Corneal Trauma in a 6-Year-Old Boy

Tsui, Edmund; Salcone, Erin M.

doi:10.1001/jama.2012.3457

Cited by 1 publication

(3 citation statements)

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“…Rarely, occult OGI can present with nonspecific redness and irritation after a self-sealing corneal wound or if there is a small scleral perforation (e.g., induced by a dart). [ 32 34 ] If the diagnosis of OGI is obvious, IOP measurements and pupillary dilation should be avoided to decrease the risk of further extruding intraocular contents. Fundoscopy is performed without scleral depression.…”

Section: History and Examinationmentioning

confidence: 99%

“…If IOFB is suspected, the patient should be admitted for a course of intravenous vancomycin and ceftazidime. [ 7 15 22 34 64 65 ]…”

Section: Treatmentmentioning

confidence: 99%

“…Prevention of amblyopia has been studied extensively, with patching of the uninjured eye as the gold standard of therapy, along with atropine if the uninjured eye is hyperopic. [ 18 34 72 73 74 75 ] The patient should be concurrently managed by a pediatric ophthalmologist following primary repair. Traumatic cataracts associated with corneal laceration are the most common cause for severe, refractory VA decline in children's eyes after OGI.…”

Section: Complicationsmentioning

confidence: 99%

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Pediatric open globe injury: A review of the literature

Zarbin

Bhagat

2015

J Emerg Trauma Shock

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Open globe injury (OGI) is a severe form of eye trauma estimated at 2-3.8/100,000 in the United States. Most pediatric cases occur at home and are the result of sharp object penetration. The aim of this article is to review the epidemiology, diagnosis, management, and prognosis of this condition by conducting a systematic literature search with inclusion of all case series on pediatric OGI published between 1996 and 2015. Diagnosis of OGI is based on patient history and clinical examination supplemented with imaging, especially computed tomography when indicated. Few prospective studies exist for the management of OGI in pediatric patients, but adult recommendations are often followed with success. The main goals of surgical management are to repair the open globe and remove intraocular foreign bodies. Systemic antibiotics are recommended as medical prophylaxis against globe infection, or endophthalmitis. Other complications are similar to those seen in adults, with the added focus of amblyopia therapy in children. Severe vision decline is most likely due to traumatic cataracts. The ocular trauma score, a system devised to predict final visual acuity (VA) in adults, has proven to be of prognostic value in pediatric OGI as well. Factors indicating poor visual prognosis are young age, poor initial VA, posterior eye involvement, long wound length, globe rupture, lens involvement, vitreous hemorrhage, retinal detachment, and endophthalmitis. A thorough understanding of OGI and the key differences in epidemiology, diagnosis, management, and prognosis between adults and children is critical to timely prevention of posttraumatic vision loss early in life.

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Section: History and Examinationmentioning

confidence: 99%

“…If IOFB is suspected, the patient should be admitted for a course of intravenous vancomycin and ceftazidime. [ 7 15 22 34 64 65 ]…”

Section: Treatmentmentioning

confidence: 99%