Epidemiology of pediatric eye injuries requiring hospitalization in rural areas of Wenzhou and Changsha, China: a 10-year retrospective study

Li, Chunyan; Lin, Yaoyao; Xiao, Haishao; Lin, Huancai; Chen, Yanyan; Dai, Minhui

doi:10.1186/s12886-020-01363-7

Cited by 14 publications

(25 citation statements)

References 27 publications

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“…Similar to other studies worldwide, our study showed that boys were more susceptible to suffer from open globe injuries than girls [ 2 - 11 ]. The male predisposition could be explained by the boy’s tendency to involve in more dangerous activities that make them prone to the risk of experiencing a traumatic eye injury.…”

Section: Discussionsupporting

confidence: 91%

“…Other objects such as glasses, darts, stationary, firework, stone, wire, and even animals have been reported to cause open globe injuries [5][6][7]11]. This study found two cases (4.3%) where the injuries had been caused by an animal attack, which was also previously reported by Li et al (1.4%) [11].…”

Section: Discussionsupporting

confidence: 85%

“…However, they found that wooden object was the most common object that caused the injuries, contrasting to our study in which household appliance/furniture and scissors/knife were the major culprits. Other objects such as glasses, darts, stationary, firework, stone, wire, and even animals have been reported to cause open globe injuries [ 5 - 7 , 11 ]. This study found two cases (4.3%) where the injuries had been caused by an animal attack, which was also previously reported by Li et al (1.4%) [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…The final visual outcome after complete treatment is different among the reported studies in each country. The average age varies from 7 to 11 years old, and the affected children are predominantly males [2][3][4][5][6][7][8][9][10][11]. The etiologies of the open globe injuries in children are different from those in adults.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of Pediatric Open Globe Injuries in a University Hospital in Thailand

Saksiriwutto¹,

Charuchinda²,

Atchaneeyasakul³

et al. 2021

Cureus

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Objective: To describe the epidemiology, clinical characteristics, and clinical outcomes of pediatric traumatic open globe injuries and to determine the risk factors for poor visual outcome. Methods: The medical records of patients aged younger than 15 years of age who were diagnosed with open globe injuries from January 2005 to December 2015 were retrospectively reviewed. The patients’ demographic data were collected, including age, sex, injury date, place of injury, mechanism of injury, cause of injury, and the activity related to the injury. Clinical data were recorded, including initial visual acuity (VA), wound size, wound location, associated ocular findings at presentation, and complications. The prognostic factors for a poor visual outcome were assessed. Results: In total, 46 pediatric patients were included in this study. The mean age was 6.8 years old. Most patients were male (65.2%). The most common type of injury was penetrating injury (60.9%) and mostly occurred during playing (60.9%). Household appliances/furniture and scissors/knives were common causes of injuries (17.4%, 15.2%, respectively). Poor final VA worse than 6/60 was found in 17 patients (37%). Wound location and retinal detachment (RD) at the time of presentation were significant prognostic factors for a poor visual outcome according to the univariate analysis (p = 0.008, <0.001). Only wound location at zone II and III was found to be significantly correlated with poor final VA in the multivariate analysis (adjusted risk ratio (RR) = 2.87, 95% confidence interval (CI), 1.26-6.55, p = 0.012). Traumatic cataract was the most common associated injury (45.7%). Conclusions: One-third of pediatric patients with open globe injuries had a poor visual outcome. Wound location at zone II and III significantly correlated with a poor visual outcome in pediatric open globe injuries. The parents and caregivers should be made aware of the seriousness of open globe injuries in order to prevent children from possible injuries.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Epidemiology of Pediatric Open Globe Injuries in a University Hospital in Thailand

Saksiriwutto¹,

Charuchinda²,

Atchaneeyasakul³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

“…The pattern of injuries in children appears somewhat different: of 1125 children with globe injuries 73.8 % were male and, of the mechanical injuries, penetrating injuries were the most frequent (68.4 %) and globe ruptures uncommon at 8.2 % [7].…”

Section: Characteristics Of Injuries Caused By Fallsmentioning

confidence: 99%

Rupture of the Globe: What to Do, What not to Do

Joussen

Müller

Kirchhof³

et al. 2020

Klin Monbl Augenheilkd

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Due to their complexity, globe ruptures are highly compromising traumas for the patient. This is due on the one hand to the eye injury itself with the accompanying loss of vision and on the other hand due to the need for extended treatment with uncertain prognosis and the resulting psychological stress. Globe ruptures are among the prognostically most unfavorable injuries due to the force and peak pressure impacting the eye. Furthermore, contusional retinal necrosis may be of significance prognostically. In the present review, we discuss treatment of globe ruptures involving retinal surgery. We discuss the primary sugery, its chronological planning and extent as well as the necessity for follow-up interventions. We also discuss the origin of traumatic retinal detachment with differential diagnosis of giant retinal tear versus oradialysis as well as secondary sequelae of traumas such as formation of macular holes and their treatment. On this basis, the use of buckling surgery versus pars-plana vitrectomy is discussed. Further focus is set on the role of the iris lens diaphragm in surgery of globe ruptures.

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Firework injuries are increasing in the United States: An analysis of the National Emergency Department Sample

et al. 2021

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Background Firework‐related injuries cause significant morbidity to persons in the United States and globally. Prior studies have shown that hands and eyes are frequently injured, with loss of hand function and blindness being common after serious injury. Many jurisdictions in the United States have relaxed laws governing sales of consumer fireworks in recent years. Given the increased availability of consumer fireworks, we sought to determine the incidence of firework‐related injuries compared with historical controls. Methods Firework‐related injuries were identified in the National Emergency Department Sample (NEDS) using the corresponding International Classification of Disease codes for the years 2008–2017. Demographics, timing of presentation, and hospital characteristics were analyzed. Data were weighted to approximate population estimates of injury. Statistical analyses were completed using SAS. The National Electronic Surveillance System was also queried for firework‐related visits to check for consistency in observed trends. Results There were an estimated 7699 injuries attributed to fireworks in 2017 (2.37 per 100,000 population) compared with 5727 (1.88 per 100,000 population) in 2008. The majority of victims were male (74.6%), and injuries clustered in the pediatric and young adult age groups. The Midwest and South (both 38.1%) had more firework‐related injuries compared with the West (15.6%) and Northeast (8.2%) regions. Most visits occurred in July (71.4%) with smaller peaks in June (6.9%) and January (6.0%). Patients were disproportionately seen in trauma centers (34.0%) and teaching hospitals (49.6%). Conclusion Emergency department visits for firework injuries are increasing in the United States. Pediatric patients and young adult males comprise the majority of victims. Injuries are clustered around the Fourth of July and New Year's holidays. Public health interventions targeted at high‐risk groups may reduce the burden of injury.

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Epidemiology of pediatric eye injuries requiring hospitalization in rural areas of Wenzhou and Changsha, China: a 10-year retrospective study

Abstract: Background: The aim of this study was to review the demographic and characteristic distribution data of serious rural pediatric eye injuries in Wenzhou and Changsha, located in Zhejiang Province in East China and Hunan Province in Central China.

Cited by 14 publications

References 27 publications

Epidemiology of Pediatric Open Globe Injuries in a University Hospital in Thailand

Epidemiology of Pediatric Open Globe Injuries in a University Hospital in Thailand

Rupture of the Globe: What to Do, What not to Do

Firework injuries are increasing in the United States: An analysis of the National Emergency Department Sample

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