Eye Injury Prevention for the Pediatric Population

Hoskin, Annette K.; Philip, Swetha Sara; Yardley, Anne-Marie E.; Mackey, David A.

doi:10.1097/apo.0000000000000193

Cited by 44 publications

(40 citation statements)

References 69 publications

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“…Alfaro et al (1995), Junejo et al (2010) and Rishi et al (2016) reported similar rates of 75%, 67% and 70% respectively in their studies. The mean of age of presentation that has been reported (Hoskin et al, 2016) was 10 years while PPTE was seen in slightly younger age group in our series. Injury with vegetative matter was more common than non-vegetative matter.…”

Section: Discussionsupporting

confidence: 43%

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Post-traumatic endophthalmitis in children

et al. 2019

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Purpose: To study the clinico-microbiological profile and evaluate the functional and anatomical outcomes of pediatric post-traumatic endophthalmitis (PPTE). Methods: This was a retrospective interventional case series. All medical case records of patients diagnosed with PPTE over a 5-year period from January 2011 to December2015 were reviewed. Data recorded was: age, sex, type of trauma, mode of injury, interval between trauma and presentation, treatment, follow-up duration and final functional and anatomical outcomes. Results: Forty-one eyes of 41 patients diagnosed with PPTE met the inclusion criteria. There were 26 boys and 15 girls. The mean age at the time of presentation was 7.34 years (1month -16years). The median interval between trauma and presentation was 3 days (mean = 13.71 days; 1-240 days). The average follow-up period was 292.24 days (median 150 days; 30 1440 days). Injury with wooden stick (20,50%) was the most common mode of injury. Culture positivity was noted in 25(61%) cases. Staphylococcusaureus was the most common organisms identified on culture. Univariate analysis of in dependent variables was done using the Chi-square test showed patients with positive culture for gram-positive organisms had better anatomical (p=0.038) and functional outcomes (p=0.043). 35(85%) patients underwent vitrectomy along with intraocular antibiotics. Optimal anatomical and functional outcomes were noted in 23(56.1%) and12(29.3%) respectively. Conclusion: PPTE carries a significantly poor prognosis in terms of ocular integrity and visual function. PPTE is common in boys and often caused by vegetative matter. Staphylococcus aureus is the most common organism seen in PPTE. Early presentation following trauma and identification of gram-positive organisms have a better prognosis.

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Section: Discussionsupporting

confidence: 43%

“…PPTE constituted 70% of all the cases of endophthalmitis in the current study. The incidence of trauma related ocular morbidity is relatively higher in the developing countries ( Hoskin et al, 2016) as result of less strict laws relating to child care and increased parental negligence.…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic endophthalmitis in children

et al. 2019

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“…Professional athletes can serve as role models to promote eye protection and improve compliance, particularly among school‐aged children (Hoskin et al. ). Professional sports can influence the development of standards for sports eye protection, with prominent athletes’ injuries resulting in revision of standards and/or legislation relating to personal protective equipment for sport.…”

Section: Resultsmentioning

confidence: 99%

Eye Injuries across history and the evolution of eye protection

Hoskin

Mackey

Keay

et al. 2019

Acta Ophthalmologica

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Purpose: To describe the history of eye injuries and the consequent evolution of eye protection. Methods: A comprehensive search of Medline and the grey literature using the terms 'ocular trauma ' and 'eye protection' or 'injury prevention' and 'history'. References were used to identify other relevant publications. Publications were classified according to the setting of eye injury: occupational, recreational or combat-related. Results: Eye protection has been described in a wide range of sources, including in literature and art. With advances in eye protection material and design, as well as government and societal promotion of appropriate eye protection usage in the workplace, the epidemiology of ocular trauma has changed over time. In developed countries, the use of eye protection in the workplace has reduced the proportion of occupation-related eye injuries over the last century, with a higher proportion occurring during sports or at home. New protection devices and policies have evolved to meet this change. Conclusion: Vision loss has broad implications for the individual and for society and despite available prevention strategies, ocular trauma is a significant cause of preventable monocular and bilateral vision loss. The use of appropriate eye protection has reduced the burden of ocular trauma. History provides lessons for informing current eye protection and eye injury prevention strategies.

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“…Internationally, 20 to 59% of all eye injuries occur in children [6]. Pediatric eye injuries are characterized by high morbidity and high blinding rates and are mostly treatable and preventable.…”

Section: Discussionmentioning

confidence: 99%

“…Low education levels, economic disadvantages and irresponsible child supervision all contributed to the alarmingly high incidence rate of eye injuries among rural children, with percentages as high as 46.7-48.1% [4,5]. Visual outcomes for pediatric eye injuries have profound implications and significance, and treatment in children is more likely to be unsuccessful than treatment in adults [6].…”

Section: Introductionmentioning

confidence: 99%