were male (n = 14) and children aged under 16 years (n = 13). Toy guns involved were airsoft guns (n = 12), pea shooters (n = 2) and paintball (n = 1). Eleven patients did not use protective eyewear, and four patients discontinued their use during the game. Seven patients were not active participants in the game. Blunt ocular trauma was the primary diagnosis in 13 patients and corneal abrasion in two. Seven patients had retinal findings. In the 5‐year follow‐up, eight of 15 patients had abnormal ocular findings: three had artificial intraocular lens, two iridodialysis, and one each retinal plomb, mydriasis or iris tear. None had glaucoma. Seven patients had permanent subjective impairment due to pain, lowered visual acuity, blur or difficulty in focusing. Four patients needed seven operations. The number of outpatient visits was 90. One patient required hospitalization. Conclusion Toy guns cause serious eye traumas. No glaucoma was found. Proper use of toy guns and protective eyewear during the whole game should be emphasized to both players and bystanders. We recommend that in Finland the selling of airsoft guns be placed under the Firearms Act to make the hazards of airsoft guns known.

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Section: Discussionsupporting

confidence: 88%

Toy gun eye injuries – eye protection needed Helsinki ocular trauma study

Haavisto

Sahraravand

Puska

et al. 2018

Acta Ophthalmologica

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“…Twenty-nine to 47% of pediatric open globe injuries involve both the anterior and posterior segments of the eye (Table 1) [2][3][4]6]. However, there are currently no prospective studies analyzing this specific group of openglobe injuries.…”

Section: Introductionmentioning

confidence: 96%

“…An age limit has not yet been clearly defined. In various studies, children up to 15 years, 16-year-olds, and 18-yearolds have been analyzed separately [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Combined anterior and posterior segment injuries in children: a review

Meier

2010

Graefes Arch Clin Exp Ophthalmol

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“…In general, males are more often affected than females (Takvam & Midelfart 1993; Serrano et al. 2003; Saunte & Saunte 2008).…”

Section: Introductionmentioning

confidence: 99%

“…In the USA, a population-based study found an annual incidence of ocular trauma in children of 15.2 ⁄ 100 000 (Strahlmann et al 1990). In general, males are more often affected than females (Takvam & Midelfart 1993;Serrano et al 2003;Saunte & Saunte 2008).…”

Section: Introductionmentioning

confidence: 99%

Longterm follow‐up of children with traumatic optic nerve avulsion

Sturm¹,

Menke²,

Bergamin³

et al. 2010

Acta Ophthalmologica

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. Purpose: We report the longterm follow‐up of children with optic nerve avulsion (ONA) caused by traumatic events. The remarkable differences in courses and outcomes may elucidate the spectrum of ONA‐associated symptoms and injuries. Methods: During the last 15 years, three children with ONA were referred to our department. These cases are presented with special attention to their longterm follow‐up. Results: Two patients suffered from complete ONA after head injury. The third patient presented with partial ONA caused by a bicycle accident. Longterm follow‐up varied between 7 and 15 years. In the first patient, a pale swollen retina without any visible retinal vasculature was observed early in the course of follow‐up. The retina later completely detached. In the second patient, extended fibroglial scarring occurred and an extremely large epiretinal membrane formed and was finally released spontaneously into the vitreous. The third patient developed only mild fibroglial scarring and retinal pigment epithelium hyperplasia. The optic nerve head in this patient came to resemble a morning glory disc. Conclusions: Optic nerve avulsion can adopt different courses and outcomes in different patients. Final visual outcome seems to depend on the degree of visual acuity immediately after injury. Substantial intraocular architecture changes can occur as a result of ONA.

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Childhood ocular trauma in the Copenhagen area from 1998 to 2003: eye injuries caused by airsoft guns are twice as common as firework‐related injuries

Cited by 18 publications

References 3 publications

Toy gun eye injuries – eye protection needed Helsinki ocular trauma study

Toy gun eye injuries – eye protection needed Helsinki ocular trauma study

Combined anterior and posterior segment injuries in children: a review

Longterm follow‐up of children with traumatic optic nerve avulsion

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