Epidemiology and prognostic factors of open globe injuries in a Tunisian pediatric population

Malek, Ines; Sayadi, Jihene; Zerei, N.; Mekni, M.; Amri, Khairil; Zgolli, Hsouna Mehdi; Chebbi, A.; Nacef, L.

doi:10.1016/j.jfo.2019.10.024

Cited by 11 publications

(11 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, the penetrating injury was the most common type of open-globe injury in children, followed by blunt rupture, which was similar to the results reported by others in Chinese cities such as Shanghai [7], Wenzhou, and Changsha [9], and other countries as Iran [26], the US [11], and Tunisia [27]. However, the result perhaps was contrary if all kinds of ocular injuries were included; the main cause was a blunt strike to the eye [18,28,29].…”

Section: Etiological and Epidemiological Pro Lesupporting

confidence: 89%

Pediatric Traumatic Cataract in Southwest China: Epidemiological Profile

Wang¹,

Yin²,

Wang³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Pediatric traumatic cataract is an important but preventable cause of acquired monocular blindness. Knowing the epidemiology of pediatric traumatic cataract is the prerequisite for prevention. This study aimed to characterize the epidemiology in the southwest of China. Methods: The medical record of children with lens damage following open-globe injury managed in the West China Hospital (aged 1–14 years) from January 2011 to December 2020 were reviewed, and the demographic data, cause of injury, and post-traumatic complications were recorded and analyzed.Results: A total of 716 eyes of 716 patients were enrolled in this study, including 488 (68.2%) male and 228 female patients in a ratio of 2.14:1; 117 patients were from a minority nationality region. The pediatric traumatic cataract was more likely to occur in winter (40.2%). Sharp metal object–related (scissors/knife/needle/sheet metal/dart) eye injuries accounted for the highest proportion, followed by botanic sticks (wooden /bamboo /bamboo skewers), and stationery (pencil/pen/ruler/paper). A majority (68.7%) of patients were 2–8 years old, with a higher frequency in the age group of 4–6 years. Penetrating trauma accounted for 64.9% of patients, and the remaining were accounted for blunt trauma (35.1%). 131 cases (18.3%) developed into post-traumatic endophthalmitis. The eye injuries caused by needles(P=0.007), wooden sticks(P=0.016), and bamboo skewers(P=0.002) have greater risk for developing into endophthalmitis. The most common organism identified was Streptococcus, which accounted for 42% (21/50) of all culture-positive specimens and was sensitive to vancomycin. Conclusion: The epidemiology of pediatric traumatic cataract in the southwest of China, especially the causative agent, was different from that in other regions, therefore the emphasized educative measures such as informing guardian and children about the causative factors should also be different.

show abstract

Section: Etiological and Epidemiological Pro Lesupporting

confidence: 89%

Pediatric Traumatic Cataract in Southwest China: Epidemiological Profile

Wang¹,

Yin²,

Wang³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…The proportion of open ocular trauma dropped by nearly one-eighth, mainly due to a decrease in ruptures, penetrating injuries, and intraocular foreign body. Among them, the proportion of rupture and penetrating injury is still the highest, which consistence with some other foreign studies [30][31] . However, the non-mechanical ocular trauma, mainly the chemical injury, increased obviously.…”

Section: Resultssupporting

confidence: 65%

Comparison of ocular trauma between normalized and the COVID-19 epidemic periods in China: a multi-center cross-sectional study

Zhang¹,

Liao²,

Yan³

2023

Int J Ophthalmol

View full text Add to dashboard Cite

AIM: To compare the feature of ocular trauma between normalized period and the COVID-19 epidemic period in China, and to provide a profile for eye injuries in special times in future. METHODS: This is a multi-center cross-sectional study with 30 participated hospitals involving the China Ocular Trauma Society members. All hospitalized cases who visited the Ophthalmology Department in participated hospitals with eye injuries during the normalized period (2019) and the COVID-19 epidemic period (2020) were included in this study. Demographic characteristic of cases, date of injury, sites and types of injury were collected. RESULTS: This study involved 13 525 (61 cases with both eyes) injured cases. There were 7269 (53.74%) eye-injured cases and 6256 (46.26%) eye-injured cases in 2019 and 2020 separately. Compared with 2019, the incidence of ocular trauma in retirees, housewives and unemployed increased with year-on-year of 4.96%, 102.67%, and 11.64% among all occupations. In 2020, the incidence of eye injuries decreased in all injury sites except for an increase in home (30.29% year-on-year). The incidence of mechanical eye injuries decreased, while that of non-mechanical eye injuries (chemical/thermal/radiation) increased (47.45% year-on-year). There were 255 (3.51%, 255/7269) and 376 (6.01%, 376/6256) non-mechanical injured cases in 2019 and 2020 (Pearson Chi2=47.33, P<0.001) separately. CONCLUSION: During the COVID-19 epidemic period, the total cases of ocular trauma decrease but the proportion of non-mechanical ocular trauma increase. Penetrating is still the highest proportion among all types of mechanical ocular trauma. From a preventive point of view, protection for retired persons, housewives and unemployed persons should be improved during public health events period.

show abstract

“…There wasn't any clinical signi cant in uence of hospital admission delay in terms of visual outcome in our study. Similarly, Wadeai et al and Malek et al did not found the delay in presentation time as a poor prognostic factor in their studies 17,31 . These ndings may be due to the fact that the patients are usually admitted to hospital more urgently after more severe traumas.…”

Section: Discussionmentioning

confidence: 78%

Pediatric Open-globe Injuries: Clinical Characteristics and Outcomes of Repair in a Tertiary Center in Istanbul, Turkey

Kabakcı

Atik

Livan

et al. 2022

Preprint

View full text Add to dashboard Cite

PURPOSE: Open-globe injury is defined as trauma causing a full-thickness defect of the eyewall, with reported ratios of 28.9-49.7% occurring in the pediatric age group of all the injuries. Eye injuries account for 8-14% of all injuries in pediatric patients. Our purpose in this retrospective study was to evaluate the epidemiology, etiology, and outcomes of pediatric open-glob injury patients diagnosed and treated at a tertiary medical center in Istanbul, Turkey; with an aim of making contribution to the data in order to establish specific preventative guidelines for ocular trauma within the pediatric population.METHODS: The medical records of 56 patients ≤18 years old who underwent primary open-globe injury repair at Prof.Dr.Cemil Tascioglu State Hospital from January 2016 to January 2021 were retrospectively reviewed. RESULTS: The majority of the injuries took place at home (35 cases, 62.5%).The most common traumatizing object was knife in 10.7% of the cases, followed by fork in 8.9%.CONCLUSION: In conclusion, our study demonstrated that the visual acuity at presentation and the presence of lens injury are prognostic factors for open-globe injuries in pediatric age group.These findings can be useful in terms of predicting the prognosis and managing the expectation of the children with open-globe injury and their parents. However, we believe that adoption of appropriate protective measures in order to avoid unnecessary injuries are far more effective in terms of preventing visual impairment than advancements in any kind of treatment or management strategies after the injury.

show abstract

Epidemiology and prognostic factors of open globe injuries in a Tunisian pediatric population

Cited by 11 publications

References 27 publications

Pediatric Traumatic Cataract in Southwest China: Epidemiological Profile

Pediatric Traumatic Cataract in Southwest China: Epidemiological Profile

Comparison of ocular trauma between normalized and the COVID-19 epidemic periods in China: a multi-center cross-sectional study

Pediatric Open-globe Injuries: Clinical Characteristics and Outcomes of Repair in a Tertiary Center in Istanbul, Turkey

Contact Info

Product

Resources

About